Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Newborns with Withdrawal Symptoms Caused by Maternal Exposure to Select Substances
Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Reports on the use of International Classification of Diseases (ICD) diagnosis codes describing withdrawal symptoms of newborns impacted by maternal exposure to certain substances, and identifies the number of newborns impacted by exposure using data from Oklahoma's Medicaid and birth certificate records. Lists clinical symptoms and conditions present among affected newborns, and offers data on the demographic distribution by county, select maternal characteristics, and birth outcomes of newborns with withdrawal symptoms.
Date: 12/2019
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Comparison of Rural vs Urban Direct-to-Physician Commercial Promotion of Medications for Treating Opioid Use Disorder
Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Results of a cross-sectional county-level study using all reported direct-to-physician pharmaceutical payments from manufacturers of opioid use disorder medications from 2014-2017, as well as demographic and economic data from 3,140 counties. Features statistics with breakdowns by metropolitan, micropolitan, and rural areas.
Author(s): Thuy Nguyen, Barbara Andraka-Christou, Kosali Simon, W. David Bradford
Citation: JAMA Network Open, 2(12)
Date: 12/2019
Type: Document
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Issue Brief: Integrated Behavioral Health is High-value Care
Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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Highlights the advantages of behavioral health integration. Addresses costs and healthcare outcomes and presents several models for integration in healthcare settings.
Date: 12/2019
Type: Document
Sponsoring organization: American Hospital Association
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The Impact of the Opioid Epidemic on the Aging Services Network and the Older Adults They Serve
Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Type: Document
Sponsoring organization: National Council on Aging
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Report highlights the results of a survey of National Council on Aging (NCOA) grantees and partners on the effect of the opioid epidemic on older adults. Details the percentage of respondents from rural areas and offers recommendations and resources to address the epidemic among the aging population.
Date: 12/2019
Type: Document
Sponsoring organization: National Council on Aging
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Rural Women's First-person Perspectives on the Role of Mental Health in Substance Use
Presents a study highlighting rural women's perspectives on the co-occurring mental health and substance use disparities among rural populations. Analyzes interviews with incarcerated rural women with co-occurring substance use and mental health symptoms.
Author(s): Claire Snell-Rood, Michele Staton, Athena Kheibari
Citation: Rural and Remote Health, 19(4), 5279
Date: 11/2019
Type: Document
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Presents a study highlighting rural women's perspectives on the co-occurring mental health and substance use disparities among rural populations. Analyzes interviews with incarcerated rural women with co-occurring substance use and mental health symptoms.
Author(s): Claire Snell-Rood, Michele Staton, Athena Kheibari
Citation: Rural and Remote Health, 19(4), 5279
Date: 11/2019
Type: Document
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Characterizing the Rural Opioid Use Environment in Kentucky Using Google Earth: Virtual Audit
Presents a study on the reliability of using Google Earth to track physical environment data correlating with rural opioid use. Examines data drawn from 5 rural counties in Kentucky using Google Earth between 2017 and 2018.
Author(s): Natalie Danielle Crawford, Regine Haardörfer, Hannah Cooper, et al.
Citation: Journal of Medical Internet Research, 21(10), e14923
Date: 10/2019
Type: Document
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Presents a study on the reliability of using Google Earth to track physical environment data correlating with rural opioid use. Examines data drawn from 5 rural counties in Kentucky using Google Earth between 2017 and 2018.
Author(s): Natalie Danielle Crawford, Regine Haardörfer, Hannah Cooper, et al.
Citation: Journal of Medical Internet Research, 21(10), e14923
Date: 10/2019
Type: Document
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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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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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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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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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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 1/13/2025