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Rural Health Information Hub

Rural Project Examples: Criminal justice system

Other Project Examples

Arukah Institute's Living Room Program

funded by the Federal Office of Rural Health Policy funded by the Health Resources Services Administration

Added December 2023

  • Need: To address high rates of substance use in Princeton, Illinois and the surrounding area.
  • Intervention: The Arukah Institute, a local nonprofit organization providing mental health services, adapted a statewide model to provide support and a safe space for people in need of substance use resources.
  • Results: The Living Room program had 1,485 visits in its first year, with 100% of clients served by recovery support specialists.

University of Minnesota Psychiatric-Mental Health Nurse Practitioner Rural Rotation

Added December 2023

  • 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.

The Massachusetts Department of Public Health TeleSANE Center

Updated/reviewed May 2023

  • Need: Clinicians in rural and underserved areas are often unprepared to provide comprehensive medical-forensic examinations for patients who present for care following a sexual assault.
  • Intervention: The MDPH TeleSANE Center uses secure telehealth software to connect sexual assault nurse examiners to clinicians and patients in hospitals across Massachusetts — including four in rural counties — offering expert clinical guidance and support before, during, and after examinations.
  • Results: Clinicians report that the service gives them increased confidence throughout the examination process. To date, the MDPH TeleSANE Center has assisted in the care of over 730 patients.

Staggered Sentencing for Repeat Drunk Driving Offenders

Updated/reviewed August 2022

  • Need: To reduce the incidences of repeat drunk driving.
  • Intervention: Repeat DWI (driving while intoxicated) offenders were given a staggered sentence, allowing them to serve their sentence in segments of time, typically separated by several months to a year. The offender was able to file a motion to request a waiver for the remaining sentence period(s), if able to show that he/she maintained sobriety.
  • Results: The incidence of recidivism, or crime relapse, has been reduced among offenders given staggered sentences, by comparison to offenders given traditional DWI sentences. The program has also reduced the average cost of jail time that otherwise would have been served from a full sentence.

Seneca Strong's Certified Addiction Recovery Coaches

Updated/reviewed July 2022

  • Need: Like many Native American populations, the Seneca Nation of Indians has experienced disproportionate rates of opioid, alcohol, and substance misuse.
  • Intervention: The Seneca Nation Government and Executives founded Seneca Strong, a cultural recovery peer advocate program, with the goal of reducing substance misuse across the Nation.
  • Results: Seneca Strong has since grown in personnel and capacity to meet the needs of the Allegany and Cattaraugus territories of the Seneca Nation.

Eastern Plains Sexual Assault Response Team (EPSART)

Updated/reviewed June 2022

  • Need: To provide support and resources to victims of sexual assault and to collaborate and streamline processes for victim-centered care.
  • Intervention: The EPSART holds quarterly team meetings, case review, and opportunities for team training.
  • Results: Enhanced victim and public safety by facilitating investigations and enhancing prosecutions.

Project VISION

Updated/reviewed December 2021

  • Need: To reduce opioid use and increase quality of life in Rutland, Vermont.
  • Intervention: Project VISION works to reduce opioid use through community engagement.
  • Results: Since 2012, Project VISION has collected and disposed of 550 pounds of unused medications, reduced thefts by over 32%, and had a 50% improvement on a neighborhood quality of life survey.