Rural Project Examples Addressing Healthcare needs and services

Updated/reviewed February 2024

Need: To reduce farm injuries and improve EMS and fire/rescue's response to these injuries in rural Louisiana and Mississippi.
Intervention: AGRIMEDIC is a two-day training for first responders.
Results: 810 first responders have received training.

Added February 2024

Need: To support pregnant or new parents in rural Massachusetts affected by substance use or on medication for opioid use.
Intervention: This program offers a medical and behavioral health home, providing trauma-informed support before, during, and after childbirth.
Results: Six months after enrollment, there was a 20% increase in the number of participants who felt socially connected and a 5% increase in abstinence from all substances.

Updated/reviewed February 2024

Need: To improve and increase prevention and care services for HIV, STDs, hepatitis C, and other infectious diseases.
Intervention: PAETC-NV provides clinical and didactic trainings, conferences, technical assistance, capacity building, webinars, and other services to providers and healthcare organizations statewide.
Results: In 2023, PAETC-NV trained more than 1,600 healthcare providers across Nevada to increase clinical capacity in the care, screening, and prevention of HIV, other sexually transmitted diseases, and hepatitis C.

Updated/reviewed February 2024

Need: To provide affirming, destigmatized healthcare and support to thousands of Tennesseans living with HIV/AIDS, mental illness, substance use disorder, and homelessness – and prevention services for individuals at risk of contracting HIV.
Intervention: Positively Living & Choice Health Network provides services including a medical clinic, pharmacy, therapy, case management, client services like housing aid and transportation, HIV prevention, and a harm reduction program.
Results: The program currently serves 5,000 individuals and families through its offices in Knoxville, Chattanooga, Memphis, and Cookeville and its mobile medical unit for rural communities in Cocke and Claiborne counties.

Updated/reviewed February 2024

Need: To improve students' access to behavioral health services in rural North Carolina.
Intervention: North Carolina Project ACTIVATE provides three tiers of behavioral health supports in the school setting.
Results: The six pilot sites (Cohorts 1 and 2) have created or revised 91 mental health policies, and 40,572 school-based and related employees have received training in different topics and protocols.

Updated/reviewed February 2024

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.

Added February 2024

Need: To improve maternal health in northeastern New Mexico.
Intervention: The Rural OB Access & Maternal Service program provides obstetric and maternal fetal medicine telehealth, home telehealth kits, and free access to lactation consultants and family navigators.
Results: ROAMS has worked with 1,500 unique individuals since July 2021.

Updated/reviewed January 2024

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, education, and community partnerships.
Results: In its three years of operation, the project has trained over 500 individuals across the Pacific Northwest in Mental Health First Aid, developed 36 county-level resource guides, organized a series of Community Conversations in three rural Oregon counties, and more.

Updated/reviewed January 2024

Need: Hawai'i is experiencing a severe shortage of family medicine physicians.
Intervention: The Hawai'i Island Family Medicine Residency (HIFMR) program uses an interprofessional team-based approach so residents learn how to care for many types of patients in different healthcare settings.
Results: Since 2017, HIFMR has graduated a class of 3 to 6 Board-certified family medicine physicians annually. Most graduates have remained in the state to practice medicine; those who have left have entered fellowship programs and plan to return to Hawai'i Island to practice.

Updated/reviewed January 2024

Need: Neonatal Intensive Care Units (NICUs) across the state of South Carolina were purchasing breast milk from out-of-state milk banks for preterm infants.
Intervention: The Mother's Milk Bank of South Carolina (MMBSC) opened 26 sites in South Carolina for breast milk to be donated, safely pasteurized, and delivered to NICUs across the state.
Results: Over 19,178,739 ounces of milk have been donated to MMBSC depot sites and over 13,830,600 ounces of milk have been delivered to South Carolina NICUs.

Rural Project Examples: Healthcare needs and services