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Rural Project Examples: Mental health

Effective Examples

funded by the Federal Office of Rural Health Policy Madison Outreach and Services through Telehealth (MOST) Network
Updated/reviewed November 2017
  • Need: More mental health and substance abuse prevention and treatment services in rural Texas.
  • Intervention: A network was formed to bring counseling services through telehealth systems and community health workers to Brazos Valley, Texas.
  • Results: The program improved health outcomes, increased general knowledge of the impact of substance abuse, and raised awareness of services among Hispanic residents.
Strong African American Families-Teen (SAAF-T)
Updated/reviewed April 2017
  • Need: There is a lack of interventions that addresses teenager behavioral problems, particularly for rural African American adolescents.
  • Intervention: Rural, locally trained leaders administered five 2-hour meetings for teenagers and their primary caregivers. Trainings focused on reducing risks that prevent positive development, specifically sexual risk-taking that can lead to HIV and other STIs.
  • Results: Teens reported reduced conduct problems, depressive symptoms, and substance abuse. Families were strengthened, and SAAF-T reduced unprotected intercourse and increased condom efficacy.
Rural Telemental Health (RTMH) Program
Added July 2016
  • Need: To provide high-quality mental healthcare to rural veterans.
  • Intervention: The Rural Telemental Health (RTMH) program, stationed at the Portland VA Medical Center, reaches rural veterans in Idaho, Oregon, and Washington via telehealth.
  • Results: From 2010 to 2013, 1,754 veterans received diagnoses, therapy, medication management, and other mental health services.
Telepsychiatry Consultation Service in Nursing Homes
Updated/reviewed June 2016
  • Need: To improve health status and access for rural nursing home patients in need of mental health services.
  • Intervention: The University of Vermont Medical Center provides telepsychiatry care and education to nursing homes that face shortages of mental health professionals on site.
  • Results: Telepsychiatry consultations ease the burden on nursing home residents by saving travel time, distance, and money involved with going to the nearest tertiary facility.

Promising Examples

funded by the Federal Office of Rural Health Policy 4P's Plus Pregnancy Support Project
Updated/reviewed December 2017
  • Need: Pregnancy support services for Native American women struggling with substance use.
  • Intervention: An integrated behavioral health network implemented in Lake County, California.
  • Results: Fewer Native American babies exposed to alcohol, tobacco, and other drugs.
STAIR (Skills Training in Affective and Interpersonal Regulation)
Updated/reviewed December 2017
  • Need: To increase access to telemental health services for rural women veterans with a history of trauma.
  • Intervention: STAIR (Skills Training in Affective and Interpersonal Regulation) is a 10-week program designed to reduce PTSD and depression symptoms and increase emotional regulation and social functioning in clients.
  • Results: Therapists reported that clients attended more sessions when offered via teleconferencing, and clients reported satisfaction with the program.
Felton Early Psychosis Program
Updated/reviewed November 2017
  • Need: A treatment model for those showing early signs of schizophrenia.
  • Intervention: The Felton Prevention and Recovery in Early Psychosis (PREP) program was started in rural and urban California counties. Felton PREP encourages schizophrenia remission in clients through medication and psychosocial initiatives.
  • Results: Clients’ hospitalization and psychiatric emergency room visits were reduced by 70% after 1 year of treatment. Schizophrenia symptoms also reduced significantly among Felton PREP clients.
funded by the Federal Office of Rural Health Policy Healthy Outcomes Integration Team
Updated/reviewed November 2017
  • Need: To provide integrated treatment planning and coordinated healthcare services to rural residents.
  • Intervention: This program was designed to treat adults who have a serious mental health condition and those who have, or are at risk of developing, chronic health conditions.
  • Results: Thus far, 84 clients have received integrated health and mental health services.
funded by the Federal Office of Rural Health Policy Physical and Behavioral Health Integrated Care Project
Updated/reviewed October 2017
  • Need: To provide unified and seamless access to primary physical care to adult patients in Clearfield and Jefferson counties in Pennsylvania who have been diagnosed with Serious and Persistent Mental Illness.
  • Intervention: A “one-stop shop” of healthcare services addressed the physical and behavioral health and medication needs of adults in the region.
  • Results: Results indicated better behavioral and physical health outcomes for participants, as well as increased adherence to medications.
Kitsap Mental Health Services: Race to Health!
Added August 2017
  • Need: To improve the physical health of individuals seeking mental healthcare.
  • Intervention: Race to Health! in Washington integrates mental health, substance use disorder treatment, and primary care for individuals with severe mental illness.
  • Results: Race to Health! helps reduce emergency department visits, hospitalizations, and costs (a total savings of $5,144,000 for Medicare patients).