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Rural Health Information Hub

Rural Project Examples: Abuse and violence

Evidence-Based Examples

Domestic Violence Enhanced Home Visitation Program (DOVE)
Updated/reviewed March 2022
  • Need: To reduce violence against pregnant women and women with infants in rural Missouri.
  • Intervention: A tool for existing home visiting programs, DOVE is a brochure-based and safety planning intervention for women experiencing interpersonal violence.
  • Results: Women receiving the DOVE intervention saw a larger average decrease in number of violent incidents than women in the control group.

Effective Examples

Wyoming Trauma Telehealth Treatment Clinic
Updated/reviewed February 2023
  • Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
  • Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
  • Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.
STAIR (Skills Training in Affective and Interpersonal Regulation)
Updated/reviewed January 2023
  • Need: To increase access to telemental health services for rural veterans, especially women, 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.
funded by the Federal Office of Rural Health Policy I Got You: Healthy Life Choices for Teens (IGU)
Updated/reviewed September 2020
  • Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
  • Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
  • Results: As of 2018 and on a yearly basis, 6,000 7th and 8th grade students receive mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and their self-concept.

Other Project Examples

The Massachusetts Department of Public Health TeleSANE Center
Updated/reviewed May 2023
  • Need: Clinicians in rural and underserved areas are often unprepared to provide comprehensive medical-forensic examinations for patients who present for care following a sexual assault.
  • Intervention: The MDPH TeleSANE Center uses secure telehealth software to connect sexual assault nurse examiners to clinicians and patients in hospitals across Massachusetts — including four in rural counties — offering expert clinical guidance and support before, during, and after examinations.
  • Results: Clinicians report that the service gives them increased confidence throughout the examination process. To date, the MDPH TeleSANE Center has assisted in the care of over 730 patients.
Canyon Creek Services
Updated/reviewed March 2023
  • Need: To reduce and prevent domestic violence and sexual assault in Utah's rural Beaver, Garfield, and Iron counties.
  • Intervention: Canyon Creek Services provides a 24/7 emergency hotline, emergency shelter, hospital response, crisis intervention, housing advocacy, and community education services.
  • Results: In 2022, CCS served 756 survivors, with 141 of them accessing the emergency shelter. CCS reached 159,275 people through community outreach and prevention campaigns.
Jana's Campaign: Love Doesn't Hurt
Updated/reviewed February 2023
  • Need: Prevention and education programs for schools to reduce gender and relationship violence among teenagers.
  • Intervention: Jana's Campaign offers school-based trainings, presentations, projects, and consultations through Love Doesn't Hurt: Teen Gender Violence and Prevention Program.
  • Results: So far, 648 middle and high schools and more than 86,280 students in Kansas, Nebraska, Colorado, Missouri, and Oklahoma have benefited from the program.
Together We Can Be Bully Free
Updated/reviewed February 2023
  • Need: Union Parish, a rural county in Louisiana, was experiencing higher than average suicide rates among youth.
  • Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying and how to model positive social behavior.
  • Results: The 3,000+ students trained have learned how to recognize, report, and react to bullying.
Schoharie County ACEs Team
Updated/reviewed December 2022
  • Need: Agencies in Schoharie County, New York were seeing a widespread trend of Adverse Childhood Experiences (ACEs) in children and families they served.
  • Intervention: The Schoharie ACEs Team was formed as a way to educate rural communities about ACEs, the brain science behind it, and ways to build resiliency.
  • Results: The ACEs Team has put on 4 half-day educational conferences, 2 virtual conferences, and 10 trainings for various groups across the region, trained 3 school districts on trauma-informed care, and provided resources for families exposed to trauma.
funded by the Federal Office of Rural Health Policy Butte Child Evaluation Center
Updated/reviewed August 2022
  • Need: Before 2000, Butte and southwest Montana had around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
  • Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
  • Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.