Rural Project Examples Addressing Behavioral health

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.

Updated/reviewed August 2020

Need: Increase access to medication-assisted treatment for opioid use disorder in rural Vermont.
Intervention: Statewide hub-and-spoke treatment access system.
Results: Increased treatment capacity and care coordination.

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.

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.

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.

Updated/reviewed December 2024

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.

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.

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 reducing smoking.
Results: Participants significantly reduced smoking rates or quit altogether.

Updated/reviewed November 2025

Need: To help individuals and families impacted by substance use disorder access treatment and counseling in rural Missouri.
Intervention: The CMH Addiction Recovery Program provides medication-assisted treatment, counseling, peer and family support, and other related services within a Rural Health Clinic.
Results: The program operates 5 days a week and sees 400 patients each month.

Updated/reviewed November 2025

Need: Suicide rates among men age 65 and older have been rising in North Carolina. Challenges include losing friends, illnesses, and the loss of independence – all of which can lead to isolation and depression.
Intervention: Chatham County Aging Services of North Carolina started the Men's Conversation Group to connect retired men in need of male friends and mutual support.
Results: Men in similar stages of life and varying backgrounds are forming friendships, engaging in activities, and taking care of their mental health.