Substance Abuse in Rural and Remote Areas
Substance abuse is a pervasive problem across the globe, impacting the health and well-being of those who abuse alcohol and substances and their family members. While this problem affects individuals across numerous demographic factors (e.g., gender, race
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Contents Scope of Substance Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use in the United States . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use in Australia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use in New Zealand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use in Europe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unique Problems and Factors in Rural and Remote Areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Disparities in Substance Use and Treatment Between Racial and Ethnic Groups . . . . . . Prevention and Treatment of Substance Use and Abuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remote Therapies for Rural and Remote Populations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intervention Considerations Between Racial and Ethnic Minorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . Summary and Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Abstract
Substance abuse is a pervasive problem across the globe, impacting the health and well-being of those who abuse alcohol and substances and their family members. While this problem affects individuals across numerous demographic factors (e.g., gender, race and ethnicity, or socioeconomic status), there are different patterns and types of substance abuse in urban and rural areas. This chapter focuses on the unique aspects of alcohol and substance abuse in rural, frontier, and remote areas and examines health disparities and racial and ethnic differences in substance abuse. In addition, this chapter discusses special challenges in providing prevention and intervention services to the people who live in rural and remote areas of the world and the roles of psychologists in providing this care. J. H. Bray (*) · B. Zaring-Hinkle (*) Department of Psychology, University of Texas San Antonio, San Antonio, TX, USA e-mail: [email protected]; [email protected] J. K. Perrotte Department of Psychology, Texas State University, San Marcos, TX, USA e-mail: [email protected] © Springer Nature Singapore Pte Ltd. 2020 T. Carey, J. Gullifer (eds.), Handbook of Rural, Remote, and very Remote Mental Health, ht
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