Rural Project Examples Addressing Behavioral health

Cross-Walk: Integrating Behavioral Health and Primary Care
Updated/reviewed October 2021

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.

Communities that Care Coalition
Updated/reviewed May 2019

Need: A way to improve the health and well-being of young people by addressing substance abuse in rural areas of Massachusetts's Franklin County and the North Quabbin.
Intervention: A community-based prevention initiative was formed to reduce youth violence, delinquency, alcohol and tobacco use, and to promote proper nutrition and physical activity.
Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.

Felton Early Psychosis Program
Updated/reviewed April 2019

Need: A treatment model for those showing early signs of schizophrenia.
Intervention: The Felon Early Psychosis Program program was started in rural and urban California counties. The program encourages schizophrenia remission in clients through medication and psychosocial initiatives.
Results: Clients' hospitalization and psychiatric emergency room visits were reduced by 70% after 1 year of treatment. Schizophrenia symptoms also reduced significantly among their clients.

Outer Cape Health Services Community Resource Navigator Program
Updated/reviewed March 2023

Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.

Florissa
Updated/reviewed February 2023

Need: To address the developmental, behavioral, and social/emotional needs of rural children ages 0-18 in northwest Illinois.
Intervention: A centralized facility for children and families facing developmental, behavioral, and social/emotional issues.
Results: Florissa continues to increase its referral numbers, expand its sessions and service offerings, and provide more information resources. It also co-located with the KSB Hospital pediatric department, which became certified as a pediatric patient-centered medical home (PCMH).

Project ACTIVATE (Advancing Coordinated and Timely InterVentions, Awareness, Training, and Education)
Updated/reviewed February 2023

Need: To improve students' access to behavioral health services in rural North Carolina.
Intervention: North Carolina Project ACTIVATE provides three tiers of behavioral health supports in the school setting.
Results: The six pilot sites (Cohorts 1 and 2) have created or revised 64 mental health policies, and 33,074 school-based and related employees have received training in different topics and protocols.

Recovery Kentucky
Added February 2023

Need: To provide housing and recovery services for rural Kentuckians dealing with substance use.
Intervention: Recovery Kentucky has 8 rural locations and provides apartments within a congregate living environment and an opportunity to begin recovery from substance use disorder in a structured, peer-led 12-step environment.
Results: The rural and urban centers serve up to 2,200 people annually. An independent university-led resident outcome evaluation showed significant improvements in clients' drug and alcohol use, housing and employment status, decrease in criminal justice improvement, and improved health and mental health.

SCDMH Emergency Department Telepsychiatry Consultation Program
Updated/reviewed February 2023

Need: The shortage of mental health professionals in rural South Carolina resulted in an influx of patients admitted to emergency departments who were in need of psychiatric care.
Intervention: South Carolina Department of Mental Health (SCDMH) partnered with The Duke Endowment to create the SCDMH Emergency Department Telepsychiatry Program. Rural emergency departments can now reach a psychiatrist to assess a patient via telehealth.
Results: The program has improved access, affordability, and provided quality care for rural providers and patients with mental illness.

Together We Can Be Bully Free
Updated/reviewed February 2023

Need: Union Parish, a rural county in Louisiana, was experiencing higher than average suicide rates among youth.
Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying and how to model positive social behavior.
Results: The 3,000+ students trained have learned how to recognize, report, and react to bullying.

Together With Veterans Rural Suicide Prevention Program
Updated/reviewed February 2023

Need: Suicide among veterans has been steadily increasing, and rural veterans have an increased risk of death by suicide compared to urban veterans.
Intervention: A program called Together With Veterans was formed to help rural communities address and prevent suicides among veterans. The initiative is veteran-led, collaborative, evidence-based, and community-centered.
Results: Data collection is ongoing.

Rural Project Examples: Behavioral health