Rural Project Examples Addressing Children and youth

Updated/reviewed September 2025

Need: To improve health outcomes in rural Appalachian Ohio.
Intervention: Schools as a Hub for Health promoted holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
Results: The project gained administrator buy-in and facilitated the development of a variety of health-focused school-based programs.

Updated/reviewed August 2025

Need: To provide healthcare for children and adults at-risk for genetic conditions from 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 2024, about 1,700 active patients with more than 480 unique genetic mutations were treated at the Clinic for Special Children.

Updated/reviewed July 2025

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 75 children enrolled, but it had 86 children at the height of its enrollment history.

Updated/reviewed July 2025

Need: To develop a child and family well-being system that provides rural Texas communities with flexibility, authority, and adaptability to improve services and outcomes for children and families.
Intervention: SJRC Texas's division Belong is the lead provider for Community-Based Care (CBC) for Region 8, which encompasses 28 counties. Services include foster and kinship care, case management, and reunification services for those involved in the foster care system.
Results: Since October 2021, SJRC Texas | Belong CBC has served more than 2,150 children and young adults, and 834 youth have achieved permanency through family reunification or kinship care.

Updated/reviewed June 2025

Need: Teen pregnancy, sexually transmitted diseases, and mental health challenges in adolescent girls were concerns for members of Union Parish, Louisiana.
Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, personal responsibility, and mental well-being to teen girls.
Results: Teen pregnancy rates in Union Parish have dropped by more than 40% since the start of the program, significantly exceeding the program's initial goal of 5%. Graduation rates have also increased. The addition of Together We Can Be Bully Free as an integral part of It's a Girl Thing has further expanded mental health support for participants.

Updated/reviewed June 2025

Need: Transportation to medical appointments for children and expectant mothers living in rural Alabama.
Intervention: Kid One Transport provides rides to medical appointments for clients who otherwise have no other means of transportation.
Results: The program has transported 477,880 children and expectant mothers to and from medical appointments. Children have recovered from life-threatening illnesses and are experiencing a higher quality of life.

Updated/reviewed June 2025

Need: To create a safe space for youth and young adults, ages 14 to 25, in rural eastern Kentucky.
Intervention: The Sapling Center provides independent living skills education and offers a wide array of services as well as fun activities in a supportive environment.
Results: The 5 Sapling Center locations serve 50-75 teens and young adults every day.

Updated/reviewed June 2025

Need: Union Parish, a rural county in Louisiana, continues to experience elevated rates of youth suicide, bullying, mental health challenges, and risk behaviors, as confirmed by a 2024 Community Health Needs Assessment (CHNA).
Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying, to foster positive social behavior, and to provide mental health support through school-based interventions.
Results: Over 3,500 students have learned how to recognize, report, and respond to bullying. The program's integration with broader community health priorities has strengthened mental health, reduced suicide attempts, and improved awareness of youth risk behaviors.

Updated/reviewed April 2025

Need: Lack of access to oral healthcare for children from limited-income families in the rural and urban areas of South Dakota.
Intervention: Delta Dental of South Dakota launched the Delta Dental Mobile Program in 2004 to expand access to oral healthcare services to children throughout the rural state.
Results: The Delta Dental Mobile Program has provided over $44 million in dental care to more than 73,000 South Dakota children.

Updated/reviewed April 2025

Need: To reduce teen dating violence in middle schools, high schools, and youth organizations by promoting healthy relationship behaviors and fostering a culture of respect among adolescents.
Intervention: Jana's Campaign offers prevention programs, including curricular and co-curricular activities, to highlight the 'red flags' and underlying causes of unhealthy dating relationships.
Results: Since 2013, 677 middle and high schools and more than 102,350 students in Kansas, Nebraska, Colorado, Missouri, Oklahoma, Texas, Oregon, Montana, and Washington State have benefited from these programs.

Rural Project Examples: Children and youth