Substance Use and Misuse in Rural Areas – Resources

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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Drug Education and Cessation Programs Help Teens Avoid or Quit Vaping
Highlights vaping education programs reaching rural schools in California and Tennessee, as well as a multi-state program helping teens in 18 states quit vaping.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Engaging Critical Access Hospitals in Addressing Rural Substance Use
Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Implementation of a Culturally Grounded, School-Based, Drug Prevention Curriculum in Rural Hawai'i
Details the development of a school-based drug prevention program for Native Hawaiian youth. Discusses the development and implementation of the Ho'ouna Pono program curriculum and evaluates the program based on student and teacher experiences, implementation structure and logistics, and standardized testing, among other measures.
Author(s): Scott K. Okamoto, Susana Helm, Steven Keone Chin, et al.
Citation: Journal of Community Psychology, 48(4), 1085-1099
Date: 05/2020
Type: Document
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Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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A Cohort Comparison of Differences Between Regional and Buncombe County Patients of a Comprehensive Perinatal Substance Use Disorders Program in Western North Carolina
Presents a study on access to perinatal substance use disorder care in rural counties in western North Carolina compared to the more urban Buncombe County. Analyzes a hub-and-spoke model that aims to provide perinatal substance use disorder care across the state and discusses the barriers to care in rural areas.
Author(s): Shelley L. Galvin, Melinda Ramage, Catherine Leiner, et al.
Citation: North Carolina Medical Journal, 81(3), 157-165
Date: 05/2020
Type: Document
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Virtually Possible: Using Telehealth to Bring Reproductive Health Care to Women with Opioid Use Disorder in Rural Maine
Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
Type: Document
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Hospital Burden of Opioid-Related Inpatient Stays: Metropolitan and Rural Hospitals, 2016
Examines burden on hospitals of opioid-related hospitalizations for metropolitan, rural-adjacent to metro, and rural remote hospitals. Includes data by region. Provides detailed information by urban-rural location, including information on the distribution of opioid-related stays, bed size, and occupancy level.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett
Date: 05/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Pain in the Nation Update: Alcohol, Drug, and Suicide Deaths in 2018
Report details updated rates of deaths related to drugs, alcohol, and suicide for 2018. Breaks down data by race, age, and regionally, including rural versus metro areas.
Date: 05/2020
Type: Document
Sponsoring organization: Trust for America's Health
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