Rural Project Examples Addressing Populations - Rural Health Information Hub

Updated/reviewed June 2026

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 over 6,000 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 June 2026

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 53,170 school-based and related employees have received training in different topics and protocols.

Updated/reviewed April 2026

Need: Drowning was a leading cause of death for children in Alaska.
Intervention: Cold Water Safety and Survival for Educators workshops were developed in 1998, with help from a 4-year federal grant, to train educators to provide education and hands-on skills for school children and members of the public.
Results: The safety program was integrated into about 79% of Alaskan school curriculum and schools in other states, helping to train hundreds of educators and thousands of children on the importance of cold water safety.

Added March 2026

Need: To help Federally Qualified Health Centers (FQHCs) and home visiting programs reduce smoking rates in rural Yuba County, California.
Intervention: A five-year initiative helped FQHCs with integrating tobacco user identification and cessation referral protocols and helped home visiting programs with tobacco screening and family wellness education.
Results: FQHCs and family-serving agencies achieved systems-level change through comprehensive tobacco-free policies, human resources procedures, and client screening protocols.

Updated/reviewed March 2026

Need: Because early identification can impact the health and well-being outcomes of those with memory conditions, Florida's rural populations would benefit from access to screening followed by specialty referral for Alzheimer's Disease and other dementia types.
Intervention: A state university used a state health department grant to develop a cognitive impairment screening program in rural Florida areas that was administered by Community Health Workers. An additional grant provided rural primary care clinicians with a free online continuing education module covering cognitive impairment and dementia.
Results: At project completion, Community Health Workers had engaged nearly 600 participants to participate in health screenings and cognitive assessments, making about 1,300 referrals to community social and medical services.

Added March 2026

Need: To help North Dakotans with health challenges bridge financial gaps to promote independence and improve quality of life.
Intervention: North Dakota Association for the Disabled (NDAD) offers direct financial assistance, prescription medications, home modification, vehicle accessibility, and other resources to reduce out-of-pocket costs for essential medical needs.
Results: In 2025, NDAD loaned 6,005 pieces of healthcare equipment to 3,141 people for a savings of $576,634 and awarded $250,742 in funding to 30 organizations to assist individuals with disabilities or at-risk individuals.

Updated/reviewed March 2026

Need: More emergency medical service professionals in rural northwestern Wisconsin.
Intervention: In 2015, a collaborative effort of a State Office of Rural Health and a regional non-profit job training agency created a pipeline program offering 6-8th grade girls participation in a summer camp that provided an experiential setting demonstrating emergency medical services career opportunities.
Results: With a 10-year record of success and community support, in 2026, the program continues into its next decade with 20 participants per year.

Updated/reviewed January 2026

Need: To reduce the number of overdoses and overdose-related deaths from opioids in rural Pennsylvania.
Intervention: ARMOT provides 1) case management and recovery support services to individuals with substance use disorders and 2) education and support to rural hospital staff, patients, and their loved ones.
Results: Since 2015, ARMOT has received over 2,956 referrals.

Updated/reviewed January 2026

Need: In 2006, Pennsylvania agricultural producers and farmworker population needed guidance for Environmental Protection Agency agricultural pesticide safety compliance.
Intervention: In collaboration with Pennsylvania State University agriculture and pesticide experts, the Pennsylvania Office of Rural Health developed a comprehensive education and technical assistance outreach program with materials — including videos — to provide updated compliance information in a language- and custom-appropriate format.
Results: Continuing today with funding through the Pennsylvania Department of Agriculture, the program is delivered by a Worker Protection Standard (WPS) Specialist who provides the following: WPS technical and compliance assistance to nearly 2,000 farms, greenhouses, nurseries, orchards and other agricultural production sites and conference and event presentations and exhibits reaching thousands.

Updated/reviewed January 2026

Need: To connect isolated older adults and family caregivers in rural Minnesota, Montana, North Dakota, and South Dakota to services and supports so they can age in place.
Intervention: The Rural Aging Action Network is a national collaborative of organizations that mobilize whole communities to address gaps in care for rural older adults and family caregivers.
Results: Since 2022, the collaborative has reached over 1,000 older adults and over 200 family caregivers living in rural communities.

Rural Project Examples: Populations