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Rural Response to the Opioid Crisis – Resources

Selected recent or important resources focusing on Rural Response to the Opioid Crisis.

Clinical Knowledge and Trends in Physicians' Prescribing of Opioids for New Onset Back Pain, 2009-2017
Results of a study of 10,246 physicians to compare the association of clinical knowledge with opioid prescribing from the years 2009-2011 with 2015-2017, when guidelines shifted away from opioid prescribing. Features demographic statistics with breakdowns by rural location.
Author(s): Bradley M. Gray, Jonathan L. Vandergrift, Weifeng Weng, Rebecca S. Lipner, Michael L. Barnett
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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The Co-Occurrence of HIV and Opioid Mortality in Rural and Urban America from 1999-2018
Policy brief evaluating trends in mortality from Human Immunodeficiency Virus (HIV) and opioid use in rural and urban areas, using data from the Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiology Research (WONDER) mortality database. Features statistics on mortality by sex, race or ethnicity, and census region, with breakdowns by 6 levels of population density.
Author(s): Timothy Callaghan, Kristen Primm, Marvellous Akinlotan, et al.
Date: 06/2021
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Midwest Initiative Seeks to Reduce Opioid Use in Rural and Tribal Communities
Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Faith in Recovery Coalition Offers Hope for Opioid Use Disorder in Fayette County, Ohio
Highlights the Pathways to Recovery program, which works to address opioid use disorder in rural Ohio. Efforts include educating providers and law enforcement, overdose prevention, harm reduction, and recovery support from Peer Support Specialists.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 06/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Pain in the Nation: Alcohol, Drug, and Suicide Epidemics - Special Feature: COVID-19 and Trauma
Explores the effect the COVID-19 pandemic and the subsequent trauma it has had on rates of suicide and alcohol- and drug-induced deaths across the nation. Breaks down data by a number of indicators, such as by age, race, and rural versus urban location.
Date: 05/2021
Type: Document
Sponsoring organization: Trust for America's Health
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Medicare-Paid Naloxone: Trends in Non-Metropolitan and Metropolitan Areas Metropolitan Areas
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in non-metro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: A Geography in Two Phases
Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Last Updated: 6/12/2024