Rural Project Examples Addressing Behavioral health

Recovery Kentucky

Updated/reviewed April 2025

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.

Updated/reviewed April 2025

Need: Multiple organizations in rural east central Illinois needed a more efficient, centralized system for referring patients experiencing a behavioral health crisis to appropriate treatment services.
Intervention: The Regional Behavioral Health Network was established with a 24-hour toll-free crisis line, providing immediate access to trained crisis clinicians.
Results: Improved access to high quality behavioral healthcare for patients in rural east central Illinois.

Updated/reviewed April 2025

Need: To expand access to psychiatric services throughout South Carolina, with a focus on underserved and rural communities.
Intervention: South Carolina Department of Mental Health (SCDMH) created the SCDMH Emergency Department and Community Telepsychiatry programs to expand telepsychiatry access for patients in emergency departments and in various settings across the state.
Results: The program has improved access, affordability, and provided quality care for patients with mental illness living in rural and underserved areas of South Carolina.

Updated/reviewed April 2025

Need: To address shortages of nurse practitioners and mental health professionals in rural Minnesota.
Intervention: The University of Minnesota (UMN) School of Nursing implemented a 40-hour rural rotation for students in the psychiatric-mental health nurse practitioner program.
Results: 29 students completed rural rotations in communities across the state; several students voiced a new openness to practicing in a rural area after participating in the program.

Updated/reviewed March 2025

Need: To connect people in need in Allegany County, Maryland, to health and human services and to items like hygiene products, food, and clothing.
Intervention: The Possibility Shop partners with health organizations, insurance navigators, food banks, and other agencies.
Results: In 2024, 15,246 service encounters occurred and 940 intakes to services were performed.

Updated/reviewed January 2025

Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
Intervention: Coast to Forest strengthens local capacity through training, technical assistance, education, and community partnerships.
Results: In its five years of operation, the project has 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.

Added January 2025

Need: Rural cancer survivors report lower levels of physical activity and higher rates of psychosocial distress compared to their urban counterparts.
Intervention: Researchers collaborated with a rural-serving organization in northeast Texas to test a 3-month intervention which enhanced an existing exercise program with behavioral health education, yoga, and home-based exercise components.
Results: Program participants were twice as likely to report meeting physical activity recommendations at post-intervention than participants in a control group and reported significant reductions in psychosocial distress.

Added December 2024

Need: To train the next generation of psychiatrists in a rural context, while providing psychiatric care to an underserved region of West Virginia.
Intervention: A new rural psychiatry residency program at Marshall University, in which residents split their time between the rural town of Point Pleasant and the larger city of Huntington.
Results: The program welcomed its first class of residents in July 2024.

Updated/reviewed December 2024

Need: To reduce stigma around mental illness and substance use in North Carolina.
Intervention: The Beaufort County Behavioral Health Task Force created the Riverfront Talks: Substance Matters podcast to interview people with lived experience.
Results: As of December 2024, the podcast has 11 episodes.

Updated/reviewed November 2024

Need: To help people who use drugs and their families 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 through a Rural Health Clinic.
Results: The program operates 5 days a week and sees 400 patients each month.