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Rural Health
Resources by Topic: Substance use and misuse

Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
Type: Document
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Opioid Crisis: Status of Public Health Emergency Authorities
Examines the effectiveness of public health emergency authorities' response to the opioid crisis. Discusses the different public health emergency authorities selected by the U.S. Department of Health and Human Services and the activities underway to combat the opioid crisis.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis: Final Report
Identifies and describes secondary data sources that can be used in research and evaluations related to the opioid crisis. Discusses common approaches used to link or merge data sources. Describes research needs and challenges related to studying the opioid crisis.
Author(s): Rosanna Smart, Courtney Ann Kase, Amanda Meyer, Bradley D. Stein
Date: 09/2018
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Evidence-Based Interventions for Adolescent Opioid Use Disorder: What Might Work for High-Risk Ohio Counties?
Presents a study on interventions targeting Opioid Use Disorder (OUD) in adolescents in Ohio. Focuses on interventions aimed at 11-18 year olds in 3 counties containing both rural and urban communities. Features a literature review of OUD interventions for adolescents.
Author(s): Christal Ramos, Lisa Clemans-Cope, Haley Samuel-Jakubos, Luis Basurto
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Any Use and Frequent Use of Opioids among Non-elderly Adults in 2015-2016, by Socioeconomic Characteristics
Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status, race, and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changing Dynamics of the Drug Overdose Epidemic in the United States from 1979 Through 2016
Features a study on the changes in overdose mortality across the U.S. between 1979-2016. Aims to shed light on the current opioid crisis by placing it within a broader data set incorporating all illicit drug overdose deaths in a longer time frame. Details the specific changes in drug overdose mortality in rural areas.
Author(s): Hawre Jalal, Jeanine M. Buchanich, Mark S. Roberts, et al.
Citation: Science, 361(6408)
Date: 09/2018
Type: Document
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Opioid-Affected Births to Rural Residents
Examines rates of diagnosis of maternal opioid use disorder and infant neonatal abstinence syndrome for rural residents at time of childbirth. Includes statistics for delivery location with breakdowns by rural, urban non-teaching, and urban teaching hospitals.
Author(s): Katy Kozhimannil, Tongtan Chantarat, Alexandra Ecklund, Carrie Henning-Smith
Date: 09/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Addiction and Substance Misuse Reports and Publications
Provides data on prevalence of substance use, and opioid misuse, use disorders, overdoses, and related topics. Includes discussion of prevention programs and screening.
Date: 09/2018
Type: Document
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Implementing an Integrated Medication-Assisted Treatment Program at Community Health Centers: Lessons from a Pilot Project in California
Evaluates the implementation phase of a pilot project to treat patients with opioid use disorder (OUD) at Federally Qualified Health Centers (FQHCs) in California, including rural FQHCs. Highlights interventions focused on medication-assisted treatment (MAT) and integrating substance use and mental healthcare in a primary care setting.
Author(s): Jane Wishner, Lisa Clemans-Cope, Jeremy Marks, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Results from the 2017 National Survey on Drug Use And Health: Detailed Tables
Provides data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics.
Date: 09/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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