Substance Use and Misuse in Rural Areas – Resources

Drug and Opioid-Involved Overdose Deaths - United States, 2013-2017
Reports on the annual number and age-adjusted rate of drug overdose deaths, analyzing data between both 2013 and 2017 and also between 2016 and 2017. Includes all opioids and prescription opioids, and heroin and synthetic opioids other than methadone. Includes statistics with breakdowns by metropolitan, micropolitan, and noncore areas in addition to 34 states.
Author(s): Lawrence Scholl, Puja Seth, Mbabazi Kariisa, Nana Wilson, Grant Baldwin
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1419-1427
Date: 01/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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An Innovative Approach to Care: Integrating Mental Health Services Through Telemedicine in Rural School-based Health Centers
Presents a study on the use of telemedicine to provide behavioral healthcare to rural children and adolescents through school-based health centers. Discusses the West Virginia Children's Access Network (WVCAN) and evaluates the successes and shortcomings of both the school-based health center model and telemedicine at providing behavioral healthcare to rural children.
Author(s): Taniya Pradhan, E. Ashley Six-Workman, Kari-Beth Law
Citation: Psychiatric Services, 70(3), 239-242
Date: 2019
Type: Document
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Through the Diamond Threshold: A Community-based Psycho-educational Group Training Program for Treatment of Substance Use Disorders among American Indians
Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
Type: Document
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Opioid Epidemic in the United States: Empirical Trends, and A Literature Review of Social Determinants and Epidemiological, Pain Management, and Treatment Patterns
Analyzes trends in U.S. drug overdose mortality by key social determinants. Reports findings from a selective review of the literature on how the opioid crisis is impacting different segments of the population, including rural residents.
Author(s): Gopal K. Singh, Isaac E. Kim, Mehrete Girmay, et al.
Citation: International Journal of Maternal and Child Health and AIDS, 8(2), 89-100
Date: 2019
Type: Document
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
Type: Document
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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Type: Document
Sponsoring organization: RAND Corporation
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Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment
Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
Type: Document
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Trend Differences in Men and Women in Rural and Urban U.S. Settings
Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, race, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
Type: Document
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Evaluating Coverage of Selected Domains in the National Survey on Drug Use and Health: NSDUH Methodological Report
Highlights the methodological parameters of the National Survey on Drug Use and Health study. Includes selection information for rural and American Indian and Alaska Native groups.
Date: 12/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Pandora's Pill Bottle - 1: Opioids in Rural America
Presents a series of articles on the effect the opioid crisis has had on rural agricultural areas. Details the stories of rural people whose lives have been affected by opioids.
Additional links: Pandora's Pill Bottle - 2: How Opioids Become a Problem, Pandora's Pill Bottle - 3: Impact of Opioids, Pandora's Pill Bottle - 4: Battling Opioids at Ground Level, Pandora's Pill Bottle - 5: A Life of Hope Lost to Opioid Addiction, Pandora's Pill Bottle - 6: What Needs to be Done About Opioids?, Pandora's Pill Bottle - 7: Actionable Insights for Local Communities Against Opioid Abuse
Author(s): Todd Neeley
Date: 12/2018
Type: Document
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