Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Applications of Research Evidence During Processes to Acquire Approvals for Syringe Services Program Implementation in Rural Counties in Kentucky
Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
Type: Document
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Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
Type: Document
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A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
Type: Document
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Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
Type: Document
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Rural and Urban Differences in Undersupply of Buprenorphine Provider Availability in the United States, 2018
Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
Type: Document
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Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
Type: Document
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Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder
Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of State-Led Surveillance of Neonatal Abstinence Syndrome — Six U.S. States, 2018–2021
Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Outcomes from the Medication Assisted Treatment Pilot Program for Adults with Opioid Use Disorders in Rural Colorado
Examines the efficacy of a medication for opioid use disorder (MOUD) pilot program in two rural Colorado counties. Details the structure and setting of the program, patient characteristics and outcomes, and the limitations of the program.
Author(s): Claudia R. Amura, Tanya R. Sorrell, Mary Weber, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 17(1)
Date: 01/2022
Type: Document
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Examines the efficacy of a medication for opioid use disorder (MOUD) pilot program in two rural Colorado counties. Details the structure and setting of the program, patient characteristics and outcomes, and the limitations of the program.
Author(s): Claudia R. Amura, Tanya R. Sorrell, Mary Weber, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 17(1)
Date: 01/2022
Type: Document
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Implementing Community-Level Policies to Prevent Alcohol Misuse
Offers an overview of policies and strategies to prevent and reduce alcohol consumption appropriate for use in local, state, tribal and/or territorial levels. Demonstrates how communities have implemented, enforced, and evaluated these policies.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Offers an overview of policies and strategies to prevent and reduce alcohol consumption appropriate for use in local, state, tribal and/or territorial levels. Demonstrates how communities have implemented, enforced, and evaluated these policies.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis
Explores the stigma experienced by rural pregnant women with substance use disorder (SUD). Bases findings on a literature review of studies from 2000-2022. Breaks down the various ways and areas rural pregnant women with SUD experience stigma, such as within the community and healthcare settings. Discusses the importance of comprehensive care that takes these experiences into consideration.
Author(s): Victoria Bright, Julia Riddle, Jean Kerver
Citation: International Journal of Environmental Research and Public Health, 19(22), 15065
Date: 2022
Type: Document
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Explores the stigma experienced by rural pregnant women with substance use disorder (SUD). Bases findings on a literature review of studies from 2000-2022. Breaks down the various ways and areas rural pregnant women with SUD experience stigma, such as within the community and healthcare settings. Discusses the importance of comprehensive care that takes these experiences into consideration.
Author(s): Victoria Bright, Julia Riddle, Jean Kerver
Citation: International Journal of Environmental Research and Public Health, 19(22), 15065
Date: 2022
Type: Document
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Adapting Evidence-Based Practices for Under-Resourced Populations
Describes various methods of adapting evidence-based practices (EBPs) to meet the needs of populations who experience barriers in receiving behavioral health services due to a variety of factors including race, ethnicity, geography, income, sexual orientation, and disability. Offers guidance on implementing adapted EBPs with examples for behavioral health professionals, administrators, researchers, and others involved with helping individuals in need of mental health and substance use disorder services.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Describes various methods of adapting evidence-based practices (EBPs) to meet the needs of populations who experience barriers in receiving behavioral health services due to a variety of factors including race, ethnicity, geography, income, sexual orientation, and disability. Offers guidance on implementing adapted EBPs with examples for behavioral health professionals, administrators, researchers, and others involved with helping individuals in need of mental health and substance use disorder services.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 6/14/2024