Rural Health
Resources by Topic: Abuse and violence
Child Sexual Abuse and Exploitation in Pennsylvania
Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Sponsoring organization: Center for Rural Pennsylvania
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Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Sponsoring organization: Center for Rural Pennsylvania
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
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Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
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Indian Health Service Has Strengthened Patient Protection Policies but Must Fully Integrate Them into Practice and Organizational Culture
Explores and evaluates the current patient protection policies of the Indian Health Service (IHS) and makes recommendations. Focuses on the IHS policies implemented to prevent child sexual abuse by providers and staff.
Author(s): Joanne M. Chiedi
Date: 12/2019
Sponsoring organization: Office of Inspector General (HHS)
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Explores and evaluates the current patient protection policies of the Indian Health Service (IHS) and makes recommendations. Focuses on the IHS policies implemented to prevent child sexual abuse by providers and staff.
Author(s): Joanne M. Chiedi
Date: 12/2019
Sponsoring organization: Office of Inspector General (HHS)
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Violence Against Hospital Workers: Growing Awareness, Rural Interventions, and Why It Still Goes Unreported
Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Interdisciplinary Collaboration Needed in Obtaining High-Quality Medical Information in Child Abuse Investigations
Study addressing the lack of collaboration and reporting between healthcare providers and investigative professionals in cases of suspected child abuse in Wisconsin. Discusses the intervention of the Wisconsin Child Abuse Network and the barriers to providing and accessing medical information in abuse investigations, including rural-specific issues. Analyzes data from focus group interviews with providers, child protective services, judges, lawyers, and law enforcement with experience in child abuse cases.
Author(s): Elizabeth A. Cleek, Norah L. Johnson, Lynn K. Sheets
Citation: Child Abuse and Neglect, 92, 167-178
Date: 06/2019
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Study addressing the lack of collaboration and reporting between healthcare providers and investigative professionals in cases of suspected child abuse in Wisconsin. Discusses the intervention of the Wisconsin Child Abuse Network and the barriers to providing and accessing medical information in abuse investigations, including rural-specific issues. Analyzes data from focus group interviews with providers, child protective services, judges, lawyers, and law enforcement with experience in child abuse cases.
Author(s): Elizabeth A. Cleek, Norah L. Johnson, Lynn K. Sheets
Citation: Child Abuse and Neglect, 92, 167-178
Date: 06/2019
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Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse
Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Sponsoring organization: Government Accountability Office
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Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Sponsoring organization: Government Accountability Office
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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Population-Based Trauma Outcomes
Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Sponsoring organization: National Quality Forum
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Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Sponsoring organization: National Quality Forum
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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