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Rural Health Information Hub

Rural Health
Resources by Topic: Substance use and misuse

Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Sponsoring organization: Veterans Health Administration
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A Holistic Approach to Chronic Disease Prevention: Good Health and Wellness in Indian Country
Describes the development, funding, and implementation of a 5-year program, begun in 2014, supporting American Indian and Alaska Native (AI/AN) communities and tribal organizations to simultaneously address chronic diseases and their risk factors. Identifies approaches useful for agencies and organizations working with AI/AN populations.
Author(s): Nancy S. Andrade, David K. Espey, Mary E. Hall, Ursula E. Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Author(s): Holly Hedegaard, Arialdi M. Minino, Margaret Warner
Citation: NCHS Data Brief, No. 345
Date: 08/2019
Sponsoring organization: National Center for Health Statistics
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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
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 sex.
Author(s): Andrew M. Subica, Nia Aitaoto, Bruce G. Link, et al.
Citation: Psychiatric Services, 70(7), 578-585
Date: 07/2019
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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 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
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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
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