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Rural Project Examples: Schools

Evidence-Based Examples

Helping Kids PROSPER
Updated/reviewed January 2017
  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Effective Examples

keepin’ it REAL Rural
Updated/reviewed March 2017
  • Need: A drug and alcohol prevention program for middle school kids that is specific to rural culture in Pennsylvania and Ohio.
  • Intervention: An adaptation of the evidence-based keepin' it REAL curriculum was customized for rural middle school students.
  • Results: Students showed a reduction in all substance use and less personal acceptability of substance use.

Promising Examples

funded by the Federal Office of Rural Health Policy Noble County Outreach Project
Updated/reviewed October 2017
  • Need: To help enroll and retain children and their families in health insurance in Noble County, Indiana.
  • Intervention: A school-based health insurance outreach program focused on connecting children to health insurance.
  • Results: More than 600 individuals have enrolled in health insurance.
funded by the Federal Office of Rural Health Policy Healthy Early Learning Project (HELP)
Updated/reviewed May 2017
  • Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
  • Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
  • Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed December 2016
  • Need: To improve the oral health status of children ages 3 to 13 living in underserved rural areas of Louisiana.
  • Intervention: Students enrolled in school-based health centers receive oral health assessments as part of their comprehensive physical exams.
  • Results: During the 2012-2015 grant period, SBHCs provided 2,136 fluoride varnishes and 2,273 caries risk assessments and identified 715 dental homes for children. In year one of the 2015-2018 grant, SBHCs provided 938 fluoride varnishes.
funded by the Federal Office of Rural Health Policy Coast to Cascade Coordinated Approach to Child Health (CATCH) Program
Updated/reviewed November 2016
  • Need: To build up physical activity and healthy eating practices in order to reduce childhood obesity in rural Oregon communities.
  • Intervention: A national program was applied on a local level to provide physical activity and nutrition education in a school setting.
  • Results: The physical activity rate surpassed the Department of Health and Human Services recommended rate by 5%, and schools started serving healthier options in their cafeterias.

Other Project Examples

Capitol Dental Care's Virtual Dental Homes
Added November 2017
  • Need: Dentists in Polk County, Oregon who accepted Oregon Health Plan were booked out for months, causing patients with dental needs to have to wait for an appointment or travel to an adjoining county for dental care.
  • Intervention: Capitol Dental Care began a Virtual Dental Home teledentistry model to bring preventive dental care to 3 elementary schools and several Head Start programs.
  • Results: Through this program, over 700 students have received dental care in their schools.
funded by the Federal Office of Rural Health Policy CATCH-UP (Coordinated Approach to Child Health in the Upper Peninsula)
Updated/reviewed November 2017
  • Need: To reduce childhood obesity and risk for chronic illness for youth aged 5-12 in the rural Western Upper Peninsula region of Michigan.
  • Intervention: Integrated the evidence-based CATCH program to increase physical activity and healthy eating habits in children.
  • Results: Created a healthy school environment in 12 districts promoting daily physical activity, good nutritional choices, and supportive communities for more than 3,000 children.
funded by the Federal Office of Rural Health Policy Healthy Families
Updated/reviewed November 2017
  • Need: High obesity rates among preschool children are a public health concern.
  • Intervention: The Healthy Families program was created to provide school-based obesity prevention and intervention in preschools throughout three Michigan counties.
  • Results: Healthy Families provided education on nutrition and physical fitness to hundreds of preschool children and their families, helping children maintain or improve their BMI and instill lifelong healthy habits.
Fostering Futures in Menominee Nation
Updated/reviewed September 2017
  • Need: Since the late 1800’s, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
  • Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
  • Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 85% since 2008.