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Rural Health
Resources by Topic: Substance use and misuse

Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Primary Care Response to COVID‐19 for Patients with an Opioid Use Disorder
Discusses the challenges of treating patients with opioid use disorder (OUD) during the COVID-19 pandemic. Highlights decisions made by primary care physicians regarding harm reduction related to COVID-19 that may have detrimental effects for OUD patient.
Author(s): Courtenay Gilmore Wilson, Melinda Ramage, E. Blake Fagan
Citation: Journal of Rural Health, 37(1), 169-171
Date: 01/2021
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COVID-19 During the Opioid Epidemic – Exacerbation of Stigma and Vulnerabilities
Explores how the lack of healthcare infrastructure in rural areas and the COVID-19 pandemic create particular challenges for people who use drugs (PWUDs). Discusses the stigma of seeking care during a pandemic and the difficulty of accessing living resources, among other issues affecting PWUDs in rural areas.
Author(s): Wiley D. Jenkins, Rebecca Bolinski, John Bresett, et al.
Citation: Journal of Rural Health, 37(1), 172-174
Date: 01/2021
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Flattening the Curve by Getting Ahead of It: How the VA Healthcare System Is Leveraging Telehealth to Provide Continued Access to Care for Rural Veterans
Describes the Veterans Health Administration's efforts to use telehealth to provide behavioral health services to rural veterans affected by the COVID-19 pandemic.
Author(s): Ursula S. Myers, Anna Birks, Anouk L. Grubaugh, R. Neal Axon
Citation: Journal of Rural Health, 37(1), 194-196
Date: 01/2021
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Using Technology-Based Therapeutic Tools in Behavioral Health Services
Report discusses the use of telehealth to provide behavioral health services. Explores the benefits of telehealth as a bridge to accessing behavioral healthcare and presents implementation guidance, such as state and licensing regulations and reimbursement considerations.
Date: 2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how 4 states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Missouri Maternal-Infant Health: State and Regional Actions Impacting Care Delivery and Health Outcomes
Provides an overview of maternal and infant morbidity/mortality in Missouri. Profiles regional and state-wide efforts to address the drivers of severe maternal morbidity and mortality and improve maternal and infant health outcomes, including rural-specific projects.
Author(s): Reggi Rideout, Sue Kendig, Alison Williams
Date: 2021
Sponsoring organization: Missouri Hospital Association
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Exploring the Role of Health Centers in Providing Medication-Assisted Treatment
Examines the geographic areas that are most dependent on health centers for medication-assisted treatment (MAT) for opioid use disorder. Compares statistics on DATA-waived providers and health centers with MAT patients across metropolitan, nonmetropolitan, and rural health centers.
Date: 2021
Sponsoring organization: Health Resources and Services Administration
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Community of Practice: Preventing and Reducing the Stigma of Substance Use Disorders in Rural Communities - Implementation and Lessons Learned
Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Voices From the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C
Examines rural vulnerability to HIV and hepatitis C for people who inject drugs. Presents findings from interviews with 36 public health professionals from rural states, addressing funding limitations, staffing, public health infrastructure challenges, public health initiatives, and community education programs.
Author(s): Martha Elbaum Williamson, Karen B. Pearson, Amanda R. Burgess, Jennifer D. Lenardson, Erika C. Ziller
Citation: Journal of Health and Human Services Administration, 44(2), 114-136
Date: 2021
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