Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Report to Congress on Medicaid and CHIP, June 2018
Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid's role as the nation's largest payer for long-term services and supports.
Date: 06/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid's role as the nation's largest payer for long-term services and supports.
Date: 06/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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SAMHSA Opioid Overdose Prevention Toolkit
Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine
Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allowed them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
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Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allowed them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
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Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina
Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
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Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
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As Fatal Overdoses Rise, Many Americans See Drug Addiction as a Major Problem in Their Community
Highlights the results of a Pew Research Center survey on fatal drug overdoses and public concern about the opioid crisis. Features data comparing rural, urban, and suburban areas.
Author(s): John Gramlich
Date: 05/2018
Sponsoring organization: Pew Research Center
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Highlights the results of a Pew Research Center survey on fatal drug overdoses and public concern about the opioid crisis. Features data comparing rural, urban, and suburban areas.
Author(s): John Gramlich
Date: 05/2018
Sponsoring organization: Pew Research Center
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Sponsoring organization: Centers for Disease Control and Prevention
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A Social–Contextual Investigation of Smoking among Rural Women: Multi-level Factors Associated with Smoking Status and Considerations for Cessation
Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
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Presents a study of the personal characteristics of women who use tobacco in the Appalachian region of Ohio. Breaks down data by education, marital status, household income, and employment, among other measures.
Author(s): Julianna M Nemeth, Tiffany L Thomson, Bo Lu, et al.
Citation: Rural and Remote Health, 18(1)
Date: 04/2018
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2018 Electronic Cigarette Use among Youth in Georgia
Features data on e-cigarette use among youth in Georgia. Compares usage rates with other forms of tobacco, as well as usage rates in urban versus rural areas.
Date: 04/2018
Sponsoring organization: Georgia Department of Public Health
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Features data on e-cigarette use among youth in Georgia. Compares usage rates with other forms of tobacco, as well as usage rates in urban versus rural areas.
Date: 04/2018
Sponsoring organization: Georgia Department of Public Health
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Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Sponsoring organization: House Committee on Energy and Commerce
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Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Sponsoring organization: House Committee on Energy and Commerce
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Opioid White Paper: Analysis of Responses to Committee Request for Information
Details an analysis of the information received by the U.S. House of Representatives Ways and Means Committee regarding the opioid crisis. Discusses the current state of the crisis and the measures currently in place regarding prevention and treatment.
Date: 04/2018
Sponsoring organization: House Ways and Means Committee
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Details an analysis of the information received by the U.S. House of Representatives Ways and Means Committee regarding the opioid crisis. Discusses the current state of the crisis and the measures currently in place regarding prevention and treatment.
Date: 04/2018
Sponsoring organization: House Ways and Means Committee
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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: 4/28/2025