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Rural Health
Resources by Topic: Substance use and misuse

Neonatal Abstinence Syndrome and Maternal Access to Treatment for Opioid Use Disorder in California Counties
Presents a study on maternal access to opioid use disorder (OUD) treatment in California. Discusses the role of Medication-Assisted Treatment (MAT) in treating neonatal abstinence syndrome (NAS) and highlights some of the barriers rural pregnant women with OUD must overcome to receive treatment.
Author(s): Anuj Gangopadhyaya, Lisa Clemans-Cope, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Trajectory Classes of Cannabis Use and Heavy Drinking among Rural African American Adolescents: Multilevel Predictors of Class Membership
Presents a study on cannabis and alcohol use among African American youth in rural Georgia. Features data assessments over nine years beginning when the participants are 16 and ending when they are 25 and looks a perceived stress and other psychological risk factors.
Author(s): Allen W. Barton, Gene. H. Brody, Tamika C. B. Zapolski, et al.
Citation: Addiction, 113(8), 1439-1449
Date: 08/2018
Type: Document
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Policy Landscape for Community Health Center Integration of Behavioral Health & SUD/OUD Services
Presents the findings from an analysis of community health centers (CHCs) in fourteen states to evaluate the services they offer, and recognize the barriers preventing CHCs from implementing, developing, and sustaining the integration of behavioral health and substance abuse disorder services.
Author(s): Kima Taylor
Date: 08/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Changes in Insurance Coverage and Source of Health Care among High-risk Rural Female Offenders Following the Affordable Care Act
Highlights a study on healthcare coverage for formerly incarcerated rural women who use drugs. Compares pre- and post-Affordable Care Act (ACA) rates and considers the role of insurance coverage in healthcare utilization.
Author(s): Megan F. Dickson, Michele Staton, Martha Tillson, et al.
Citation: Journal of Health Care for the Poor and Underserved, 29(3), 843-863
Date: 08/2018
Type: Document
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Implementing Treatment of Opioid Use Disorder in Rural Settings: A Focus on HIV and Hepatitis C Prevention and Treatment
An overview of the epidemiology of opioid use disorder (OUD) with a focus on HIV and Hepatitis C transmission in the rural U.S. and particularly in rural Indiana. Identifies evidence-based treatments for OUD and their effectiveness in reducing other health issues associated with OUD. Discusses barriers to care and policy and research issues for increasing access to treatment of OUD in rural areas.
Author(s): Jennifer R. Havens, Sharon L. Walsh, P. Todd Korthuis, David A. Fiellin
Citation: Current HIV/AIDS Reports,15(4), 315–323
Date: 08/2018
Type: Document
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Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches
Reports on a study evaluating the long term effects of combined individual-level and community-level interventions to reduce the consumption of alcohol by tribal youth living in 9 rural California reservations. The overall impact of combining interventions was assessed using anonymous data from the California Healthy Kids Survey (CHKS). Comparisons of consumption were made between tribal youth in the intervention area and tribal youth outside the intervention area.
Author(s): Roland S. Moore, David A. Gilder, Joel W. Grube, Juliet P. Lee, Jennifer A. Geisler, et al.
Citation: American Journal of Public Health, 108(8), 1035-1041
Date: 08/2018
Type: Document
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2018 Update on Priority Strategies: North Carolina Rural Health Action Plan
Details the progress North Carolina has made in 6 priority areas outlined in the 2014 Rural Health Action Plan. These include investment in local industries, ensuring that childhood settings promote educational success, encouraging healthy eating and active living, screening for and treating substance abuse and mental health issues, educating people about insurance and safety net options, and creating incentives to support recruitment and retention of providers to underserved areas.
Date: 08/2018
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Exploring the Rural Context for Adverse Childhood Experiences (ACEs)
Discusses adverse childhood experiences (ACEs) and how they may impact rural health. Provides policy recommendations focused on the rural dimensions of ACEs. Addresses categories of ACEs, prevalence in rural areas and for Native populations, federal efforts to address ACEs, and the opioid epidemic. Covers the role of school-based healthcare programs to increase access to pediatric specialty services or linking children to needed non-medical services. Profiles a committee site visit focused on a model ACEs program in New York in Appendix A.
Date: 08/2018
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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USDA Road Trip Through Rural America: Q&A with Anne Hazlett
An interview with USDA Assistant to the Secretary for Rural Development Anne Hazlett. Hazlett discusses the role USDA programs play in addressing rural health-related concerns such as broadband access and shares what she has learned from a series of rural roundtables focused on opioid misuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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