Rural Project Examples Addressing Stigma - Rural Health Information Hub

Parent Partners
Updated/reviewed March 2023

Need: To support parents whose children have been removed from the home so that the parents can make the changes needed for the children to return safely home.
Intervention: A statewide program in Iowa pairs these parents with mentors who have successfully navigated their own child welfare cases.
Results: Participants' children were more likely to return home than non-participants' children and participants were less likely to have another child removal within a year of the child coming home.

Pride in Idaho Care Neighborhoods
Added December 2022

Need: Patients who identify as LGBTQ+ in rural settings may face barriers to receiving appropriate care, including a knowledge gap among healthcare providers regarding HIV prevention, hormone replacement therapy, and other types of care.
Intervention: A partnership between a Critical Access Hospital, statewide residency program, nonprofit organization and other regional entities provides training, virtual consultations, and resources to rural providers across Idaho.
Results: Physicians experienced in gender-affirming care have performed virtual consultations for rural physicians and patients around the state, and the number of local providers trained in PrEP management has doubled.

Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed November 2022

Need: To provide HIV testing in rural areas while navigating around HIV stigma.
Intervention: A pilot study to provide HCV (Hepatitis C Virus) rapid tests and then offer an HIV rapid test as well.
Results: An increase in the number of people tested for HCV and HIV.

The Coffee Break Project
Added July 2022

Need: Men in the agriculture industry face high suicide rates due to factors including long hours, geographic isolation, lack of social opportunities, and stigma surrounding mental health care.
Intervention: The Coffee Break Project, a program led by the Southeast Health Group in southeastern Colorado, encourages mental health check-ins for farmers and ranchers through a public awareness campaign and casual coffee gatherings that utilize COMET, an intervention model developed specifically for rural communities.
Results: Between eight and 20 people typically attend each coffee gathering.

Rural Project Examples: Stigma