Rural Health
Resources by Topic: Substance use and misuse
Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America
Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Action plan outlining steps the U.S. Department of Health and Human Services is taking to reduce maternal mortality and address disparities that endanger women before, during, and following pregnancy. Four main goals include: improving prevention and treatment services to promote positive health outcomes for every woman of reproductive age; prioritizing quality improvement efforts to support healthy pregnancies and births; improving postpartum health; and enhancing data and research to inform future interventions. Includes data and statistics on maternal health and morbidity, and addresses rural considerations throughout.
Author(s): Dawn Alley, Andre Chappel, Nancy De Lew, et al.
Date: 12/2020
Sponsoring organization: U.S. Department of Health and Human Services
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Addressing Opioid Overdose Deaths: The Vision for the HEALing Communities Study
Highlights a study on the effect of the COVID-19 pandemic on the HEALing Communities Study (HCS), which began in 2019 with the goal of reducing opioid overdose deaths by 40% over 3 years. Discusses the intersection of the two crises across the country and discusses the variations in rural and urban locations.
Author(s): Redonna K. Chandlera, Jennifer Villani, Thomas Clarke, et al.
Citation: Drug and Alcohol Dependence, 217, 108329
Date: 12/2020
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Highlights a study on the effect of the COVID-19 pandemic on the HEALing Communities Study (HCS), which began in 2019 with the goal of reducing opioid overdose deaths by 40% over 3 years. Discusses the intersection of the two crises across the country and discusses the variations in rural and urban locations.
Author(s): Redonna K. Chandlera, Jennifer Villani, Thomas Clarke, et al.
Citation: Drug and Alcohol Dependence, 217, 108329
Date: 12/2020
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Buprenorphine Dispensing in an Epicenter of the U.S. Opioid Epidemic: A Case Study of the Rural Risk Environment in Appalachian Kentucky
Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah L.F. Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
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Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah L.F. Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
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Models of Tribal Promising Practices: Tribal Opioid Overdose Prevention Care Coordination and Data Systems
Presents models of tribal care coordination promising practices that address opioid use disorder (OUD) in American Indian and Alaska Native (AI/AN) communities. Discusses barriers to treatment and the need for culturally competent healthcare for AI/AN persons with OUD.
Author(s): Maya Magarati, Raquel Aviles, Christina E. Oré, et al.
Date: 11/2020
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Presents models of tribal care coordination promising practices that address opioid use disorder (OUD) in American Indian and Alaska Native (AI/AN) communities. Discusses barriers to treatment and the need for culturally competent healthcare for AI/AN persons with OUD.
Author(s): Maya Magarati, Raquel Aviles, Christina E. Oré, et al.
Date: 11/2020
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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Supporting Children and Families Affected by the Opioid Epidemic - Emerging Policy Considerations
Explores the effect of the opioid crisis on children and their families and makes policy recommendations. Breaks down rural and urban differences in opioid use and access to behavioral healthcare and discusses the policy implications of those differences.
Author(s): Laudan Y. Aron, Sarah Benatar, Rebecca Peters
Date: 11/2020
Sponsoring organization: Urban Institute
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Explores the effect of the opioid crisis on children and their families and makes policy recommendations. Breaks down rural and urban differences in opioid use and access to behavioral healthcare and discusses the policy implications of those differences.
Author(s): Laudan Y. Aron, Sarah Benatar, Rebecca Peters
Date: 11/2020
Sponsoring organization: Urban Institute
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Promoting Access to Care for Women of Reproductive Age with Mental Health and Substance Use Disorders in Rural Communities
Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Risky Substance Use Behaviors Among Adolescents Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the prevalence of risky substance use among people ages 12-17 who are living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Risky Substance Use Behaviors Among Adults Residing in Non-Metropolitan and Metropolitan Counties in the United States, 2017-2018
Compares the prevalence of risky substance use among adults living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Compares the prevalence of risky substance use among adults living in rural and urban counties. Features statistics with breakdowns by use within the past year and within the past 30 days, for alcohol, tobacco, and 10 types of illicit drugs.
Author(s): Tyrone F. Borders, Michael D. Singleton, Katherine Youngen
Date: 11/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Substance Use among Rural and Urban Youth and Young Adults
Details substance use of youth aged 12-17 and young adults aged 18-25 in rural and urban areas. Looks specifically on use of alcohol, marijuana, illicit drugs, and the misuse of prescription pain relievers and compares usage trends in rural areas to those in urban areas.
Author(s): Jennifer Lenardson, Nathan Paluso, Erika Ziller
Date: 11/2020
Sponsoring organization: Maine Rural Health Research Center
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Details substance use of youth aged 12-17 and young adults aged 18-25 in rural and urban areas. Looks specifically on use of alcohol, marijuana, illicit drugs, and the misuse of prescription pain relievers and compares usage trends in rural areas to those in urban areas.
Author(s): Jennifer Lenardson, Nathan Paluso, Erika Ziller
Date: 11/2020
Sponsoring organization: Maine Rural Health Research Center
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Comment Letter on HHS Report to Congress on Telehealth for Pediatric SUD
Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reviews the U.S. Department of Health and Human Services (HHS) report, Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations Under Medicaid: Final Report. Covers the role of telehealth in mitigating the shortage of behavioral health providers and expanding behavioral health services to children covered by Medicaid. Discusses the need for additional research on telehealth in Medicaid, information sharing between states, and addressing barriers to technology.
Date: 11/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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