Rural Project Examples Addressing Abuse and violence

Updated/reviewed March 2026

Need: To reduce violence against pregnant women and women with infants in rural Missouri.
Intervention: A tool for existing home visiting programs, DOVE was 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.

Updated/reviewed April 2026

Need: To increase rural east central Mississippi 8th graders' awareness of behavioral and mental health topics.
Intervention: With federal funding support, an intensive mental health outreach program was created for 8th graders and implemented in 2015.
Results: Since 2015, thousands of rural Mississippi students have received education on a variety of behavioral health topics to improve their understanding of mental health issues, high risk behaviors, and skills to best manage their choices. A decade after implementation, the program continues to reach an annual average of 3,000 students.

Updated/reviewed April 2026

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.

Updated/reviewed January 2026

Need: Improve health and wellness outcomes for those affected by trauma and adverse experiences.
Intervention: A language, traditions, and customs-specific evidence-based peer support model that trains local communities on education and prevention strategies to address and heal the effects of trauma.
Results: Peer-reviewed results show decreases in emergency room visits and hospitalizations, over 50% reduction of trauma symptomology, decreases in unhealthy substance use, and improvements in family and spiritual well-being. Model elements have adapted in Canada and several Lower 48 states.

Updated/reviewed November 2025

Need: To provide victims of domestic violence and sexual assault a safe space, advocacy, education, and family support services.
Intervention: Safe Place of Eastern South Dakota provides emergency/transitional housing, support and referral services, family visitation services, and community education.
Results: In 2024, Safe Place of Eastern South Dakota answered 404 crisis calls, provided shelter for 135 survivors, and advocated for 95 survivors.

Updated/reviewed July 2025

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 five 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 1,234 patients.

Updated/reviewed June 2025

Need: Union Parish, a rural county in Louisiana, continues to experience elevated rates of youth suicide, bullying, mental health challenges, and risk behaviors, as confirmed by a 2024 Community Health Needs Assessment (CHNA).
Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying, to foster positive social behavior, and to provide mental health support through school-based interventions.
Results: Over 3,500 students have learned how to recognize, report, and respond to bullying. The program's integration with broader community health priorities has strengthened mental health, reduced suicide attempts, and improved awareness of youth risk behaviors.

Updated/reviewed April 2025

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 2024, CCS served 742 clients, received 1,063 hotline calls, and provided 4,988 hours of advocacy. CCS also provided 21 educational trainings in the community, with 1,125 people in attendance.

Updated/reviewed April 2025

Need: To reduce teen dating violence in middle schools, high schools, and youth organizations by promoting healthy relationship behaviors and fostering a culture of respect among adolescents.
Intervention: Jana's Campaign offers prevention programs, including curricular and co-curricular activities, to highlight the 'red flags' and underlying causes of unhealthy dating relationships.
Results: Since 2013, 677 middle and high schools and more than 102,350 students in Kansas, Nebraska, Colorado, Missouri, Oklahoma, Texas, Oregon, Montana, and Washington State have benefited from these programs.

Updated/reviewed August 2024

Need: Before 2000, Butte and southwest Montana saw 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.

Rural Project Examples: Abuse and violence