Substance Use and Misuse in Rural Areas – Resources

Mental Health and Substance Use Treatment Services Utilization
Summarizes the results of a poll conducted between April 29-May 2, 2021, regarding patients' experiences receiving mental health and substance use treatment services, including telehealth services, during the COVID-19 pandemic. Examines the utilization of these services and barriers to treatment by sex, age, education, income, ethnicity, and urban-rural status. Explores the preferences of individuals seeking mental health or substance abuse treatment.
Date: 05/2021
Sponsoring organizations: Bipartisan Policy Center, Morning Consult
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State and Community Efforts to Address Stimulant Use
Explores state and community-based efforts to address stimulant misuse. Summarizes common themes and key findings that emerged from discussions with a diverse group of stakeholders. Covers program activities, funding sources, facilitators, and barriers to implementing programs to respond to stimulant use. Identifies policy options for community, state, and federal stakeholders. Includes rural references throughout.
Author(s): Rebecca L. Haffajee, Sara Heins
Date: 05/2021
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Escalating Alcohol-Involved Death Rates: Trends and Variation across the Nation and in the States from 2006 to 2019
Examines alcohol-involved deaths by state and at the national level, discussing Centers for Disease Control and Prevention vital statistics data. Explores death rate changes, trends, and variation, comparing state rates to U.S. rates and comparing rates across demographic and age groups, by sex, and by urban/rural location. Offers a map with links to infographics for each state.
Additional links: Issue Brief
Date: 04/2021
Sponsoring organization: State Health Access Data Assistance 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
Sponsoring organization: National Academy of Medicine
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Addressing Opioid-Related Outcomes Among Individuals With Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Sponsoring organization: National Quality Forum
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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
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Certified Community Behavioral Health Clinics and County Governments - A National Model Tailored for Local Mental Health and Substance Use Care
Discusses the Certified Community Behavioral Health Clinic (CCBHC) model and details how counties can deploy CCBHCs to address mental health and substance use issues in their communities. Breaks down the structure of CCBHCs and provides several state level examples.
Date: 03/2021
Sponsoring organizations: National Association of Counties, National Council for Mental Wellbeing
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Sponsoring organization: Bipartisan Policy Center
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Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Sponsoring organization: National Center for Health Statistics
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Alcohol- and Drug-Related Consequences Across Latent Classes of Substance Use Among American Indian Adolescents
Examines differences across four classes of substance use behaviors by American Indian (AI) adolescents. Classes include: no substance use in the past month; marijuana and cigarette use only; alcohol, marijuana, and cigarette use only; and other substance use in addition to alcohol, marijuana, and cigarettes. Goal of study is to determine the extent of substance-related mortality and morbidity, tendency toward developing a substance-use disorder, and other related health disparities.
Author(s): Melissa R. Schick, Silvi C. Goldstein, Tessa Nalven, Nichea S. Spillane
Citation: Addictive Behaviors, 113
Date: 02/2021
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