Barriers to Substance Abuse Treatment in Rural and Urban Communities: Counselor Perspectives
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The purpose of this study is to compare rural and urban substance abuse counselors' perceptions of barriers to providing effective treatment services. Data were collected from 28 substance abuse counselors in Kentucky during four focus group sessions in 2008. Line-by-line coding and memoing were used by two raters on the transcribed data to isolate findings. The results of this study suggest that, though rural and urban counselors encounter similar constraints that hamper successful treatment outcomes, rural counselors are subject to special circumstances within their communities that present unique challenges to treatment efficacy. Novel contributions, implications, and limitations are also discussed.
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Comprehensive data on the patterns and factors influencing substance use in West Africa remain limited.
“Despite the growing recognition of substance use as a critical public health issue, the response in West Africa has been hampered by several challenges [3, 9]. These include limited access to treatment services, inadequate funding for prevention programs, and a lack of comprehensive data on drug use patterns [17].”
From Prevalence and patterns of substance use in West Africa: A systematic review and meta-analysis (2024) · cites this paper as [17]
The Limitations section describes a study of counselors in Kentucky and cautions that its findings may not apply to other regions. Neither it nor the passages retrieved for West Africa and drug-use patterns address whether comprehensive substance-use data in West Africa are limited. (LLM, conf=0.76)
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Cites
Grounded theory research: Procedures, canons, and evaluative criteria
Corbin, J. M., & Strauss, A. (1990) · Qualitative Sociology · doi:10.1007/bf00988593 · Cited by 11,133 · see citing works
Qualitative Data Analysis: A Sourcebook of New Methods
Lotto, L. S., Miles, M. B., & Huberman, A. M. (1986) · Educational Evaluation and Policy Analysis · doi:10.3102/01623737008003329 · Cited by 10,338 · see citing works
Analyzing social settings : a guide to qualitative observation and analysis
Lofland, J. (1971) · Works - Scholarship, Research, & Creative Expression (Swarthmore College) · Cited by 5,656 · see citing works
Qualitative Data Analysis for Health Services Research: Developing Taxonomy, Themes, and Theory
Bradley, E. H., Curry, L. A., & Devers, K. J. (2007) · Health Services Research · doi:10.1111/j.1475-6773.2006.00684.x · Cited by 3,437 · see citing works
Qualitative Interviewing and Grounded Theory Analysis
Charmaz, K. C., & Belgrave, L. L. (2012) · Sage eBooks · doi:10.4135/9781452218403.n25 · Cited by 2,079 · see citing works
Arora, S., Kalishman, S. G., Dion, D., Som, D., Thornton, K., Bankhurst, A. D., Boyle, J., Harkins, M. S., Moseley, K., Murata, G. H., et al. (2011) · Health Affairs · doi:10.1377/hlthaff.2011.0278 · Cited by 288 · see citing works
Appel, P. W., Ellison, A. A., Jansky, H. K., & Oldak, R. (2004) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120029870 · Cited by 220 · see citing works
The Effects of Travel Barriers and Age on the Utilization of Alcoholism Treatment Aftercare
Fortney, J. C., Booth, B. M., Blow, F. C., Bunn, J. Y., & Cook, C. A. L. (1995) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999509002705 · Cited by 174 · see citing works
Distance traveled to outpatient drug treatment and client retention
Beardsley, K. C., Wish, E. D., Fitzelle, D. B., O’Grady, K. E., & Arria, A. M. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00188-0 · Cited by 172 · see citing works
Counselor emotional exhaustion and turnover intention in therapeutic communities.
Knudsen, H. K., Ducharme, L. J., & Roman, P. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2006.04.003 · Cited by 168 · see citing works
The toughest job you'll ever love: A Pacific Northwest Treatment Workforce Survey
Gallon, S. L., Gabriel, R. M., & Knudsen, J. R. W. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00032-1 · Cited by 115 · see citing works
RURAL-URBAN DIFFERENCES IN SUBSTANCE USE AND TREATMENT UTILIZATION AMONG PRISONERS
Warner, B. D., & Leukefeld, C. G. (2001) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-100103709 · Cited by 113 · see citing works
Research on Rural Residence and Access to Drug Abuse Services: Where Are We and Where Do We Go?
Borders, T. F., & Booth, B. M. (2007) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2007.00128.x · Cited by 97 · see citing works
“If Only Someone Had Told Me …”: Lessons From Rural Providers
Chipp, C. L., Dewane, S. L., Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W. (2010) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2010.00314.x · Cited by 94 · see citing works
Barriers to Formal Drug Abuse Treatment in the Rural South: A Preliminary Ethnographic Assessment
Sexton, R. L., Carlson, R. G., Leukefeld, C. G., & Booth, B. M. (2008) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2008.10400621 · Cited by 74 · see citing works
Perinatal Substance Abuse Treatment
Howell, E. M., & Chasnoff, I. J. (1999) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(98)00069-5 · Cited by 73 · see citing works
Substance Abuse among Rural and Very Rural Drug Users at Treatment Entry
Schoeneberger, M. L., Leukefeld, C. G., Hiller, M. L., & Godlaski, T. (2006) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990500328687 · Cited by 63 · see citing works
Rural Drug Users: Factors Associated With Substance Abuse Treatment Utilization
Oser, C. B., Leukefeld, C. G., Staton, M., Garrity, T. F., Carlson, R. G., Falck, R. S., Wang, J., & Booth, B. M. (2010) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x10366012 · Cited by 62 · see citing works
Self-citationUnmet needs for comprehensive services in outpatient addiction treatment
Pringle, J. L., Emptage, N. P., & Hubbard, R. L. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2005.11.006 · Cited by 60 · see citing works
Access to Substance Abuse Services in Rural Areas
Fortney, J. C., & Booth, B. M. (2002) · Springer eBooks · doi:10.1007/978-0-306-47193-3_10 · Cited by 53 · see citing works
Substance Abuse Treatment Gap Among Adult Parolees: Prevalence, Correlates, and Barriers
Sung, H., Mahoney, A. M., & Mellow, J. (2010) · Criminal Justice Review · doi:10.1177/0734016810389808 · Cited by 49 · see citing works
McKay, J., Donovan, D., McLellan, T., Krupski, A., Hansten, M. L., Stark, K., Geary, K., & Cecere, J. (2002) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120002976 · Cited by 45 · see citing works
Oser, C. B., Knudsen, H. K., Staton, M., Taxman, F. S., & Leukefeld, C. G. (2008) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2008.11.005 · Cited by 38 · see citing works
Self-citationBrown, E., Hill, M. A., & Giroux, S. A. (2004) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2004.tb00041.x · Cited by 31 · see citing works
Rural and Urban Similarities and Differences in Private Substance Abuse Treatment Centers
Knudsen, H. K., Johnson, J. A., Roman, P. M., & Oser, C. B. (2003) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2003.10400499 · Cited by 29 · see citing works
Self-citationMental Health and Substance Abuse Services Among Rural Minorities
Gamm, L. D. (2004) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2004.tb00030.x · Cited by 27 · cited 6× · see citing works
“…this research builds on previous studies examining rural or urban barriers by simultaneously comparing findings from rural and urban counselors within a single state, working at state-funded treatment sites (Borders & Booth, 2007; Gamm, 2004; McKenzie & Bushy, 2004; Pringle et al., 2006).”
InfluentialJohnson, M. E., Brems, C., Warner, T. D., & Roberts, L. W. (2006) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.37.2.183 · Cited by 25 · see citing works
Substance Abuse Providers' Assessment of the Massachusetts Behavioral Health Program: Year 6
Beinecke, R. H., Shepard, D. S., Tetreault, J., Hodgkin, D., & Marckres, J. (2001) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1023/a:1012266524772 · Cited by 8 · see citing works
McKenzie, R., & Bushy, A. (2004) · The Journal of Rural Health · doi:10.1111/j.1748-0361.2004.tb00028.x · Cited by 5 · see citing works
Flagged first, then by citations
1 of the 30 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Hutchinson L Blakely C Substance abuse trends in rural areas: a literature review Rural Healthy People 2010: A companion document to health people 2010 2010 Vol. 2 College Station, TX Southwest Rural Health Research Center
- Pruitt LR The forgotten fifth: rural youth and substance abuse Stanford Law & Policy Review 2009 20 259 304
Cited by
Sorted by citations
Harrington, R. A., Califf, R. M., Balamurugan, A., Brown, N., Benjamin, R. M., Braund, W. E., Hipp, J. S., Konig, M., Sánchez, E., & Maddox, K. E. J. (2020) · Circulation · doi:10.1161/cir.0000000000000753 · Cited by 393 · see citing works
Mack, K. A., Jones, C. M., & Ballesteros, M. F. (2017) · MMWR Surveillance Summaries · doi:10.15585/mmwr.ss6619a1 · Cited by 259 · see citing works
Barriers and Facilitators to Substance Use Treatment in the Rural South: A Qualitative Study
Browne, T. A., Priester, M. A., Clone, S., Iachini, A. L., DeHART, D. D., & Hock, R. (2015) · The Journal of Rural Health · doi:10.1111/jrh.12129 · Cited by 219 · see citing works
Urban-rural variation in the socioeconomic determinants of opioid overdose
Pear, V. A., Ponicki, W. R., Gaidus, A. J., Keyes, K. M., Martins, S. S., Fink, D. S., Rivera‐Aguirre, A., Gruenewald, P. J., & Cerdá, M. (2018) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2018.11.024 · Cited by 200 · see citing works
Mack, K. A., Jones, C. M., & Ballesteros, M. F. (2017) · American Journal of Transplantation · doi:10.1111/ajt.14555 · Cited by 168 · see citing works
Joudrey, P. J., Chadi, N., Roy, P. J., Morford, K. L., Bach, P., Kimmel, S. D., Wang, E. A., & Calcaterra, S. L. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.107968 · Cited by 117 · see citing works
Bunting, A. M., Oser, C. B., Staton, M., Eddens, K. S., & Knudsen, H. K. (2018) · Addiction Science & Clinical Practice · doi:10.1186/s13722-018-0124-2 · Cited by 79 · see citing works
Self-citationCommunity-Based Cluster-Randomized Trial to Reduce Opioid Overdose Deaths
The HEALing Communities Study Consortium (2024) · New England Journal of Medicine · doi:10.1056/nejmoa2401177 · Cited by 76 · see citing works
Peer-delivered services for substance use in low- and middle-income countries: A systematic review
Satinsky, E. N., Kleinman, M. B., Tralka, H. M., Jack, H. E., MYERS, B. J., & Magidson, J. F. (2021) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2021.103252 · Cited by 63 · see citing works
Screening for Substance Use in Rural Primary Care: a Qualitative Study of Providers and Patients
Saunders, E. C., Moore, S. K., Gardner, T., Farkas, S., Marsch, L. A., McLeman, B. M., Meier, A., Nesin, N., Rotrosen, J., Walsh, O., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05232-y · Cited by 58 · see citing works
Ellis, K., Walters, S. M., Friedman, S. R., Ouellet, L. J., Ezell, J. M., Rosentel, K., & Pho, M. T. (2020) · Frontiers in Sociology · doi:10.3389/fsoc.2020.593925 · Cited by 57 · see citing works
Kanyongo, W., & Ezugwu, A. E.-S. (2023) · Informatics in Medicine Unlocked · doi:10.1016/j.imu.2023.101232 · Cited by 67 · see citing works
Finlay, A. K., Stimmel, M. A., Blue‐Howells, J., Rosenthal, J., McGuire, J., Binswanger, I. A., Smelson, D. A., Harris, A. H. S., Frayne, S. M., Bowe, T., et al. (2015) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-015-0708-z · Cited by 53 · see citing works
Healthcare stigma and HIV risk among rural people who inject drugs
Surratt, H. L., Otachi, J. K., McLouth, C. J., & Vundi, N. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108878 · Cited by 53 · see citing works
Transitioning From Detoxification to Substance Use Disorder Treatment: Facilitators and Barriers
Timko, C., Schultz, N. R., Britt, J. Y., & Cucciare, M. A. (2016) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2016.07.010 · Cited by 54 · see citing works
Scorsone, K. L., Haozous, E. A., Hayes, L., & Cox, K. J. (2020) · Qualitative Health Research · doi:10.1177/1049732320938689 · Cited by 47 · see citing works
Yang, Y., Perkins, D. R., & Stearns, A. E. (2018) · Qualitative Health Research · doi:10.1177/1049732318771005 · Cited by 46 · see citing works
Suasnabar, J. M. H., & Walters, B. H. (2020) · International Journal of Mental Health Systems · doi:10.1186/s13033-020-00405-3 · Cited by 48 · see citing works
Temporal Trends in Substance Use and Cardiovascular Disease–Related Mortality in the United States
Minhas, A. M. K., Kewcharoen, J., Hall, M. E., Warraich, H. J., Greene, S. J., Shapiro, M. D., Michos, E. D., Sauer, A. J., & Abramov, D. (2024) · Journal of the American Heart Association · doi:10.1161/jaha.123.030969 · Cited by 41 · see citing works
The disparate impact of alcohol, methamphetamine, and other drugs on family reunification
Lloyd, M. H., & Akin, B. A. (2014) · Children and Youth Services Review · doi:10.1016/j.childyouth.2014.05.013 · Cited by 41 · see citing works
Forati, A. M., Ghose, R., & Mantsch, J. R. (2021) · Journal of Urban Health · doi:10.1007/s11524-021-00554-x · Cited by 40 · see citing works
Tomko, C. A., Schneider, K. E., Rouhani, S., Urquhart, G. J., Park, J. N., Morris, M., & Sherman, S. G. (2021) · Addictive Behaviors · doi:10.1016/j.addbeh.2021.107215 · Cited by 35 · see citing works
Srinivasan, C., Phan, B. N., Lawler, A. J., Ramamurthy, E., Kleyman, M., Brown, A. R., Kaplow, I. M., Wirthlin, M. E., & Pfenning, A. R. (2021) · Journal of Neuroscience · doi:10.1523/jneurosci.2534-20.2021 · Cited by 34 · see citing works
Hasan, M. M., Young, G. J., Shi, J., Mohite, P., Young, L. D., Weiner, S. G., & Noor‐E‐Alam, M. (2021) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-021-01692-7 · Cited by 33 · see citing works
Treatment outcomes for prescription drug misusers: the negative effect of geographic discordance
Oser, C. B., & Harp, K. L. H. (2014) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2014.08.002 · Cited by 33 · see citing works
Self-citationSnell‐Rood, C., Willging, C. E., Showalter, D., Peters, H., & Pollini, R. A. (2020) · Substance Abuse · doi:10.1080/08897077.2020.1846149 · Cited by 31 · see citing works
Steel, T. L., Afshar, M., Edwards, S., Jolley, S. E., Timko, C., Clark, B. J., Douglas, I. S., Dzierba, A. L., Gershengorn, H. B., Gilpin, N. W., et al. (2021) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202108-1845st · Cited by 32 · see citing works
Russell, C., Ali, F., Nafeh, F., LeBlanc, S., Imtiaz, S., Elton‐Marshall, T., & Rehm, J. T. (2021) · BMC Public Health · doi:10.1186/s12889-021-12104-w · Cited by 31 · see citing works
Siddiqi, A. D., Britton, M., Chen, T. A., Carter, B. J., Wang, C., Leal, I. M., Rogova, A., Kyburz, B., Williams, T., Patel, M., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159647 · Cited by 31 · see citing works
Crane, D. A., Marcotte, M., Applegate, M. S., Massatti, R. R., Hurst, M., Menegay, M. C., Mauk, R., & Williams, S. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.04.010 · Cited by 31 · see citing works
Exploring substance use disorders and relapse in Mauritian male addicts
Ramsewak, S., Putteeraj, M., & Somanah, J. (2020) · Heliyon · doi:10.1016/j.heliyon.2020.e04731 · Cited by 33 · see citing works
Bunger, A. C., Chuang, E., Girth, A. M., Lancaster, K. E., Gadel, F., Himmeger, M., Saldana, L., Powell, B. J., & Aarons, G. A. (2020) · Implementation Science · doi:10.1186/s13012-020-01016-9 · Cited by 29 · see citing works
Substance use among women who are pregnant: Examining treatment completion by race and ethnicity
Suntai, Z. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108437 · Cited by 29 · see citing works
Fonseca, J., Chang, A., & Chang, F. (2017) · The Journal of Rural Health · doi:10.1111/jrh.12264 · Cited by 24 · see citing works
Edmonds, A. T., Bensley, K. M., Hawkins, E. J., & Williams, E. C. (2021) · Substance Abuse · doi:10.1080/08897077.2020.1803176 · Cited by 24 · see citing works
Drug overdose and child maltreatment across the United States’ rural-urban continuum
Orsi, R., Yuma, P., Sergi, K., Pena, A. A., & Shillington, A. M. (2018) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2018.08.010 · Cited by 23 · see citing works
Prevalence and patterns of substance use in West Africa: A systematic review and meta-analysis
Emmanuel, G. O., Akinsolu, F. T., Abodunrin, O. R., & Ezechi, O. C. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0004019 · Cited by 24 · see citing works
Opioid use disorder treatment in rural settings: The primary care perspective
Harder, V. S., Villanti, A. C., Heil, S. H., Smith, M. L., Gaalema, D. E., Meyer, M. C., Schafrick, N. H., & Sigmon, S. C. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106765 · Cited by 22 · see citing works
Integrating HIV and substance misuse services: a person-centred approach grounded in human rights
Haldane, V. E., Jung, A.-S., Foo, C. D., Shrestha, P., Urdaneta, E., Turk, E., Gaviria, J. I., Boadas, J., Buse, K., Miranda, J. J., et al. (2022) · The Lancet Psychiatry · doi:10.1016/s2215-0366(22)00159-6 · Cited by 22 · see citing works
Transportation Barriers to Outpatient Substance Use Treatment Programs: A Scoping Review
Harwerth, J., Washburn, M., Lee, K., & Basham, R. E. (2022) · Journal of Evidence-Based Social Work · doi:10.1080/26408066.2022.2150530 · Cited by 22 · see citing works
Staton, M., Pike, E., Tillson, M. D., & Lofwall, M. R. (2023) · Journal of Community Psychology · doi:10.1002/jcop.23029 · Cited by 22 · see citing works
“One Out of Ten Ain’t Going to Make It”: An Analysis of Recovery Capital in the Rural Upper Midwest
Palombi, L. C., Hawthorne, A. N., Irish, A., Becher, E. H., & Bowen, E. A. (2019) · Journal of Drug Issues · doi:10.1177/0022042619859309 · Cited by 21 · see citing works
Taing, M., Nitturi, V., Chen, T. A., Kyburz, B., Leal, I. M., Correa-Fernández, V., Obasi, E. M., Williams, T., Casey, K., O’Connor, D. P., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19010239 · Cited by 22 · see citing works
Accessibility of Opioid Treatment Programs Based on Conventional vs Perceived Travel Time Measures
Kim, J., Lee, J., Thornhill, T. A., IV, Dennett, J. M., Lu, H., Howell, B. A., Grau, L. E., Fiellin, D. A., Heimer, R., & Gonsalves, G. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.0209 · Cited by 21 · see citing works
Çamsarı, U. M., & Libertin, C. R. (2017) · Cureus · doi:10.7759/cureus.1579 · Cited by 20 · see citing works
Jha, D., & Singh, R. (2020) · BMC Bioinformatics · doi:10.1186/s12859-020-03893-9 · Cited by 20 · see citing works
Veteran-nonveteran differences in alcohol and drug misuse by tobacco use status in Alabama SBIRT
Albright, D. L., Holmes, L., Lawson, M. A., McDaniel, J. T., Laha‐Walsh, K., & McIntosh, S. (2019) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2020.1705109 · Cited by 18 · see citing works
Mun, C. C., Schuler, H., Baker, R., Byrne, F. R., Bresani, E., & Meyers, K. (2023) · The Journal of Rural Health · doi:10.1111/jrh.12743 · Cited by 18 · see citing works
McKetin, R., Dean, O. M., Turner, A., Kelly, P. J., Quinn, B., Lubman, D. I., Dietze, P., Carter, G. L., Higgs, P., Baker, A., et al. (2019) · Trials · doi:10.1186/s13063-019-3450-0 · Cited by 18 · see citing works
Opioid Crisis in the Rural U.S.
Monnat, S. M. (2020) · National symposium on family issues · doi:10.1007/978-3-030-37689-5_5 · Cited by 18 · see citing works
Tran, A. D., Chen, R., Nielsen, S., Zahra, E., Degenhardt, L., Santo, T., Farrell, M., & Larance, B. (2021) · The International journal on drug policy · doi:10.1016/j.drugpo.2021.103472 · Cited by 16 · see citing works
Bensley, K. M., Fortney, J. C., Chan, G., Dombrowski, J. C., Ornelas, I. J., Rubinsky, A. D., Lapham, G. T., Glass, J. E., & Williams, E. C. (2019) · The Journal of Rural Health · doi:10.1111/jrh.12345 · Cited by 18 · see citing works
Victor, G. A., Kheibari, A., Staton, M., & Oser, C. B. (2018) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2018.1450264 · Cited by 17 · see citing works
Self-citationHetrick, A. T., Young, A. M., Elman, M., Bielavitz, S., Alexander, R. L., Brown, M., Waddell, E. N., Korthuis, P. T., & Lancaster, K. E. (2021) · Trials · doi:10.1186/s13063-021-05919-w · Cited by 16 · see citing works
Influence of Rurality on HIV Testing Practices Across the United States, 2012–2017
Tran, L. T., Tran, P., & Tran, L. T. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02436-5 · Cited by 16 · see citing works
Opioid Use Disorder Stigma and Support for Harm Reduction in Rural Counties
Whipple, C. R., Kaynak, Ö., Kruis, N. E., Saylor, E., Bonnevie, E., & Kensinger, W. S. (2023) · Substance Use & Misuse · doi:10.1080/10826084.2023.2250434 · Cited by 15 · see citing works
Garnick, D. W., Horgan, C. M., Acevedo, A., Lee, M. T., Panas, L., Ritter, G. A., & Campbell, K. M. (2019) · The Journal of Rural Health · doi:10.1111/jrh.12375 · Cited by 15 · see citing works
Murphy, J., & Kruis, N. E. (2022) · Substance Use & Misuse · doi:10.1080/10826084.2022.2151314 · Cited by 14 · see citing works
Spence, K. L., Boedeker, R., Harhausen, M., Kaushal, G., Buchanan, P. M., & Josephsen, J. B. (2020) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000000607 · Cited by 14 · see citing works
Cooksey, G. E., Epps, J. L., Moye, R. A., Patel, N., Shorman, M. A., & Veve, M. P. (2020) · The Journal of Infectious Diseases · doi:10.1093/infdis/jiaa055 · Cited by 14 · see citing works
Young, J. P., Achtmeyer, C. E., Bensley, K. M., Hawkins, E. J., & Williams, E. C. (2018) · The Journal of Rural Health · doi:10.1111/jrh.12293 · Cited by 14 · see citing works
Moore, S. K., Saunders, E. C., Hichborn, E. G., McLeman, B. M., Meier, A., Young, R., Nesin, N., Farkas, S., Hamilton, L., Marsch, L. A., et al. (2020) · Substance Abuse · doi:10.1080/08897077.2020.1827125 · Cited by 13 · see citing works
Oser, C. B., Batty, E. J., Booty, M. D., Eddens, K. S., Knudsen, H. K., Perry, B. L., Rockett, M., & Staton, M. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-066068 · Cited by 14 · see citing works
Self-citationAshworth, M., Thunström, L., Clancy, G. L., Thompson, R., Johnson, D., & Fletcher, E. (2024) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2024.100541 · Cited by 13 · see citing works
Sieger, M. H. L., Becker, J., & Brook, J. (2021) · Child & Family Social Work · doi:10.1111/cfs.12836 · Cited by 13 · see citing works
Radmall, A. O., Calder, S. G., Codell, N. K., Kelley, A. T., Hawkins, E. J., Jones, A. L., Hagedorn, H., Reynolds, M. A., & Gordon, A. J. (2022) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000455 · Cited by 13 · see citing works
Moore, J. R., Chen, Q., & Choi, N. G. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108631 · Cited by 13 · see citing works
Evaluation of the health status outcome among inpatients treated for Amphetamine Addiction
Alharbi, R. S., Alhowail, A. H., Alharbi, A. G., & Emara, A. M. (2021) · Saudi Journal of Biological Sciences · doi:10.1016/j.sjbs.2021.11.025 · Cited by 12 · see citing works
Addressing Disparities for Persons With Substance Use Disorders in Rural Communities
Heitkamp, T., & Fox, L. (2022) · Journal of Addictions Nursing · doi:10.1097/jan.0000000000000483 · Cited by 12 · see citing works
Owens, M. D., Ngo, S., Grinnell, S., Pearlman, D., Bekemeier, B., & Walker, S. C. (2022) · Evidence & Policy · doi:10.1332/174426421x16445109542161 · Cited by 11 · see citing works
Ti, L., Dong, H., Day, A., McKendry, R., DeBeck, K., Bingham, B., Milloy, M., Barrios, R., & Hayashi, K. (2019) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2019.09.006 · Cited by 11 · see citing works
Bachhuber, M. A., Cunningham, C. O., & Jordan, A. E. (2025) · PLoS ONE · doi:10.1371/journal.pone.0317967 · Cited by 10 · see citing works
Ware, O. D., Geiger, G., Rivas, V. D., Burgos, M. A. M., Nehme, L., & Bautista, T. G. (2025) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s440214 · Cited by 10 · see citing works
Osborne, B. A., Kelly, P. J., Robinson, L. D., Ivers, R. G., Deane, F. P., & Larance, B. (2020) · Drug and Alcohol Review · doi:10.1111/dar.13197 · Cited by 10 · see citing works
A descriptive analysis of drivers under the influence of opioids in Kentucky
Dickson, M. F., Kissel, M., Shore, S., & Webster, J. M. (2022) · Accident Analysis & Prevention · doi:10.1016/j.aap.2022.106837 · Cited by 10 · see citing works
Muthelo, L., Mbombi, M. O., Mphekgwana, P. M., Mabila, L. N., Dhau, I., Tlouyamma, J., Nemuramba, R., Mashaba, R. G., Mothapo, K., Ntimana, C. B., et al. (2023) · Substance Abuse Research and Treatment · doi:10.1177/11782218221147498 · Cited by 10 · see citing works
Lessons in Implementation from a 5-Year SBIRT Effort Using a Mixed-Methods Approach
Evans, B., Kamon, J. L., & Turner, W. C. (2023) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-023-09835-6 · Cited by 10 · see citing works
Lee, G., Hicks, D. L., Kedia, S., Regmi, S., & Mou, X. (2024) · Children and Youth Services Review · doi:10.1016/j.childyouth.2024.107456 · Cited by 9 · see citing works
Expert providers implement integrated and coordinated care in opioid use disorder treatment
Harris, L. M., Guerrero, E. G., Khachikian, T., Serret, V., & Marsh, J. C. (2024) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2024.104567 · Cited by 9 · see citing works
Medicare Beneficiary Receipt of Methadone by Drive Time to Opioid Treatment Programs
Cantor, J., Hernandez, H. G., Kofner, A., Lai, J., Agniel, D. M., Simon, K. I., Stein, B. D., & Taylor, E. A. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.3099 · Cited by 9 · see citing works
Mpanza, D. M., Govender, P., & Voce, A. S. (2022) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-022-00471-5 · Cited by 9 · see citing works
Childs, K. K., Viglione, J., Chapman, J. E., Drazdowski, T. K., McCart, M. R., & Sheidow, A. J. (2022) · Journal of Crime and Justice · doi:10.1080/0735648x.2022.2103014 · Cited by 9 · see citing works
Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans
Grant, K. M., Young, L. B., Tyler, K. A., Simpson, J. L., Pulido, R. D., & Timko, C. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.07.012 · Cited by 9 · see citing works
Grubb, L. K. (2019) · Clinical Therapeutics · doi:10.1016/j.clinthera.2019.07.019 · Cited by 9 · see citing works
Medication-Assisted Treatment for Opioid Use Disorder in a Rural Family Medicine Practice
Deyo-Svendsen, M. E., Svendsen, M. C., Walker, J. E., Hodges, A., Oldfather, R. Z., & Mansukhani, M. P. (2020) · Journal of Primary Care & Community Health · doi:10.1177/2150132720931720 · Cited by 9 · see citing works
“Me, the street, and a backpack”: employment, income, and physical capital in rural recovery
Irish, A., Bowen, E. A., Hawthorne, A. N., & Palombi, L. C. (2020) · Journal of Social Work Practice in the Addictions · doi:10.1080/1533256x.2020.1793067 · Cited by 9 · see citing works
Ending the Chase: Experiences of Rural Individuals with Opioid Use Disorder
Scorsone, K. L., Haozous, E. A., Hayes, L., & Cox, K. J. (2021) · Substance Use & Misuse · doi:10.1080/10826084.2021.1914109 · Cited by 9 · see citing works
LoParco, C. R., Chen, T. A., Leal, I. M., Britton, M., Carter, B. J., Correa-Fernández, V., Kyburz, B., Williams, T., Casey, K., Rogova, A., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph191911850 · Cited by 9 · see citing works
Nugent, S. M., Dobscha, S. K., Morasco, B. J., Demidenko, M. I., Meath, T. H. A., Frank, J. W., & Lovejoy, T. I. (2017) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4084-0 · Cited by 9 · see citing works
Hassett-Walker, C. (2023) · Substance Abuse Research and Treatment · doi:10.1177/11782218231213769 · Cited by 8 · see citing works
Cusack, M. C., Montgomery, A. E., Harris, T. E., Roncarati, J. S., Brecht, T., Antonellis, C., Byrne, T. H., Tsai, J., & True, G. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.14077 · Cited by 8 · see citing works
Schultz, N. R., Martinez, R., Cucciare, M. A., & Timko, C. (2016) · Substance Use & Misuse · doi:10.3109/10826084.2016.1168446 · Cited by 8 · see citing works
Sabarinah (2019) · Asia Pacific Journal of Public Health · doi:10.1177/1010539519872343 · Cited by 8 · see citing works
James, B., Olotu, S. O., Ayilara, O. O., Arigbede, O., Anozie, G., Ogiku, H., Ariyo, J. O., Efiong, V., Adeyelu, A., Oni, M., et al. (2019) · Nigerian Postgraduate Medical Journal · doi:10.4103/npmj.npmj_36_19 · Cited by 8 · see citing works
‘That's got me to where I am today’: examining the role of social capital in rural recovery
Palombi, L., Irish, A., Bowen, E., Kosobuski, L., Chen, N., Hawthorne, A. N., & Becher, E. (2022) · Addiction Research and Theory · doi:10.1080/16066359.2021.2021400 · Cited by 8 · see citing works
Treatment outcomes for substance use disorders across the African continent: a systematic review
Biribawa, C., Tumwesigye, N. M., Sinclair, D. L., Kabiito, D., Swensen, G., Meyer, F. D., Mukasa, M., Kalema, D., Mutamba, B. B., & Vanderplasschen, W. (2025) · BMC Psychology · doi:10.1186/s40359-025-02978-5 · Cited by 8 · see citing works
Stone soup: social work community engagement in rural America’s opioid crisis
Cashwell, S. T., Campbell, M. J., & Cowser, J. (2021) · Social Work in Mental Health · doi:10.1080/15332985.2021.1875965 · Cited by 7 · see citing works
Factors associated with healthcare utilization and mortality in alcohol use disorder hospitalization
Singh, J. A. (2021) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2021.108653 · Cited by 7 · see citing works
Orsi, R., Boissy, L., Yuma, P., Palmer, F., & Torres‐Molinar, S. (2021) · Child & Family Social Work · doi:10.1111/cfs.12850 · Cited by 7 · see citing works
Mumba, M. N., Jaiswal, J., Bui, C., Evans, T., Mainzinger, L., Davis, L. L., & Mugoya, G. C. T. (2022) · Aging & Mental Health · doi:10.1080/13607863.2022.2098911 · Cited by 8 · see citing works
- Authors
- Pullen, E., & Oser, C.
- Affiliations
- University of Kentucky (US)
- Corresponding author
- Pullen, Erin
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2014-03-10
- Volume
- 49
- Issue
- 7
- Pages
- 891-901
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- PMC
- PMC3995852
- OpenAlex
- W2130517233
- Semantic Scholar
- 119548f23e1fac496185bce652806a0c7879508b
- Cited by
- 229
- References
- 30
- Citations by year
- 2026: 18 · 2025: 27 · 2024: 20 · 2023: 18 · 2022: 30 · 2021: 43 · 2020: 30 · 2019: 17 · 2018: 8 · 2017: 11 · 2016: 2 · 2015: 2 · 2014: 3
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K01DA021309)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- addiction treatment, barriers to treatment, rural communities, urban communities, addiction counselors, counselor perceptions, urban-rural differences, treatment efficacy, Kentucky
- MeSH terms
- Attitude of Health Personnel, Communication Barriers, Cooperative Behavior, Counseling, Female, Financial Support, Health Services Accessibility, Humans, Kentucky, Language, Male, Rural Population, Transportation, Urban Population, Focus Groups, Case Management, Substance-Related Disorders, Qualitative Research
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