Substance Use and Misuse in Rural Areas – Resources

Temporal Trends in Substance Use and Cardiovascular Disease–Related Mortality in the United States
Analyzes 636,572 death certificates to identify trends for both substance use and cardiovascular disease-related mortality between 1999 and 2019. Breaks down data by rurality, gender, race and ethnicity, type of substance use, and more. Includes state-level comparisons.
Author(s): Abdul Mannan Khan Minhas, Jakrin Kewcharoen, Michael E. Hall, et al.
Citation: Journal of the American Heart Association 13(2)
Date: 01/2024
Type: Document
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Eliminating Tobacco-Related Disease and Death: Addressing Disparities - A Report of the Surgeon General
Report explores disparities in tobacco use and tobacco use-related health outcomes. Identifies tobacco-related disparities and the various demographic groups that still use tobacco products at a higher rate than the national average, such as people below the poverty level, workers in manual labor or service industry jobs, and people who live in rural communities, among others. Highlights strategies for curtailing the expansion of tobacco use and details promising interventions for reducing tobacco-related health disparities.
Additional links: Executive Summary, Full Report
Date: 2024
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Practical Guide for Expanding the Community-Based Behavioral Health Workforce
Explores the role of community-initiated care (CIC) and behavioral health support specialists (BHSS) in filling gaps in behavioral healthcare services and supporting community wellness. Provides guidance, strategies, and best practices for addressing behavioral health disparities in underserved communities and expanding the BHSS and CIC workforce.
Date: 2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Dialogue: Rural and Remote Disaster Behavioral Health
Journal issue discusses the behavioral health needs and challenges during disasters in rural and remote communities. Highlights the mental health challenges that co-occur with disasters such as extreme heat, floods, droughts and other disasters in rural communities and details strategies for addressing them.
Citation: The Dialogue, 19(4)
Date: 2024
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Expanding Behavioral Health Care Workforce Participation in Medicare, Medicaid, and Marketplace Plans
Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Effectiveness of Syringe Services Programs
Presents a literature review of the studies evaluating SSP interventions across the country. Report aims to evaluate the overall efficacy of SSPs at reducing the transmission of HIV/HCV. Four of the 100 studies were conducted in completely rural settings, and 5 were conducted in both rural and urban settings. Makes recommendations for VA policy makers.
Additional links: Appendices, Executive Summary
Author(s): Katherine M. Mackey, Erin H. Beech, Beth E. Williams, et al.
Date: 12/2023
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide
Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age, race, and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
Type: Document
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Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study
Highlights a study on the efficacy of telehealth-based treatment of opioid use disorder (OUD) for rural populations. Draws patient data from 2020-2022 across 14 states and breaks down data by patient characteristics, such as insurance status, education, and rurality, among other measures. Explores retention in care and adherence over a 6 month treatment period.
Author(s): Marlene C. Lira, Cynthia Jimes, M. Justin Coffey
Citation: Telemedicine and e-Health, 29(12), 1890-1896
Date: 12/2023
Type: Document
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State Actions to Build the Behavioral Health Crisis Continuum
Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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RCORP: Helping Meet Rural Needs
Video series featuring the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP), a multi-year initiative that funds a range of grant programs to help rural communities treat and prevent opioid use disorder. RCORP grantees share how they have used this funding to address the needs of their communities.
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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