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Rural Health
Resources by Topic: Substance use and misuse

A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Association of Spatial Proximity to Fixed-Site Syringe Services Programs with HCV Serostatus and Injection Equipment Sharing Practices Among People Who Inject Drugs in Rural New England, United States
Examines the correlation of proximity to a syringe services program (SSP) and Hepatitis C virus (HCV) infection in rural areas of the northeastern United States. Utilizes 2018-2019 data to analyze people who inject drugs (PWID) and their demographic characteristics, drug usage, and distance to the nearest fixed-site SSP.
Author(s): Eric Romo, Thomas J. Stopka, Bill M. Jesdale, et al.
Citation: Harm Reduction Journal, 21, 23
Date: 01/2024
Type: Document
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Overdose Prevention Policy Considerations: A Policy Playbook for State and Territorial Health Officials and Agencies
Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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The Impact of Fentanyl on State- and County-Level Psychostimulant and Cocaine Overdose Death Rates by Race in Ohio from 2010 to 2020: A Time Series and Spatiotemporal Analysis
Analyzes the role of fentanyl in overdose deaths in Ohio. Examines 2010-2020 state- and county-level overdose mortality rates with data further broken down by drug type and race/ethnicity. Discusses related geographical factors such as rurality and Appalachian region.
Author(s): Angela T. Estadt, Brian N. White, JaNelle M. Ricks, et al.
Citation: Harm Reduction Journal, 21, 13
Date: 01/2024
Type: Document
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Crime, Violence, Discipline, and Safety in U.S. Public Schools: Findings From the School Survey on Crime and Safety, 2021–22
Reports on crime and violence in U.S. public schools based on data from the School Survey on Crime and Safety (SSOCS). Includes programs and practices in schools to prevent crime as well as data tables on recorded incidents of crime, threats and physical attacks, hate crimes, substance abuse issues, mental health factors, and more. Include breakdowns of crime and violence variables by city, suburb, town, or rural location.
Author(s): Riley Burr, Jana Kemp Ke, Wang
Date: 01/2024
Type: Document
Sponsoring organizations: American Institutes for Research, National Center for Education Statistics
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Temporal Trends in Substance Use and Cardiovascular Disease–Related Mortality in the United States
Analyzes 636,572 death certificates to identify trends for both substance use and cardiovascular disease-related mortality between 1999 and 2019. Breaks down data by rurality, gender, race and ethnicity, type of substance use, and more. Includes state-level comparisons.
Author(s): Abdul Mannan Khan Minhas, Jakrin Kewcharoen, Michael E. Hall, et al.
Citation: Journal of the American Heart Association 13(2)
Date: 01/2024
Type: Document
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2024 New Hampshire Primary Care Sourcebook
Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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Opioid Overdose Surveillance Preliminary District Report: Georgia, 2022
Describes district-level fatal and nonfatal opioid-involved overdoses that occurred in Georgia 2020-2022. Covers prescription opioids and illicit opioids, including heroin, fentanyl, and fentanyl analogs. Features statistics on demographics, overdose deaths, and emergency department visits, with breakdowns by district, drug type, and year. The Preliminary County Report contains county-by-county data.
Additional links: County Report
Date: 01/2024
Type: Document
Sponsoring organization: Georgia Department of Public Health
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California: County Health Status Profiles 2024
Reports on health status indicators recommended by the U.S. Department of Health and Human Services for monitoring state and local progress toward achieving Healthy People 2020 goals for the state of California. Includes county-specific information for causes of death, diabetes, sexually transmitted diseases, teenage pregnancy, and other health conditions.
Additional links: Statewide Mortality Trends Interactive Visualization
Date: 2024
Type: Document
Sponsoring organizations: California Conference of Local Health Officers, California Department of Public Health
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