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Rural Health
Resources by Topic: Substance use and misuse

Challenges Facing a Rural Opioid Epidemic: Treatment and Prevention of HIV and Hepatitis C
Presents a study on the current trends of HIV and hepatitis C virus (HCV) infection coinciding with the opioid epidemic and the strategies for treatment and prevention in rural areas. Highlights the barriers to HIV and HCV testing and treatment for rural people who inject drugs.
Author(s): Asher J. Schranz, Jessica Barrett, Christopher B. Hurt, et al.
Citation: Current HIV/AIDS Reports, 15(3), 245-254
Date: 06/2018
Type: Document
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
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The Opioid Epidemic: National Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Details the rates of death caused by opioid overdoses throughout the U.S. from 2000-2016. Compares deaths caused by heroin and non-heroin opioids, as well as death rates in nonmetro, small/medium metro, and large metro areas. Companion Brief details overdose rates by state.
Additional links: The Opioid Epidemic: State Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Author(s): Colin Planalp, Megan Lahr
Date: 06/2018
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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It's an Addiction Crisis: Across Minnesota, the "Opioid Crisis" Is So Much More Than Just Opioids
Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews 3 rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Report to Congress on Medicaid and CHIP, June 2018
Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid's role as the nation's largest payer for long-term services and supports.
Date: 06/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Oregon Washington Health Network and Yellowhawk Tribal Health Center "Tackle Everything" to Improve the Health of Local Community Members
Provides an overview of the collaboration between the Oregon Washington Health Network and the Yellowhawk Tribal Health Center. Discusses programs that include peer counselors to address behavioral health, community education related to heart disease and cancer prevention, and working with local healthcare facilities and medical schools to improve recruitment and retention.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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SAMHSA Opioid Overdose Prevention Toolkit
Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine
Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allowed them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
Type: Document
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Activities and Situations When Young Adults Drive Drunk in Rural Montana
Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
Type: Document
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