Substance Use and Misuse in Rural Areas – Resources

Inpatient Stays Involving Mental and Substance Use Disorders, 2016
Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Medications for Opioid Use Disorder Save Lives
Reports on the findings from an expert committee regarding the evidence behind using medications to treat opioid use disorder, as well as issues with accessing medication-based treatment. Chapter 3 includes a section focusing on rural populations and chapter 5 addresses rural/urban differences in the number of healthcare providers waivered to prescribe buprenorphine, a medication used to treat opioid-use disorder.
Additional links: Read Online
Author(s): Committee on Medication-Assisted Treatment for Opioid Use Disorder
Date: 03/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia
Demonstrates how a group of researchers conducted data collection in Cabell County, West Virginia in June and July 2018, to estimate the number of people who inject drugs such as heroin, methamphetamine, and fentanyl. Features statistics including demographics and breakdowns by type of drug injected.
Author(s): Sean T. Allen, Allison O'Rourke, Rebecca Hamilton White, et al.
Citation: American Journal of Public Health, 109(3), 445-450
Date: 03/2019
Type: Document
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Using Network and Spatial Data to Better Target Overdose Prevention Strategies in Rural Appalachia
Highlights a study aiming to target individuals most likely to need overdose interventions in rural Appalachia. Examines survey data for spatial and networking patterns in rural eastern Kentucky to identify individuals at risk of a drug overdose.
Author(s): Abby E. Rudolph, April M. Young, Jennifer R. Havens
Citation: Journal of Urban Health, 96(1), 27-37
Date: 02/2019
Type: Document
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Premature Mortality from All Causes and Drug Poisonings in the USA According to Socioeconomic Status and Rurality: An Analysis of Death Certificate Data by County from 2000–15
Examines premature deaths from drug poisoning versus all causes by county for White, Black, and Latino people. Addresses differences by rural/urban location, socioeconomic status, education level, gender, and race/ethnicity. See additional link for detailed tables.
Additional links: Supplementary Appendix
Author(s): Meredith S. Shiels, Amy Berrington de Gonzalez, Ana F. Best, et al.
Citation: The Lancet, 4(2), e97-e106
Date: 02/2019
Type: Document
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Peer Support Specialists Care for and Connect Rural Behavioral Health Clients
Discusses peer support specialists, trained laypeople in recovery with a mental health condition or substance use disorder, and describes the roles they play as mentors and coordinators for clients with similar behavioral health issues. Features peer support specialist programs in rural Arizona, Michigan, and North Dakota.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Exposures to the Tobacco Retail Environment among Adolescent Boys in Urban and Rural Environments
Presents a study on the exposure of rural and urban adolescents to tobacco retailers. Looks at the number of self-reported visits to tobacco stores by adolescent males in urban and Appalachian regions of Ohio.
Author(s): Montgomry L. Burgoon, Thomas Albani, Brittney Keller-Hamilton, et al.
Citation: The American Journal of Drug and Alcohol Abuse, 45(2), 217-226
Date: 01/2019
Type: Document
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
Type: Document
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