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Rural Health
Resources by Topic: Substance use and misuse

Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training
Evaluates IT MATTTRs, a training intervention for primary care practice (PCP) teams regarding medication-assisted treatment (MAT) for opioid use disorder. Compares in-person training to web-based training through Project ECHO. Discusses the implementation of the training program, participant satisfaction, and impact on participants' perceived ability to deliver MAT.
Author(s): Linda Zittleman, Kristen Curcija, Christin Sutter, et al.
Citation: Journal of Primary Care and Community Health, 11
Date: 09/2020
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Tracking FY2019 Federal Funding to Combat the Opioid Crisis
Report covering the allocation of federal resources for opioid initiatives at the federal, state, and local level. Presents data on federal funding and offers case studies of state and county-level spending data for Ohio, Arizona, Louisiana, Washington, Tennessee, and New Hampshire. Makes policy recommendations and briefly discusses grant initiatives that target rural-specific barriers to treatment.
Date: 09/2020
Sponsoring organization: Bipartisan Policy Center
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman, Eugene Shin, Chris Delcher
Date: 09/2020
Sponsoring organization: Rural and Underserved Health Research Center
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Youth Exposure to Marijuana Advertising in Oregon's Legal Retail Marijuana Market
Uses school-based survey results to investigate marijuana advertising exposure among 8th and 11th graders in Oregon. Provides data and statistics on survey respondents' characteristics and exposure to marijuana advertising, with information broken down by urban, rural, and frontier locations.
Author(s): Steven Fiala, Julia Dilley, Erik Everson, Caislin Firth, Julie Maher
Citation: Preventing Chronic Disease, 17
Date: 09/2020
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Results from the 2019 National Survey on Drug Use And Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Date: 09/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Telepharmacy and Quality of Medication Use in Rural Areas, 2013–2019
Uses dispensing records from traditional pharmacies and telepharmacies in the Midwest to compare patients' adherence to and inappropriate use of prescription medications between 2013 and 2019. Includes data and statistics on medication adherence and use, with information broken down by patient characteristics, such as age, rurality, payer, risk, and more.
Author(s): Shweta Pathak, Mitchell Haynes, Dima Qato, Benjamin Urick
Citation: Preventing Chronic Disease, 17
Date: 09/2020
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Buyback Program of Unused Prescription Opioids in US Rural Communities, 2017–2018
Describes a buyback intervention that was designed to encourage rural, ambulatory surgery patients to return unused prescription opioids to a U.S. Department of Veterans Affairs (VA) hospital. Provides data on patient characteristics as well as percent of opioids prescribed and returned during 2017 and 2018. Includes implications for public health.
Author(s): Jean Liu, Julie Franklin, Frank Gesek, Joseph Anderson
Citation: American Journal of Public Health, 110(9), 1318-1324
Date: 09/2020
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2019 Wisconsin Behavioral Health System Gaps Report
Outlines the results of a study examining gaps and needs for behavioral healthcare services for persons with mental health and substance use disorder (SUD) in Wisconsin. Includes information and data on the needs of behavioral health services in rural areas throughout.
Additional links: Technical Appendices
Author(s): Abra Vigna, Tim Connor
Date: 08/2020
Sponsoring organization: University of Wisconsin Population Health Institute
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote tribal communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
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