Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Substance Use Among Rural Adolescents With Incarcerated Parents: Evidence From a State-Wide Sample
Presents a study on the potential correlation between parental incarceration and rural adolescent substance use. Draws data from the 2019 Minnesota Student Survey and breaks down findings by age, household substance use, and poverty, among other factors.
Author(s): Luke Muentner, Katie K. McLaughlin, Rebecca Shlafer
Citation: Journal of Rural Health, 40(2), 338-347
Date: 11/2023
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Presents a study on the potential correlation between parental incarceration and rural adolescent substance use. Draws data from the 2019 Minnesota Student Survey and breaks down findings by age, household substance use, and poverty, among other factors.
Author(s): Luke Muentner, Katie K. McLaughlin, Rebecca Shlafer
Citation: Journal of Rural Health, 40(2), 338-347
Date: 11/2023
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National Rural Health Day and a Behavioral Health Community Star, with Tammy Norville and Jason Lillich
An episode of the Exploring Rural Health podcast featuring Tammy Norville, National Organization of State Offices of Rural Health (NOSORH) CEO, and Jason Lillich, Executive Director of Three Rivers Mental Health and Chemical Dependency Center, a 2023 National Rural Health Day Community Star. Focuses on the origins of National Rural Health Day and the ongoing importance of behavioral health and substance use services for rural communities.
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Tammy Norville, National Organization of State Offices of Rural Health (NOSORH) CEO, and Jason Lillich, Executive Director of Three Rivers Mental Health and Chemical Dependency Center, a 2023 National Rural Health Day Community Star. Focuses on the origins of National Rural Health Day and the ongoing importance of behavioral health and substance use services for rural communities.
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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Extra Episode - Rural Communities Opioid Response Program with Megan Meacham and Sarah O'Donell
Podcast episode featuring Megan Meacham and Sarah O'Donnell from the Federal Office of Rural Health Policy. Describes the Rural Communities Opioid Response Program (RCORP), which aims to improve access to substance use disorder, prevention, treatment, and recovery services in rural communities. Discusses examples of how RCORP grantees are effectively serving communities and tips for accessing resources to address the opioid crisis in tips for accessing resources to address the rural opioid crisis.
Date: 11/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode featuring Megan Meacham and Sarah O'Donnell from the Federal Office of Rural Health Policy. Describes the Rural Communities Opioid Response Program (RCORP), which aims to improve access to substance use disorder, prevention, treatment, and recovery services in rural communities. Discusses examples of how RCORP grantees are effectively serving communities and tips for accessing resources to address the opioid crisis in tips for accessing resources to address the rural opioid crisis.
Date: 11/2023
Sponsoring organization: Impact! Communications, Inc.
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Houselessness and Syringe Service Program Utilization among People Who Inject Drugs in Eight Rural Areas Across the USA: A Cross-sectional Analysis
Examines the relationship between houselessness and syringe service program (SSP) use among people who inject drugs (PWID) in rural areas. Analyzes survey data from self-identified PWID across 10 states and explores data on PWID demographic profile, related drug use, proximity to SSPs, and more. Discusses housing instability in rural areas and potential barriers to SSP use.
Author(s): April M. Ballard, Dylan Falk, Harris Greenwood, et al.
Citation: Harm Reduction Journal, 20, 157
Date: 10/2023
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Examines the relationship between houselessness and syringe service program (SSP) use among people who inject drugs (PWID) in rural areas. Analyzes survey data from self-identified PWID across 10 states and explores data on PWID demographic profile, related drug use, proximity to SSPs, and more. Discusses housing instability in rural areas and potential barriers to SSP use.
Author(s): April M. Ballard, Dylan Falk, Harris Greenwood, et al.
Citation: Harm Reduction Journal, 20, 157
Date: 10/2023
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Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation
Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths
Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
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Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
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Culturally Responsive Pathways to Peer Programming in Tribal Communities
Discusses best practices for the use of peer recovery support services (PRSS) for addiction recovery in tribal communities. Includes an adaptation of the Sequential Intercept Model (SIM) and offers evidence-based case studies.
Date: 09/2023
Sponsoring organizations: Bureau of Justice Assistance, U.S. Department of Justice
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Discusses best practices for the use of peer recovery support services (PRSS) for addiction recovery in tribal communities. Includes an adaptation of the Sequential Intercept Model (SIM) and offers evidence-based case studies.
Date: 09/2023
Sponsoring organizations: Bureau of Justice Assistance, U.S. Department of Justice
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National Report: Rural Substance Use Disorder Stigma and Treatment Needs
Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Rural Recovery Housing, with Ernie Fletcher and Erica Walker
An episode of the Exploring Rural Health podcast featuring Governor Ernie Fletcher, co-founder and Chief Medical Officer of the Fletcher Group, and Erica Walker, Outreach and Engagement Specialist for the Fletcher Group. Focuses on recovery housing in rural communities and the different levels of support it can provide to help people healing from substance use disorders.
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Governor Ernie Fletcher, co-founder and Chief Medical Officer of the Fletcher Group, and Erica Walker, Outreach and Engagement Specialist for the Fletcher Group. Focuses on recovery housing in rural communities and the different levels of support it can provide to help people healing from substance use disorders.
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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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: 1/31/2025