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Rural Health
Resources by Topic: Abuse and violence

Montana State Health Improvement Plan, 2019-2023
Details the goals and priorities of the state of Montana to address heath disparities. Highlights five priority areas, including behavioral health, chronic disease, motor vehicle crashes, maternal care, and adverse childhood experiences. Discusses goals relating to rural communities and healthcare providers.
Date: 02/2021
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Adverse Childhood Events in American Indian/Alaska Native Populations
Reports on an investigation of adverse childhood experiences (ACEs) among American Indian and Alaska Native (AI/AN) individuals. Provides socioeconomic and regional data on eight specific ACE variables as reported by AI/AN respondents. Looks at the frequencies and prevalence of ACEs for AI/AN populations in comparison to other racial/ethnic groups.
Author(s): Giano, Z., Camplain, R.L., Camplain, C., et al.
Citation: American Journal of Preventive Medicine, 60(2), 213-221
Date: 02/2021
Type: Document
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Rural Availability of Sexual Assault Nurse Examiners (SANEs)
Study examining the availability of sexual assault nurse examiners (SANEs) in rural areas based on county-level and hospital-level data from Pennsylvania. Describes challenges for SANE availability, including inconsistent coverage and barriers to certification, noting the potential risk of lower quality sexual assault care for rural victims.
Author(s): Elizabeth Thiede, Sheridan Miyamoto
Citation: The Journal of Rural Health, 37(1), 81-91
Date: 01/2021
Type: Document
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Missing or Murdered Indigenous Persons: Law Enforcement & Prevention
Details the U.S. Department of Justice's Missing and Murdered Indigenous Persons (MMIP) initiative and presents a number of reports highlighting strategies and collaborations to aid in the investigation and prevention of crimes against American Indian and Alaska Native people. Features reports from non-government organizations, such as the National Center for Missing and Exploited Children and the Amber Alert Training and Technical Assistance Program, as well as from different areas of the federal government, such as the Federal Bureau of Investigation, Health and Human Services, and the Bureau of Indian Affairs, among others.
Citation: DOJ Journal of Federal Law and Practice, 69(1)
Date: 01/2021
Type: Document
Sponsoring organization: U.S. Department of Justice
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural and Minority Health Research Center: Annual Report 2020
Highlights research projects in areas including healthcare access, maternal and child health, health economics and policy, cancer prevention and control, and social determinants of health. Features statistics on hospital-based obstetric units from 2002-2013 with breakdowns by metropolitan, micropolitan, and noncore locations, social determinants of health in rural areas with breakdowns by race or ethnicity, adverse child experiences exposure with breakdowns by urban or rural location, and colorectal cancer incidence trends from 2000-2016 with breakdowns by urban and rural location.
Date: 2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Consent and Capacity in Indian Country - Elder Abuse and the Connection to Consent, Capacity, and Undue Influence
Defines consent, capacity, and undue influence in connection to the abuse of American Indian and Alaska Native (AI/NA) elders. Highlights 6 pillars for evaluating capacity in older adults and gives cultural context for AI/NA elders.
Date: 12/2020
Type: Document
Sponsoring organization: Native American Elder Justice Initiative
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Type: Document
Sponsoring organization: California Office of the Surgeon General
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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