Rural Project Examples Addressing Access - Rural Health Information Hub

Updated/reviewed March 2026

Need: Increase behavioral health access after a rural community suicide loss of 5 older men occurring in a 24-month interval.
Intervention: A Critical Access Hospital in Yoakum, Texas, created an inpatient and outpatient community-based behavioral health care model for area residents in need.
Results: Based on the original model's financially sustainable outcomes creating both inpatient/outpatient access, the model has matured with outpatient access now offering comprehensive Licensed Clinical Social Worker counseling services for age groups starting with teens and ranging to older adults.

Added March 2026

Need: To help North Dakotans with health challenges bridge financial gaps to promote independence and improve quality of life.
Intervention: North Dakota Association for the Disabled (NDAD) offers direct financial assistance, prescription medications, home modification, vehicle accessibility, and other resources to reduce out-of-pocket costs for essential medical needs.
Results: In 2025, NDAD loaned 6,005 pieces of healthcare equipment to 3,141 people for a savings of $576,634 and awarded $250,742 in funding to 30 organizations to assist individuals with disabilities or at-risk individuals.

Updated/reviewed March 2026

Need: The results of a 2013 county need assessment revealed that increased healthcare access would benefit the low resource areas of rural Hardin County, Ohio.
Intervention: With grant awards that included a 2015-2018 federal grant and in collaboration with local healthcare delivery systems, a rurally-located university pharmacy program's faculty and doctoral learners brought regularly scheduled pharmacist-led mobile clinic health services — ONU HealthWise Mobile Clinic — to the low resource areas of Hardin County, Ohio.
Results: In the decade since the original grant award, pharmacist-led mobile healthcare services' continued success has led to an expanded operation with a dual focus of providing both rural healthcare services and a setting to train rural practice-ready pharmacists. Additionally, interprofessional experiences for other healthcare profession learners have been added. In 2025, state-granted financial support allowed growth to include the purchase of a second vehicle expanding community pharmacy and telehealth services in surrounding rural counties.

Updated/reviewed January 2026

Need: Reliable transportation options for employment and medical access needs and employment for residents of rural Paris, Texas.
Intervention: In 2011, a regional government coalition — already operating a rural regional transportation system — partnered with a rural community's medical, education, and business entities to expand and improve the community's transportation system.
Results: After implementation in 2016, decreased emergency room visits were noted, likely due to reliable transportation for scheduled medical appointments. A decade later, Paris Metro still continues as a low cost/no cost rural transportation network and that includes paratransit opportunities.

Updated/reviewed November 2025

Need: Free, non-emergency air travel for children and adults in need of medical treatment far from home who live in rural areas of the Northeast.
Intervention: Angel Flight East, a free medical flight service, has expanded their focus to include more patients from rural areas, as well as those with rare medical conditions.
Results: Since adding the Rural & Rare Reach program, Angel Flight East has made contact with over 100 Critical Access Hospitals and more than 300 FQHCs for referrals. Ongoing promotional efforts with rural health organizations are helping to increase the awareness of flight services to rural locations.

Updated/reviewed November 2025

Need: To create initiatives in rural Pennsylvania communities to address locally-identified health disparities.
Intervention: Healthy Adams County was created by Adams County residents to promote community-wide health.
Results: Community task forces have been formed to address healthcare access, female cancers, food policies, behavioral health, children's health & nutrition, domestic violence/sexual assault, and other community-identified needs.

Updated/reviewed November 2025

Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
Intervention: A wide-scale effort across multiple sectors is aiming to improve health outcomes throughout the region.
Results: Community health trends have been tracked over time, and progress on goals such as increasing the number of residents with healthcare coverage, opportunities for physical activity, access to healthy foods, and smoking cessation has been made.

Updated/reviewed November 2025

Need: To improve veterans' access to healthcare in rural Michigan.
Intervention: I-REACH connects veterans to healthcare services and other programs and helps healthcare facilities and providers become more veteran-friendly.
Results: The program has received positive feedback from Veteran Service Officers in counties where there were outreach events.

Updated/reviewed November 2025

Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
Results: A team of four recovery doulas (or doulas-in-training) employed by One Health offer services in 8 rural eastern Montana counties. One Health has also successfully trained and certified 35 Peer Recovery Doulas statewide through their Peer Recovery Doula certification curriculum.

Updated/reviewed October 2025

Need: To improve oral health among the residents of the Rosebud Reservation in South Dakota.
Intervention: St. Francis Mission founded a dental clinic, staffed by volunteers from across the country, to offer free oral healthcare to residents of the Rosebud Reservation.
Results: The clinic typically offered 20 one-week clinics every year and served 3,000 patients after transitioning to electronic records in 2021.

Rural Project Examples: Access