Rural Substance Abuse: State of Knowledge and Issues: NIDA Research Monograph 168

Social, health and drug use characteristics of primary crack users in three mid-sized communities in British Columbia, Canada

“…poor, Aboriginal, etc.) communities are concerned (Day, Conroy, Lowe, Page, & Dolan, 2006;Kringlen, Torgersen, & Cramer, 2006;Newbold, 1998;Robertson, Sloboda, Boyd, Beatty, & Kozel, 1997;Steel & Haverkos, 1992). In many non-urban/rural communities, basic services and interventions of relevance for the study population, for example, detoxification or treatment for substance use, specialized infectious disease testing and/or treatment, targeted prevention programmes for high-risk substance use, specialized mental health and/or co-morbidity care, are only sparsely or not at all available and individuals in these settings face substantial barriers to access for appropriate services (Borders & Booth, 2007;Newbold, 1998;Steel & Haverkos, 1992).…”

“…In many non-urban/rural communities, basic services and interventions of relevance for the study population, for example, detoxification or treatment for substance use, specialized infectious disease testing and/or treatment, targeted prevention programmes for high-risk substance use, specialized mental health and/or co-morbidity care, are only sparsely or not at all available and individuals in these settings face substantial barriers to access for appropriate services (Borders & Booth, 2007;Newbold, 1998;Steel & Haverkos, 1992). While there is a basic need to establish and make available such interventions, they will typically need to rely on distinct delivery models, for example, community health care frameworks, etc (Borders & Booth, 2007;Robertson et al, 1997;Steel & Haverkos, 1992;Vicary, Doebler, Bridger, Gurgevich, & Deike, 1996). For the specific care of our study population -that is, primary crack users in non-urban communities in BC -extensive service improvement and expansion needs virtually exist on all ends.…”

Rural behavioral health services for children and adolescents: An ecological and community psychology analysis

“…Community-based recovery groups, such as Alcoholics Anonymous, also have been an important feature of rural substance abuse treatment, providing informal support and mentoring (Robertson, 1997). However, these groups are not as widely available for adolescents.…”

Addressing Substance Abuse in Health Care Settings

“…Alcohol misuse is widespread among rural adults and adolescents in the United States (Robertson et al, 1997); yet limited treatment options are available in rural areas. Rural areas account for a large proportion of all alcohol-related motor vehicle accident injuries and fatalities (Zwerling et al, 2005).…”