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Rural Health Information Hub

Rural Project Examples: Schools

Evidence-Based Examples

keepin' it REAL Rural
Updated/reviewed March 2022
  • Need: A drug and alcohol prevention program for middle school students that is specific to rural culture.
  • Intervention: An adaptation of the evidence-based keepin' it REAL curriculum was customized for rural middle school students.
  • Results: Students showed a reduction in all substance use and less personal acceptability of substance use.
Helping Kids PROSPER
Updated/reviewed June 2019
  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Promising Examples

funded by the Federal Office of Rural Health Policy Healthy Early Learning Project (HELP)
Updated/reviewed August 2022
  • Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
  • Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
  • Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.
funded by the Federal Office of Rural Health Policy Schools That Care
Updated/reviewed August 2022
  • 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.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed July 2020
  • Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
  • Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
  • Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.
Munson Healthcare Charlevoix Hospital School Nurse Program
Updated/reviewed April 2019
  • Need: School nurses to assess and care for students in rural Michigan schools who have limited access to healthcare.
  • Intervention: Munson Healthcare Charlevoix, a CAH in Northern Michigan, created the School Nurse Program to provide medical care and education to students, school staff, and families.
  • Results: The School Nurse Program brings healthcare to over 3,400 students in 8 schools every year and chronic absenteeism in participating schools has dramatically decreased.
funded by the Federal Office of Rural Health Policy From CATCH to C.H.E.F.
Updated/reviewed January 2019
  • Need: To help children and families in Lincoln, rural Benton, and east Linn counties achieve higher-quality lives free of preventable diseases related to poor nutrition and obesity.
  • Intervention: Two programs were applied on a local level to provide physical activity, nutrition, and culinary education in a school and community setting.
  • Results: The physical activity rate surpassed the Department of Health and Human Services recommended rate by 5%, and schools started serving healthier options in their cafeterias.

Other Project Examples

funded by the Health Resources Services Administration Health-e-Schools
Updated/reviewed October 2022
  • Need: Rural school children lack proper healthcare resources within the school setting.
  • Intervention: Health-e-Schools provides health services to students via telehealth using video conferencing and special equipment.
  • Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.
funded by the Federal Office of Rural Health Policy Butte Child Evaluation Center
Updated/reviewed August 2022
  • Need: Before 2000, Butte and southwest Montana had around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
  • Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
  • Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.
Fostering Futures in Menominee Nation
Updated/reviewed August 2022
  • Need: Since the late 1800's, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
  • Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
  • Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 94% since 2008.