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Rural Project Examples: American Indians, Alaska Natives, and Native Hawaiians

Other Project Examples

KÅ«lana Hawai'i Weight Management Program
Updated/reviewed May 2019
  • Need: To improve the health status and overall well-being of Native Hawaiians and other medically underserved populations in rural areas of Hawaii.
  • Intervention: A comprehensive weight management program is led by an integrated team of health professionals who work with participants on making sustainable, lifelong changes.
  • Results: Patients reported statistically significant reductions in weight, BMI, blood pressure, and chronic disease and pain, along with increased physical activity and health knowledge.
Rehoboth McKinley Christian Health Care Services Alcohol and Substance Abuse Treatment Program
Added May 2019
  • Need: Treatment and rehabilitation for those with alcohol and substance use disorder in a rural area of New Mexico that has high rates of alcohol-related deaths.
  • Intervention: A health center reestablished a 90-day inpatient Alcohol and Substance Abuse Treatment Program that offers career readiness and work placement for clients.
  • Results: The program has grown from 3 to 69 clients enrolled in inpatient treatment and 32 in the work rehabilitation program. Many of the clients are now employed by local businesses.
Hawai'i Island Family Medicine Residency
Updated/reviewed December 2018
  • Need: Hawaii is experiencing a huge shortage of family medicine physicians.
  • Intervention: The Hawai'i Island Family Medicine Residency (HIFMR) program uses an interprofessional team-based approach so residents learn how to care for many types of patients in different healthcare settings.
  • Results: In 2017, the first class of residents graduated from a fully accredited program as Board-certified Family Medicine physicians. There were over 1,000 applicants to the residency program, and the residency increased its complement from 4 to 6 residents per year.
Pathways to Healthcare Professions
Added December 2018
  • Need: Healthcare professionals and support staff are in high demand on tribal reservations in the Great Plains region.
  • Intervention: The Great Plains Tribal Chairmen's Health Board of South Dakota offer healthcare occupation courses for industry-recognized healthcare certifications and post-secondary degrees through the Health Profession Opportunity Grants program.
  • Results: Since the program's start, 241 participants have completed a healthcare training program, and 109 have found employment in healthcare occupations. Both participants and healthcare providers have expressed the value in local and cultural training for these healthcare professions.
Fostering Futures in Menominee Nation
Updated/reviewed September 2018
  • 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.
Arrowhead Telepresence Coalition
Updated/reviewed August 2018
  • Need: Individuals in northeastern Minnesota who experience mental health crises have often taken action in ways that are harmful to themselves or others.
  • Intervention: The Arrowhead Telepresence Coalition connects behavioral health providers to rural patients in traditional and non-traditional medical settings through a telehealth platform.
  • Results: The service is used by 378 registered users in 7 Minnesota counties and 3 tribes.
funded by the Federal Office of Rural Health Policy Prince of Wales Health Network
Updated/reviewed July 2018
  • Need: To increase collaboration between healthcare facilities and other organizations on a rural Alaska island in order to provide better access to and quality of healthcare.
  • Intervention: A health network focused on collaboration in order to best meet healthcare needs of island residents.
  • Results: Increased collaboration and cooperation among healthcare facilities and other organizations, leading to enhanced healthcare services for island residents while eliminating unneeded duplication of services and filling in service gaps.
funded by the Federal Office of Rural Health Policy Cold Water Safety Children and Youth Educator Program
Updated/reviewed June 2018
  • Need: Drowning was a leading cause of death for children in Alaska.
  • Intervention: Cold Water Safety and Survival for Educators workshops were developed in 1998, with help from a 4-year federal grant, to train educators to provide education and hands-on skills for school children and members of the public.
  • Results: The safety program was integrated into about 50% of Alaskan school curriculum and schools in other states, helping to train hundreds of educators and thousands of children on the importance of cold water safety.