Rural Project Examples: Behavioral health
Effective Examples
I Got You: Healthy Life Choices for Teens (IGU)
Updated/reviewed February 2024
- 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 manage their own choices.
University of Vermont Medical Center's Nursing Home Telepsychiatry Service
Updated/reviewed December 2023
- Need: To improve the health status and access for rural nursing home patients in need of mental health services.
- Intervention: The University of Vermont Medical Center provides telepsychiatry care and education to nursing homes in communities that face shortages of mental health professionals.
- Results: These telepsychiatry consultations have eased the burden on nursing home residents by saving travel time, distance, and money it takes to travel to the nearest tertiary facility.
Promising Examples
Nurse Navigator and Recovery Specialist Outreach Program
Updated/reviewed December 2025
- Need: To properly address and treat patients who have concurrent substance use disorders and chronic healthcare issues.
- Intervention: A referral system utilizes community health workers (CHWs) in a drug and alcohol treatment setting. A registered nurse helps with providers' medication-assisted treatment programs.
- Results: This program has reduced hospital emergency visits and hospital readmissions for patients since its inception.
Communities that Care Coalition
Updated/reviewed September 2025
- Need: To improve the health and well-being of young people in the rural area of Massachusetts's Franklin County and North Quabbin, and to reduce youth drug and alcohol use.
- Intervention: A community-based prevention coalition was formed to improve youth health and well-being and reduce youth drug and alcohol use. The coalition brings together stakeholders from across the community and uses the Communities That Care evidence-based community planning system.
- Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.
Schools That Care
Updated/reviewed September 2025
- Need: To provide mental health services to rural Kansas students and their families.
- Intervention: The Schools That Care project provides mental health treatment and case management as well as community education events.
- Results: From 2018 to 2021, 3,456 individuals participated in health education and counseling activities offered to the public, and 964 individuals and 303 families received direct services through the Family Advocate.
Health without Borders
Updated/reviewed January 2025
- Need: To improve the health of communities in the south central region of New Mexico.
- Intervention: A program was developed to address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
- Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.
Cross-Walk: Integrating Behavioral Health and Primary Care
Updated/reviewed May 2024
- Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
- Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
- Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed June 2022
- Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of eastern Kentucky and Ohio.
- Intervention: A web-based smoking cessation program that offered monetary incentives to reduce smoking.
- Results: Participants significantly reduced smoking rates or quit altogether.
Other Project Examples
Addiction Recovery Mobile Outreach Team (ARMOT)
Updated/reviewed January 2026
- Need: To reduce the number of overdoses and overdose-related deaths from opioids in rural Pennsylvania.
- Intervention: ARMOT provides 1) case management and recovery support services to individuals with substance use disorders and 2) education and support to rural hospital staff, patients, and their loved ones.
- Results: Since 2015, ARMOT has received over 2,956 referrals.
Coast to Forest: Mental Health Promotion in Rural Oregon and Beyond
Updated/reviewed January 2026
- Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
- Intervention: Coast to Forest strengthened local capacity through training, technical assistance, education, and community partnerships.
- Results: Since the project's launch in 2020, it trained over 800 individuals across the Pacific Northwest in Mental Health First Aid, developed 100 county-level resource guides, organized a series of Community Conversations in five rural Oregon counties, and more.
For examples from other sources, see:
