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Substance Use and Misuse in Rural Areas – Resources

Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.

Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Small Rural Hospital Transition (SRHT) Project Behavioral Health Care Coordination Summit: Summit Findings
Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Type: Document
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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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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Alcohol Use Disorder: Addressing Stigma and Treatment Access in Rural America
Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020
Reports on the number of adults experiencing elevated adverse mental health conditions associated with COVID-19. Features statistics on self-reported incidence of anxiety or depressive disorder, trauma- and stressor-related disorder (TSRD) related to the pandemic, and substance use, with breakdowns by rural or urban residence.
Author(s): Mark E. Czeisler, Rashon I. Lane, Emiko Petrosky, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(32),1049-1057
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Alcohol Use and Co-Use of Other Substances Among Pregnant Females Aged 12–44 Years — United States, 2015–2018
Examines self-reported drinking in the past 12 months, current drinking, binge drinking, and the co-use of other substances among pregnant females aged 12–44 years. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Lucinda J. England, Carolyne Bennett, Clark H. Denny, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(31), 1009-1014
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Integrating Responses to the Opioid Use Disorder and Infectious Disease Epidemics
Highlights the epidemic of infectious diseases co-occurring with opioid use disorder and the need for integrated treatment. Discusses barriers. such as workforce training, payment, and data sharing, among others. Includes suggestions for rural areas.
Author(s): Sandra A. Springer, Andrew P. Merluzzi, Carlos del Rio
Citation: JAMA, 324(1), 37-38
Date: 07/2020
Type: Document
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Responding to Behavioral Health Needs in Rural America
Presentation slides discussing behavioral health issues and needs in rural America. Describes approaches to enhance behavioral health service delivery and implications for public policy.
Author(s): Keith J. Mueller
Date: 07/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Improving Mental Health Care by Understanding the Culture of Farming and Rural Communities
Session one of a four-part webinar series on the interplay of COVID-19 and the mental health crisis in rural and agricultural communities. Discusses co-occurring substance use disorders, telehealth, and provider compassion fatigue, among other issues.
Additional links: Session 2: Approaching and Treating Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities, Session 3: Providing Mental Health Telehealth Services in Farming and Rural Communities, Session 4: Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities: Assessment, Ethics, and Preventing Compassion Fatigue
Date: 06/2020
Type: Video/Multimedia
Sponsoring organizations: Mental Health Technology Transfer Center Network, Mountain Plains Mental Health Technology Transfer Center
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Last Updated: 4/15/2024