Rural Health
Resources by State: Montana
Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately impacted by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Sponsoring organization: Center for American Progress
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Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately impacted by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Sponsoring organization: Center for American Progress
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Sponsoring organization: Government Accountability Office
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Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Sponsoring organization: Government Accountability Office
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Perceptions of Driving after Marijuana Use Compared to Alcohol Use among Rural American Young Adults
Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
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Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
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Activities and Situations When Young Adults Drive Drunk in Rural Montana
Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
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Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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The Oral Health of Montana's Kindergarten Children Compared to U.S. Kindergarten Children, 2015-2016
Describes the prevalence of tooth decay among Montana's kindergarten children, including those living in rural areas, compared to kindergarten children in the U.S. between 2005 to 2010. Includes data on the decay experience and untreated decay in Montana kindergarten children in 2015 and 2016 by rurality, race, and ethnicity.
Date: 04/2018
Sponsoring organization: Montana Department of Public Health and Human Services
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Describes the prevalence of tooth decay among Montana's kindergarten children, including those living in rural areas, compared to kindergarten children in the U.S. between 2005 to 2010. Includes data on the decay experience and untreated decay in Montana kindergarten children in 2015 and 2016 by rurality, race, and ethnicity.
Date: 04/2018
Sponsoring organization: Montana Department of Public Health and Human Services
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Intent-to-Treat Analysis of a Simultaneous Multisite Telehealth Diabetes Prevention Program
Demonstrates the effectiveness of a 16-week diabetes prevention program (DPP) administered to 15 rural Montana communities using telehealth technology from a single urban medical site. Compares the findings with a concurrent study of a single urban face-to-face DPP intervention.
Author(s): Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, et al.
Citation: BMJ Open Diabetes Research & Care, 6(1)
Date: 04/2018
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Demonstrates the effectiveness of a 16-week diabetes prevention program (DPP) administered to 15 rural Montana communities using telehealth technology from a single urban medical site. Compares the findings with a concurrent study of a single urban face-to-face DPP intervention.
Author(s): Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, et al.
Citation: BMJ Open Diabetes Research & Care, 6(1)
Date: 04/2018
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Rural Child Welfare Practice
Issue brief discussing the needs and concerns of rural children and families, including healthcare and social services. Examines factors linked to child maltreatment, such as poverty, violence, and substance use, and features descriptions of successful programs designed to promote child welfare in rural areas of Montana, South Dakota, Kansas, and Colorado, as well as Appalachian Ohio and Kentucky.
Date: 02/2018
Sponsoring organization: Administration for Children and Families
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Issue brief discussing the needs and concerns of rural children and families, including healthcare and social services. Examines factors linked to child maltreatment, such as poverty, violence, and substance use, and features descriptions of successful programs designed to promote child welfare in rural areas of Montana, South Dakota, Kansas, and Colorado, as well as Appalachian Ohio and Kentucky.
Date: 02/2018
Sponsoring organization: Administration for Children and Families
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Community Engaged Cumulative Risk Assessment of Exposure to Inorganic Well Water Contaminants, Crow Reservation, Montana
Describes a community-based risk assessment to determine the health risks from consuming contaminated well water on the Crow Reservation in Montana. Includes discussion on how Crow families cope with poor quality well water and community well stewardship and water testing.
Author(s): Margaret J. Eggers, John T. Doyle, Myra J. Lefthand, et al.
Citation: International Journal of Environmental Research and Public Health, 15(1), 76
Date: 01/2018
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Describes a community-based risk assessment to determine the health risks from consuming contaminated well water on the Crow Reservation in Montana. Includes discussion on how Crow families cope with poor quality well water and community well stewardship and water testing.
Author(s): Margaret J. Eggers, John T. Doyle, Myra J. Lefthand, et al.
Citation: International Journal of Environmental Research and Public Health, 15(1), 76
Date: 01/2018
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