Rural Health
Resources by Topic: Substance use and misuse
Arizona Opioid Action Plan Version 2.0, July 2019 - June 2021
Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Outlines the Arizona Department of Health Services' goals and recommendations for responding to the state's opioid-related public health emergency declaration. Intended to serve as an action plan and primary data source, containing information on opioid legislation, federal barriers, public education, youth prevention, medical education curriculum, and more. Includes rural-specific information and recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Mental Health Status, Need, and Unmet Need for Mental Health Services Among U.S. Pacific Islanders
Study examining mental health needs for Native Hawaiian and other Pacific Islanders (NHPI) of Marshallese and Samoan descent residing in Los Angeles County and rural Northwest Arkansas. Presents survey data for anxiety, depression, and alcohol use as well as need for, avoidance of, and delay in seeking mental healthcare. Discusses prevalence of these issues among the 223 survey respondents, comparing rural and urban-residing populations and noting disparities by gender.
Author(s): Andrew M. Subica, Nia Aitaoto, Bruce G. Link, et al.
Citation: Psychiatric Services, 70(7), 578-585
Date: 07/2019
Type: Document
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Study examining mental health needs for Native Hawaiian and other Pacific Islanders (NHPI) of Marshallese and Samoan descent residing in Los Angeles County and rural Northwest Arkansas. Presents survey data for anxiety, depression, and alcohol use as well as need for, avoidance of, and delay in seeking mental healthcare. Discusses prevalence of these issues among the 223 survey respondents, comparing rural and urban-residing populations and noting disparities by gender.
Author(s): Andrew M. Subica, Nia Aitaoto, Bruce G. Link, et al.
Citation: Psychiatric Services, 70(7), 578-585
Date: 07/2019
Type: Document
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Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial
Discusses a study on the effectiveness of a peer-provided treatment of PTSD and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age, race, and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
Type: Document
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Discusses a study on the effectiveness of a peer-provided treatment of PTSD and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age, race, and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
Type: Document
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Provider‐Level Variation in Smoking Cessation Assistance Provided in the Cardiology Clinics: Insights from the NCDR PINNACLE Registry
Presents a study on the variation in smoking cessation assistance programs across the U.S. Highlights the prevalence of these programs in primary care settings and details the data by patient characteristics, census region, and urbanity.
Author(s): Mayank Sardana, Yuanyuan Tang, Jared W. Magnani, et al.
Citation: Journal of the American Heart Association, 8(13)
Date: 07/2019
Type: Document
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Presents a study on the variation in smoking cessation assistance programs across the U.S. Highlights the prevalence of these programs in primary care settings and details the data by patient characteristics, census region, and urbanity.
Author(s): Mayank Sardana, Yuanyuan Tang, Jared W. Magnani, et al.
Citation: Journal of the American Heart Association, 8(13)
Date: 07/2019
Type: Document
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E-Cigarette Minimum Legal Sale Age Laws and Traditional Cigarette Use among Rural Pregnant Teenagers
Uses 2010-2016 data from 32 states to explore how minimum legal sale age laws for e-cigarettes affects cigarette use among pregnant teenagers in rural areas. Provides data and statistics on smoking before and during pregnancy, underage teen births, and birth outcomes. Includes rural/urban comparisons.
Author(s): Michael Pesko, Janet Currie
Citation: Journal of Health Economics, 66, 71-90
Date: 07/2019
Type: Document
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Uses 2010-2016 data from 32 states to explore how minimum legal sale age laws for e-cigarettes affects cigarette use among pregnant teenagers in rural areas. Provides data and statistics on smoking before and during pregnancy, underage teen births, and birth outcomes. Includes rural/urban comparisons.
Author(s): Michael Pesko, Janet Currie
Citation: Journal of Health Economics, 66, 71-90
Date: 07/2019
Type: Document
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Local Health Department Approaches to Opioid Use Prevention and Response: An Environmental Scan
Summarizes the results of an environmental scan of 198 local health departments (LHDs) regarding their local opioid overdose prevention and response activities. Reports and compares statistics by governance and the size of the population the LHD serves. Discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Includes LHD stories from the field.
Author(s): Kamya Raja, Francis Higgins
Date: 07/2019
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Summarizes the results of an environmental scan of 198 local health departments (LHDs) regarding their local opioid overdose prevention and response activities. Reports and compares statistics by governance and the size of the population the LHD serves. Discusses efforts and activities related to workforce, clinical and programmatic services, policy, communication, partnership, and data collection. Includes LHD stories from the field.
Author(s): Kamya Raja, Francis Higgins
Date: 07/2019
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Type: Document
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Unintentional Injury Death Rates in Rural and Urban Areas: United States, 1999–2017
Examines trends in unintentional injury deaths from 1999 through 2017. Provides urban versus rural age-adjusted death rates related to motor vehicle traffic injuries, unintentional drug overdoses, and unintentional falls, with data for 2014 and 2017.
Author(s): R. Henry Olaisen, Lauren M. Rossen, Margaret Warner, Robert N. Anderson
Date: 07/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines trends in unintentional injury deaths from 1999 through 2017. Provides urban versus rural age-adjusted death rates related to motor vehicle traffic injuries, unintentional drug overdoses, and unintentional falls, with data for 2014 and 2017.
Author(s): R. Henry Olaisen, Lauren M. Rossen, Margaret Warner, Robert N. Anderson
Date: 07/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions
Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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