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. 2022 Jun;22(2):7152.
doi: 10.22605/RRH7152. Epub 2022 Jun 1.

A rural community's perspective on the causes of and solutions to the opioid crisis in southern Virginia: a qualitative study

Angelina J Hargrove  1 , Carlin Rafie  2 , Emily Zimmerman  3 , Dawn E Moser  4
Affiliations

A rural community's perspective on the causes of and solutions to the opioid crisis in southern Virginia: a qualitative study

Angelina J Hargrove et al. Rural Remote Health. 2022 Jun.

Abstract

Introduction: Opioid use disorder is a leading public health issue in the USA, with complex drivers requiring a multi-level response. Rural communities are particularly affected by opioid misuse. Due to variability in local conditions and resources, they require community-specific responses. The aim of this study was to gain insight into the perceptions, knowledge, and experiences of members of a rural community impacted by the opioid crisis to inform the development of local strategies to address the crisis.

Methods: Stakeholder focus groups were conducted by a participatory research team as part of a larger project using the Stakeholder Engagement in Question Development and Prioritization (SEED) Method.

Results: Key findings from the focus groups included the importance of family dynamics and social networks as risk and resiliency factors, addressing hopelessness as a preventive strategy, the need for holistic approaches to treatment, childhood exposure resulting in intergenerational substance use, the needs of overburdened healthcare providers, the expansion of long-term rehabilitation programs, and the need for judicial reform towards those with opioid use disorder. Specific and well-defined strategies are needed for more comprehensive methods to address the complexity of opioid use disorder. Understanding factors that contribute to opioid use disorder in rural communities through a stakeholder engagement process should be the first responsive strategy in developing actions.

Conclusion: This study shows that rural community stakeholders provide important perspectives that can be useful in solving the drug epidemic in their neighborhoods. Their understanding of the internal dynamics of the communities' needs offers a unique roadmap in which prioritized actions can be customized and adapted for improving health outcomes.

Keywords: SEED method; USA; community engagement; community health; community perspectives; opioids; prevention; public health; substance abuse; community engaged research.

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References

    1. Makdessi CJ, Day C, Chaar BB. Challenges faced with opioid prescriptions in the community setting – Australian pharmacists’ perspectives. Research in Social and Administrative Pharmacy 2019; 15(8): 966–973. DOI link, - PubMed
    1. Degenhardt L, Charlson F, Mathers B, Hall WD, Flaxman AD, Johns N, et al. The global epidemiology and burden of opioid dependence: results from the Global Burden of Disease 2010 study. Addiction 2014; 109(8): 1320–1333. DOI link, - PubMed
    1. Lipman AG. Managing pain in the era of substance abuse. Journal of Pain & Palliative Care Pharmacotherapy 2015; 29(2): 100–101. DOI link, - PubMed
    1. Centers for Disease Control and Prevention. Drug overdose deaths 2020. Available: web link (Accessed 7 September 2020).
    1. US Department of Health and Human Services. HHS acting secretary declares public health emergency to address national opioid crisis. 2018. Available: web link (Accessed 7 September 2020).

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