Rural Health
Resources by Topic: Behavioral health
The Economic Burden of Mental Health and Substance Use Disorders: The United States and the Heartland Region
Examines how mental health and substance use disorders (MH/SUDs) affect healthcare spending and lost productivity in the heartland region of the United States, using 2016-2023 AHRQ MEPS data from seven selected states. See page 20 for discussion of rurality as a factor influencing MH/SUD treatment access.
Author(s): Alexandra F. Kritikos, Meg Hefferon, Devi Chelluri, MacKenzie L. Hughes
Date: 02/2026
Sponsoring organization: NORC at the University of Chicago
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Examines how mental health and substance use disorders (MH/SUDs) affect healthcare spending and lost productivity in the heartland region of the United States, using 2016-2023 AHRQ MEPS data from seven selected states. See page 20 for discussion of rurality as a factor influencing MH/SUD treatment access.
Author(s): Alexandra F. Kritikos, Meg Hefferon, Devi Chelluri, MacKenzie L. Hughes
Date: 02/2026
Sponsoring organization: NORC at the University of Chicago
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Clinical and Demographic Characteristics of Participants in a Hepatitis C Treatment Trial in Rural Kentucky: How Policies Around Treatment Access May Impact Elimination Efforts in the United States
Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Examines characteristics and drug use patterns of the participants in the Kentucky Viral Hepatitis C Treatment (KeY Treat) trial, which focuses on improving access to direct acting antiviral (DAA) drugs to treat the hepatitis C virus (HCV). Discuses Medicaid policy related to DAA treatment of HCV in a rural, Appalachian community in Kentucky.
Author(s): Jennifer R. Havens, Brittney D. Williams, Takako Schaninger, et al.
Citation: Journal of Rural Health, 42(1), e70128
Date: 02/2026
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Patterns of Telehealth Use During Pregnancy and Postpartum Among Commercially Insured Women
Examines the use of telehealth among pregnant and postpartum women by rural versus urban location and type of service. Utilizes 2019-2021 data to examine telehealth visits by patient characteristics, predelivery versus postpartum use, service type, and rurality. Discusses the role of telehealth to access mental health services and differences between rural and urban telehealth use.
Author(s): Adit Doza, Lijing Ouyang, Donatus U. Ekwueme, et al.
Citation: Journal of Women's Health, 35(2)
Date: 02/2026
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Examines the use of telehealth among pregnant and postpartum women by rural versus urban location and type of service. Utilizes 2019-2021 data to examine telehealth visits by patient characteristics, predelivery versus postpartum use, service type, and rurality. Discusses the role of telehealth to access mental health services and differences between rural and urban telehealth use.
Author(s): Adit Doza, Lijing Ouyang, Donatus U. Ekwueme, et al.
Citation: Journal of Women's Health, 35(2)
Date: 02/2026
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Telehealth FAQ Calendar Year 2026
Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides information on Medicare telehealth regulations and payment policy for calendar year 2026. Includes information on audio-only services, behavioral health services, direct supervision, and more.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Expanding Access to Harm Reduction in Rural Communities Through Community-Informed Public Health Vending Machines
Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Examines the role of public health vending machines (PHVMs) to address the opioid epidemic in rural counties in North Carolina. Utilizes a community-based participatory research (CBPR) approach to gather qualitative feedback among people with substance use experience regarding issues such as naloxone access, stigma, preferred PHVM locations and distribution models, and more.
Author(s): Lori Ann Eldridge, Christian Dotson, Lauren Harrell, et al.
Citation: Harm Reduction Journal, 23, 26
Date: 01/2026
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Snapshot of Rural Health in Colorado, 2026
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, behavioral health, oral health, and workforce shortages. Includes five regional snapshots from around the state that are free to download with name and organization affiliation.
Date: 01/2026
Sponsoring organization: Colorado Rural Health Center
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Policy Brief: Teen Mental Health and School-Based Services in California
Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Presents data on rural and urban teen mental health and the availability of mental health services in schools in California, and provides recommendations for facilitating mental health service availability and use in schools. See Figure 12 within Full Report for additional data on health expenditures per student by level of rurality.
Additional links: Full Report
Date: 01/2026
Sponsoring organization: Public Policy Institute of California
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Antecedents of Loneliness among Cancer Survivors: An Exploratory Analysis of the Health Information National Trends Survey (HINTS) Data
Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Examines psychosocial and personal factors contributing to social isolation among cancer survivors and isolation as a mediator between those factors and mental health, using 2022 Health Information National Trends Survey (HINTS 6) data of 926 cancer survivors. Provides data on rural and urban populations throughout.
Author(s): Avishek Choudhury, Christopher W. Wheldon, Safa Elkefi, Priyanka Dixit
Citation: PLOS ONE, 21(1), e0323159
Date: 01/2026
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Integrating Substance Use Disorder Prevention with Physical Health Care: Progress in States
Discusses how states can integrate substance use disorder (SUD) prevention with physical healthcare, including examples of integration activities that are applicable to rural settings. Highlights opportunities for behavioral health integration aimed at serving adolescents aged 12-18. Includes a rural case study example of a school-based health center SUD prevention program in Oregon.
Date: 01/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses how states can integrate substance use disorder (SUD) prevention with physical healthcare, including examples of integration activities that are applicable to rural settings. Highlights opportunities for behavioral health integration aimed at serving adolescents aged 12-18. Includes a rural case study example of a school-based health center SUD prevention program in Oregon.
Date: 01/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mobile Telemedicine for Treating Chronic Hepatitis C among Rural People Who Inject Drugs: A Randomized Clinical Trial
Explores the efficacy of a mobile telemedicine-based intervention for hepatitis C (HCV) infections among rural people who inject drugs. Highlights the outcomes of the intervention in terms of treatment initiation, viral clearance, and reduced equipment sharing. Breaks down data by demographic characteristics, outcomes, and risks and probabilities, among other measures.
Author(s): Peter D. Friedmann, Donna Wilson, David de Gijsel, et al.
Citation: JAMA Network Open, 9(1), e2555125
Date: 01/2026
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Explores the efficacy of a mobile telemedicine-based intervention for hepatitis C (HCV) infections among rural people who inject drugs. Highlights the outcomes of the intervention in terms of treatment initiation, viral clearance, and reduced equipment sharing. Breaks down data by demographic characteristics, outcomes, and risks and probabilities, among other measures.
Author(s): Peter D. Friedmann, Donna Wilson, David de Gijsel, et al.
Citation: JAMA Network Open, 9(1), e2555125
Date: 01/2026
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