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Rural Health Information Hub

Rural Health Information Hub

 

Rural Project Examples: Trauma-informed care

Other Project Examples

funded by the Health Resources Services Administration Volunteers of America Southeast Louisiana's Stepping Stones Program
Added February 2023
  • Need: Black women living with HIV in rural southeastern Louisiana face challenges in accessing care and other needed resources, often while dealing with other life stressors such as poverty, physical and mental health comorbidities, and a history of trauma.
  • Intervention: Implementing three evidence-informed interventions simultaneously ensures success in linking, treating, and retaining Black women in HIV care to improve health outcomes.
  • Results: As of February 2023, Stepping Stones has recruited 38 participants.
Schoharie County ACEs Team
Updated/reviewed December 2022
  • Need: Agencies in Schoharie County, New York were seeing a widespread trend of Adverse Childhood Experiences (ACEs) in children and families they served.
  • Intervention: The Schoharie ACEs Team was formed as a way to educate rural communities about ACEs, the brain science behind it, and ways to build resiliency.
  • Results: The ACEs Team has put on 4 half-day educational conferences, 2 virtual conferences, and 10 trainings for various groups across the region, trained 3 school districts on trauma-informed care, and provided resources for families exposed to trauma.
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.
New Horizons Geriatric Counseling Program
Updated/reviewed June 2022
  • Need: Improved behavioral health care offerings for a community after losing 5 senior-aged men to suicide.
  • Intervention: A Critical Access Hospital in Yoakum, Texas, created a community-based program focusing on inpatient and outpatient behavioral health care for area residents age 50 and older.
  • Results: A financially-sustainable behavioral health care delivery model demonstrating positive impacts on physical health conditions, healthcare service utilization, and high patient satisfaction rates.
Healthy Monadnock Alliance
Updated/reviewed February 2022
  • Need: Improved health outcomes for Monadnock Region, a rural area of New Hampshire.
  • Intervention: A wide-scale effort across multiple sectors is aiming to improve health outcomes throughout the region.
  • Results: Community health trends have been tracked over time, and progress on goals such as increasing the number of residents with healthcare coverage, opportunities for physical activity, access to healthy foods, and smoking cessation has been made.
Family Wellness Warriors Initiative
Updated/reviewed November 2020
  • Need: Decrease rates of domestic violence, child sexual abuse, and child neglect for Alaska Native people in remote villages.
  • Intervention: An evidence-based model inclusive of traditional culture trains local communities on methods of prevention and treatment for domestic and interpersonal violence.
  • Results: Self-sustaining local system with improved family and spiritual well-being and decreased healthcare access needs.
funded by the Health Resources Services Administration Sexual Assault Nurse Exams through the National TeleNursing Center
Updated/reviewed April 2019
  • Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
  • Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
  • Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.