Rural Project Examples Addressing Mental health

Updated/reviewed August 2025

Need: Rural areas face challenges in access to mental health services, including shortages of mental health providers.
Intervention: This 8-hour course trains rural community members to recognize mental health and substance use issues and learn how to help someone who is developing a mental health concern or experiencing a mental health crisis.
Results: Numerous studies of this method have found that course participants are better able and more likely to help others regarding mental health issues.

Updated/reviewed April 2026

Need: To increase rural east central Mississippi 8th graders' awareness of behavioral and mental health topics.
Intervention: With federal funding support, an intensive mental health outreach program was created for 8th graders and implemented in 2015.
Results: Since 2015, thousands of rural Mississippi students have received education on a variety of behavioral health topics to improve their understanding of mental health issues, high risk behaviors, and skills to best manage their choices. A decade after implementation, the program continues to reach an annual average of 3,000 students.

Updated/reviewed April 2026

Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.

Updated/reviewed December 2023

Need: To improve the health status and access for rural nursing home patients in need of mental health services.
Intervention: The University of Vermont Medical Center provides telepsychiatry care and education to nursing homes in communities that face shortages of mental health professionals.
Results: These telepsychiatry consultations have eased the burden on nursing home residents by saving travel time, distance, and money it takes to travel to the nearest tertiary facility.

Updated/reviewed September 2025

Need: To provide mental health services to rural Kansas students and their families.
Intervention: The Schools That Care project provides mental health treatment and case management as well as community education events.
Results: From 2018 to 2021, 3,456 individuals participated in health education and counseling activities offered to the public, and 964 individuals and 303 families received direct services through the Family Advocate.

Updated/reviewed May 2024

Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.

Updated/reviewed September 2026

Need: Indiana's rural communities face significant behavioral health and primary care shortages. Providers require trained frontline workers who can support care navigation, address social drivers of health, and expand access to prevention, intervention, and recovery services.
Intervention: A statewide training and workforce development model that certifies Community Health Workers (CHWs) and dual CHW/PRSS (Peer Recovery Support Specialists) to serve in rural settings.
Results: ASPIN has trained and certified 2,235 Community Health Workers, expanded PRSS training opportunities, and supported rural partners statewide through CHW training and workforce development programs.

Updated/reviewed September 2026

Need: To address the lack of mental healthcare options for rural veterans.
Intervention: A telebehavioral health hub network was created to connect community mental health centers to the VA Medical Center.
Results: More than 3,000 telehealth appointments have been made, saving hundreds of veterans time and money.

Updated/reviewed July 2026

Need: To reduce suicide and substance-related deaths in North Dakota and Minnesota.
Intervention: The Care and Support program provides support through phone calls, cards, and text messages to those who have called suicide helplines or were referred by a healthcare provider.
Results: In 2025, the FirstLink Care and Support program sent 2,731 cards and texts to program participants and made 12,949 total contacts.

Updated/reviewed June 2026

Need: To reduce youth suicide rates.
Intervention: First begun in Utah, Hope Squad is a nationwide program that trains youth to identify peers' signs of distress and connect them to help. Hope Squads educate the entire student body to increase connectedness and reduce stigma.
Results: Studies suggest that Hope Squad schools' students with suicidal thoughts are more likely than non-Hope Squad schools' students to solicit help. In addition, stigma surrounding mental illness is decreasing.

Rural Project Examples: Mental health