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Rural Response to the Opioid Crisis – Resources

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

Rural Access to MAT in Pennsylvania (RAMP): A Hybrid Implementation Study Protocol for Medication Assisted Treatment Adoption among Rural Primary Care Providers
Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
Type: Document
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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Author(s): Holly Hedegaard, Arialdi M. Minino, Margaret Warner
Citation: NCHS Data Brief, No. 345
Date: 08/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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The Role of Primary Care in Improving Access to Medication-Assisted Treatment for Rural Medicaid Enrollees with Opioid Use Disorder
Examines the utilization of primary care among rural Medicaid enrollees in rural Pennsylvania diagnosed with an opioid use disorder (OUD). Describes the relationship between primary care utilization, distance to a medication-assisted treatment (MAT) prescriber, and MAT utilization.
Author(s): Evan S. Cole, Ellen DiDomenico, Gerald Cochran, et al.
Citation: Journal of General Internal Medicine, 34(6), 936-943
Date: 06/2019
Type: Document
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Determining Spatial Access to Opioid Use Disorder Treatment and Emergency Medical Services in New Hampshire
Highlights a study on the effect of geospatial determinants on access to opioid use disorder treatment and emergency medical services in New Hampshire. Breaks down data by metropolitan, micropolitan, small town, and rural communities.
Author(s): Yanjia Cao, Kathleen Stewart, Eric Wish, et al.
Citation: Journal of Substance Abuse Treatment, 101, 55-66
Date: 06/2019
Type: Document
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Pain in the Nation: Building a National Resilience Strategy: Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
Report highlights the rates of alcohol and drug misuse and suicide among the millennial generation (people in their 20s and 30s). Discusses the role of the opioid crisis in the increases in "deaths of despair" among millennials. Chart on page 6 compares rates in rural and metro areas.
Date: 06/2019
Type: Document
Sponsoring organizations: Trust for America's Health, Well Being Trust
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3 Questions to Integrate Substance Use Disorder Services into Primary Care
Fact sheet providing examples of tools and potential mentoring opportunities for providing substance use disorder treatment services in rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Last Updated: 2/15/2024