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Rural Response to the Opioid Crisis – Resources

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

Substance Use among Rural and Urban Youth and Young Adults
Details substance use of youth aged 12-17 and young adults aged 18-25 in rural and urban areas. Looks specifically on use of alcohol, marijuana, illicit drugs, and the misuse of prescription pain relievers and compares usage trends in rural areas to those in urban areas.
Author(s): Jennifer Lenardson, Nathan Paluso, Erika Ziller
Date: 11/2020
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Addressing Opioid Use Disorder among Rural Pregnant and Postpartum Women: A Study Protocol
Explores a study examining the rates of prenatal opioid use disorder and neonatal opioid withdrawal syndrome in rural areas. Study includes provider-level measurements such as patient retention, adoption of evidence-based practices, and attitude towards substance misuse, among others, and patient-level measurements such as substances used, co-occurring conditions, and birth outcomes, among others.
Author(s): M. Aryana Bryan, Marcela C. Smid, Melissa Cheng, et al.
Citation: Addiction Science and Clinical Practice, 15, 33
Date: 10/2020
Type: Document
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Polysubstance Use among Pregnant Women with Opioid Use Disorder in the United States, 2007–2016
Details a study on polysubstance use, or the use of multiple substances at once, by pregnant women from 2007-2016. Breaks down results by demographic data such as age, race, and socioeconomic status, as well as by substances used and rural versus urban location.
Author(s): Marian P. Jarlenski, Nicole C. Paul, Elizabeth E. Krans
Citation: Obstetrics and Gynecology, 136(3), 556-564
Date: 09/2020
Type: Document
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Willingness to Participate in At-Home HIV Testing Among Young Adults Who Use Opioids in Rural Appalachia
Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, gender, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
Type: Document
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Rural Variation of Medicaid Expansion on Access to Naloxone
Poster examining the rate of naloxone prescriptions dispensed by retail pharmacies between 2011 and 2017. Compares the rate of naloxone prescriptions before and after Medicaid expansion and as the rural population increased.
Author(s): Yue Cheng, Minji Sohn, Patricia R. Freeman, Eugene Shin, Chris Delcher
Date: 09/2020
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Last Updated: 7/2/2024