Rural Project Examples Addressing Children and youth

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 July 2020

Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.

Updated/reviewed December 2019

Need: To educate youth about obesity and healthy lifestyle choices.
Intervention: An educational program about healthy living was implemented in Lincoln and Claiborne Parishes in Louisiana for youth ages 9-18.
Results: Youth4Health program produced greater awareness and participation in healthier lifestyles by target youth and their families, as well as church congregations.

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.

Updated/reviewed August 2024

Need: To help children whose family members are struggling with substance misuse.
Intervention: A year-round program provides mentoring as well as substance use prevention education.
Results: In 2023, Camp Mariposa served a total of 113 youth in its four rural locations in Indiana, Kentucky, Tennessee, and West Virginia. In a study, 92% of participants reported no use of any substance to get high.

Updated/reviewed July 2024

Need: To provide healthcare for the genetically vulnerable children and adults of the rural, uninsured Amish and Mennonite communities in southern Pennsylvania.
Intervention: A clinic that serves as a comprehensive medical practice for children and adults (primarily from the Amish and Mennonite communities) with rare, inherited, or complex disorders.
Results: In 2023, about 1,700 active patients with more than 450 unique genetic mutations were treated at the Clinic for Special Children.

Updated/reviewed July 2024

Need: To bring needed child care to rural Mercer County, North Dakota.
Intervention: A nonprofit cooperative provides part-time and full-time child care.
Results: ECCCC currently has about 60 children enrolled, but it had 86 children at the height of its enrollment history.

Added July 2024

Need: To increase the future healthcare workforce in rural Minnesota.
Intervention: Montevideo Medical Academy helps students explore healthcare career options and gain college credit.
Results: So far, 25 students in the program have attained 170 college credits, 55 certifications, and 304 hours of clinical experience.

Updated/reviewed July 2024

Need: Children and youth with special healthcare needs (CYSHCN) face many barriers to coordinated, comprehensive, and culturally competent healthcare.
Intervention: The North Carolina Innovative Approaches (IA) Initiative works with families of CYSHCN and other community leaders to make systems changes in the state's healthcare system.
Results: IA has impacted 22 counties and has had a positive impact on increasing family engagement and community capacity for systems changes.

Added July 2024

Need: To increase access to preventive dental care among children living in rural Arizona.
Intervention: A nonprofit organization formed to offer free, school-based preventive dental services to children in two rural Arizona counties.
Results: Throughout the 2023-24 school year, Tooth B.U.D.D.S. provided preventive services to 1,710 students in rural Graham and Greenlee Counties. Program staff use a telehealth platform to connect children to local dentists for follow-up care.