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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.

SORH Response to the National Substance Use Disorder Crisis
Looks at the role of State Offices of Rural Health (SORHs) in state-level substance use disorder and opioid use disorder initiatives. Highlights the activities of SORHs in several states as case studies and details the lessons learned in those states.
Date: 10/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide
Report discusses different methods for adolescent substance use and suicide prevention. Highlights rates of suicide and substance use, such as binge drinking, misuse of pain medication, and vaping. Explores differences in rates for youth in rural and urban areas.
Date: 10/2019
Type: Document
Sponsoring organization: Trust for America's Health
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Obstetric Delivery Inpatient Stays Involving Substance Use Disorders and Related Clinical Outcomes, 2016
Presents statistics from the 2016 National Inpatient Sample (NIS) on delivery-related inpatient stays involving substance use disorders (SUDs). Types of SUDs reported include the use of opioids, cocaine, and other stimulants in urban and rural areas. Examines clinical outcomes at delivery including preterm delivery, severe preeclampsia/eclampsia, obstetric hemorrhage, and placental abruption. Compares delivery outcomes with or without SUD diagnosis, and by rural or urban residence of patient.
Author(s): Anita Soni, Kathryn R. Fingar, Lawrence D. Reid
Date: 10/2019
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Suicide and Resilience in Rural Montana
Discusses suicide and resilience-based prevention in rural Montana. Highlights a case study and state-wide mental health and substance use data.
Author(s): Tara Rava Zolnikov
Citation: American Journal of Public Health, 109(9), 1149
Date: 09/2019
Type: Document
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Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders
Highlights a study exploring the rates of rural DUI offenders by sex. Details the substance use, mental health, and impaired driving histories of study participants by sex via self-reported data.
Author(s): J. Matthew Webster, Michele Staton, Megan F. Dickson
Citation: The American Journal on Addictions, 28(5), 405-408
Date: 09/2019
Type: Document
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Needs Assessment Methodologies in Determining Treatment Capacity for Substance Use Disorders: Final Report
Presents the results from an environmental scan reviewing the literature on needs assessment methods and substance use disorder (SUD) needs assessment reports representing diverse interests, including rural and urban areas, researchers, government agencies, and private consultants. Highlights best practices for conducting SUD needs assessments, identifies gaps and opportunities for improvement in the available data, and discusses why SUD needs assessments are necessary.
Date: 09/2019
Type: Document
Sponsoring organizations: Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy, U.S. Department of Health and Human Services
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The Providers
Collection of learning resources related to The Providers, a film which follows 3 healthcare providers employed at a group of safety-net clinics in northern New Mexico. Explores the physician shortage, health disparities, and the opioid epidemic in rural America. Geared toward high school and college students.
Date: 09/2019
Type: Website
Sponsoring organization: PBS Learning Media
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State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Identifies state strategies to improve outcomes for pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, including opioids. Discusses strategies focused on access to and coordination of quality services, including approaches such as telemedicine that are useful in rural areas. Also discusses strategies related to provider awareness and training and other topics.
Author(s): Charlan D. Kroelinger, Marion E. Rice, Shanna Cox, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(36), 777-783
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Dismantling Buprenorphine Policy Can Provide More Comprehensive Addiction Treatment
Commentary focused on the impact buprenorphine prescribing policy has on access to opioid addiction treatment. Discusses the lack of providers waivered to prescribe buprenorphine in rural areas. Includes a map showing counties that lack providers who can prescribe medications for opioid use disorder.
Author(s): Alex E. Woodruff, Mary Tomanovich, Leo Beletsky, et al.
Date: 09/2019
Type: Document
Sponsoring organization: National Academy of Medicine
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Scaling Up Hepatitis C Prevention and Treatment Interventions for Achieving Elimination in the United States: A Rural and Urban Comparison
Details a study on hepatitis C treatment and prevention interventions for people who use drugs in rural and urban areas. Compares the results of medication-assisted treatment (MAT) and syringe service program (SSP) interventions in rural Perry County, Kentucky and urban San Fransisco, California.
Author(s): Hannah Fraser, Claudia Vellozzi, Thomas J Hoerger, et al.
Citation: American Journal of Epidemiology, 188(8), 1539-1551
Date: 08/2019
Type: Document
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Last Updated: 4/15/2024