Rural Project Examples Addressing Behavioral health

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

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.

Updated/reviewed November 2024

Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
Results: A team of nine recovery doulas (or doulas-in-training) employed by One Health offer services in 13 rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.

Added November 2024

Need: To reduce barriers to employment for people in substance use recovery in Marinette County, Wisconsin.
Intervention: An initiative in which community members in recovery train local employers in recovery friendly workplace guidelines and provide recovery coaching to employees.
Results: One business in Marinette County has been fully trained, and more than 50 people in recovery have been referred to the Wisconsin Department of Workforce Development's Worker Connection Program in the program's first year.

Updated/reviewed October 2024

Need: To reduce drug overdose deaths and the spread of infectious diseases in rural Colorado.
Intervention: This program provides harm reduction and peer support to people who use drugs and to their loved ones.
Results: This program provided Narcan training to 377 individuals and distributed 2,448 doses of naloxone and 3,539 fentanyl test strips in 2023.

Updated/reviewed August 2024

Need: Before 2000, Butte and southwest Montana saw around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.