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Rural Project Examples: Criminal justice system

Eastern Plains Sexual Assault Response Team (EPSART)
Added December 2017
  • Need: To support victims after sexual assault and to collaborate and streamline processes for victim-centered care.
  • Intervention: EPSART holds monthly team meetings and opportunities for team training.
  • Results: Enhanced victim and public safety by facilitating investigations and successful prosecutions.
Arrowhead Telepresence Coalition
Added August 2017
  • Need: Individuals in northeastern Minnesota who experience mental health crises have often taken action in ways that are harmful to themselves or others.
  • Intervention: The Arrowhead Telepresence Coalition connects behavioral health providers to rural patients in traditional and non-traditional medical settings through a telehealth platform.
  • Results: The service is used by 257 registered users in 7 Minnesota counties and 3 tribes.
Gloucester ANGEL Program
Updated/reviewed August 2017
  • Need: To address opioid addiction as a disease rather than a crime in rural Massachusetts.
  • Intervention: The Gloucester Police Department initiated an opioid outreach program to help facilitate treatment for people suffering from addiction.
  • Results: The ANGEL program has referred over 400 people to treatment facilities, reduced the cost of overnight incarcerations, and has developed a new bond with the community in the fight against opioid abuse.
Morrison County Accountable Community for Health
Added August 2017
  • Need: To combat prescription drug misuse in rural Morrison County, Minnesota.
  • Intervention: The Morrison County ACH brings together primary care, social services, law enforcement, and other partners to make sure that patients receive treatment and support.
  • Results: One pharmacy saw a 20% reduction in the number of prescribed opioids, and the ACH was able to taper 127 patients off opioids completely.
Staggered Sentencing for Repeat Drunk Driving Offenders
Updated/reviewed August 2017
  • Need: To reduce the incidences of repeat drunk driving.
  • Intervention: Repeat DWI (driving while intoxicated) offenders were given a staggered sentence, allowing them to serve their sentence in segments of time, typically separated by several months to a year. The offender was able to file a motion to request a waiver for the remaining sentence period(s), if able to show that he/she maintained sobriety.
  • Results: The incidence of recidivism, or crime relapse, has been reduced among offenders given staggered sentences, by comparison to offenders given traditional DWI sentences. The program has also reduced the average cost of jail time that otherwise would have been served from a full sentence.
funded by the Federal Office of Rural Health Policy Family Advocacy Network
Updated/reviewed July 2017
  • Need: A service to address the high number of child abuse cases reported in Nebraska in the late 1990s.
  • Intervention: The Family Advocacy Network (FAN) was developed to assist in the investigations of child abuse cases. FAN provides forensic interviews, forensic medical examinations, hair follicle testing, case coordination, advocacy, and education to help prevent revictimization.
  • Results: FAN helped over 600 children and 23 adults in 2016, as well as educated hundreds of healthcare and community professionals.
Project VISION
Updated/reviewed July 2017
  • Need: To reduce opioid use and increase quality of life in Rutland, Vermont.
  • Intervention: Project VISION works to reduce opioid use through community engagement.
  • Results: Since 2012, Project VISION has collected and disposed of 550 pounds of unused medications and reduced burglaries by 58%.
National TeleNursing Center Helps Rural Clinicians To Provide Sexual Assault Exams
Added February 2016
  • Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
  • Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
  • Results: Clinicians report that the help gives them confidence through the examination process. To date, every one of the remote sites' eligible sexual assault patients have consented to receiving help from NTC.
Recovery-Oriented System of Care (ROSOC)
Updated/reviewed January 2016
  • Need: To serve adults in Mendocino County, California with chronic substance use disorders, mental health diagnoses, and/or complex medical conditions who frequently utilize emergency departments and jail services.
  • Intervention: A safety net organization was formed that works with medical providers and law enforcement to reduce the high cost of caring for frequent utilizers through intensive care coordination activities.
  • Results: Greater overall stability in the lives of clients, with less utilization of low-efficacy, crisis-oriented services, hospitalizations, and incarcerations.