Substance Use and Misuse in Rural Areas – Resources

Beyond Opioids: Rapid Increase in Drug Deaths Involving Stimulants
Presents a breakdown of drug related deaths involving stimulants. Features a number of charts highlighting the data, including rural and urban, regional, and national comparisons.
Date: 05/2020
Type: Document
Sponsoring organization: National Institute for Health Care Management Foundation
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Rural-Nonrural Differences in Telemedicine Use for Mental and Substance Use Disorders Among Medicaid Beneficiaries
Presents a study on the rural and urban differences in use of telemedicine for mental and substance use disorder treatment among Medicaid beneficiaries. Breaks down data by patient demographics, year studied, and behavioral health disorder, among other measures.
Author(s): Timothy B. Creedon, Kristin E. Schrader, Peggy L. O'Brien, et al.
Citation: Psychiatric Services, 71(8), 756-764
Date: 04/2020
Type: Document
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Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System
Presents a study on the barriers to evidence-based treatment for opioid use disorder (OUD). Identifies nine common barriers to evidence-based care for people with OUD, including stigma, workforce training, and financial barriers, among others. Includes rural references throughout.
Author(s): Bertha K. Madras, N. Jia Ahmad, Jenny Wen, et al.
Citation: NAM Perspectives
Date: 04/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Rural and Urban Differences in Primary Care Pain Treatment by Clinician Type
Explores the differences in opioid prescribing patterns of nurse practitioners and primary care physicians in both rural and urban areas. Also compares physical therapy referrals by location and clinician type.
Author(s): Hannah Neprash, Laura Barrie Smith, Shailendra Prasad, Bethany Sheridan, Katy Kozhimannil
Date: 04/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Opioid Crisis and Community-Level Spillovers onto Children's Education
Presents a study on the link between the opioid epidemic and children's educational outcomes. Evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural and underserved areas.
Author(s): Rajeev Darolia, John Tyler
Date: 04/2020
Type: Document
Sponsoring organizations: Brookings Institution, Brown Center on Education Policy
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Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Motivation to Change and Treatment Participation Among Syringe Service Program Utilizers in Rural Kentucky
Details a study on the efficacy of syringe services programs (SSPs) in connecting people who inject drugs to treatment programs in rural Kentucky. Breaks down data by age, gender, and substances used of SSP users, among other measures. Highlights rates of SSP users who sought treatment for substance use disorder.
Author(s): Hilary L. Surratt, Janet K. Otachi, Timothy Williams, et al.
Citation: Journal of Rural Health, 36(2), 224-233
Date: 03/2020
Type: Document
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Prevalence and Severity of Alcohol and Cannabis Use Across the Urban-Rural Continuum in the Michigan National Guard
Highlights a study on rural and urban differences in alcohol and cannabis use among National Guard members in Michigan. Breaks down data by demographic information, mental health issues, and service characteristics, as well as rural versus urban location.
Author(s): Lara N. Coughlin, Maureen A. Walton, Richard McCormick, Frederic C. Blow
Citation: Journal of Rural Health, 36(2), 234-239
Date: 03/2020
Type: Document
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