Rural Health
Resources by Topic: Behavioral health workforce
MACPAC Response to Senate Finance Committee Request for Information on Behavioral Health
Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes the Medicaid and CHIP Payment and Access Commission's (MACPAC) ongoing analysis of behavioral health in Medicaid and CHIP and offers policy recommendations. Discusses the behavioral health workforce; behavioral healthcare service delivery and access; mental health parity; telehealth; and improving access for children and youth. Includes rural references and considerations throughout.
Date: 11/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Oregon Mental Health Professional Shortage Areas
Shows a county-level map of Oregon identifying Mental Health Professional Shortage Areas (HPSAs).
Date: 11/2021
Sponsoring organization: Oregon Office of Rural Health
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Shows a county-level map of Oregon identifying Mental Health Professional Shortage Areas (HPSAs).
Date: 11/2021
Sponsoring organization: Oregon Office of Rural Health
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Recruitment and Retention Issues for Counselors in Rural Pennsylvania Substance Use Disorder Treatment Programs
Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Sponsoring organization: Center for Rural Pennsylvania
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Results of a study of Pennsylvania substance use disorder (SUD) counselors and directors of treatment programs and clinics, to assess the characteristics of treatment counselors in rural Pennsylvania counties and how those characteristics relate to recruitment and retention issues. Also examines how well higher education institutions in rural counties prepare those entering the profession, and analyzes the effectiveness of state-level incentives, like the student loan repayment program, to attract potential SUD counselors. Features statistics on counselors' characteristics and duties, and client characteristics.
Additional links: Executive Summary
Author(s): Jennifer Murphy
Date: 10/2021
Sponsoring organization: Center for Rural Pennsylvania
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The Effect of National Health Service Corps Clinician Staffing on Medical and Behavioral Health Care Costs in Community Health Centers
Examines the contribution of National Health Service Corps (NHSC) and non-NHSC clinicians to medical and behavioral health costs per visit, using 2013-2017 data from 1,022 Federally Qualified Health Centers merged with the NHSC participant data. Features statistics on average costs per visit for medical or behavioral healthcare, with breakdowns including rural facility location.
Author(s): Xinxin Han, Patricia Pittman, Leighton Ku
Citation: Medical Care, 59(10), S428-S433
Date: 10/2021
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Examines the contribution of National Health Service Corps (NHSC) and non-NHSC clinicians to medical and behavioral health costs per visit, using 2013-2017 data from 1,022 Federally Qualified Health Centers merged with the NHSC participant data. Features statistics on average costs per visit for medical or behavioral healthcare, with breakdowns including rural facility location.
Author(s): Xinxin Han, Patricia Pittman, Leighton Ku
Citation: Medical Care, 59(10), S428-S433
Date: 10/2021
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Oklahoma National Health Service Corps Providers (NHSC) & Mental Health Professional Shortage Areas (HPSAs)
County-level map of Oklahoma showing the locations of geographical area Health Professional Shortage Areas (HPSAs), low-income HPSAs, and National Health Service Corps (NHSC) mental health providers in the state.
Date: 10/2021
Sponsoring organization: Oklahoma Office of Primary Care and Rural Health Development
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County-level map of Oklahoma showing the locations of geographical area Health Professional Shortage Areas (HPSAs), low-income HPSAs, and National Health Service Corps (NHSC) mental health providers in the state.
Date: 10/2021
Sponsoring organization: Oklahoma Office of Primary Care and Rural Health Development
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A Holistic Approach to Maternal Health in Rural Indiana
Discusses the Healthy Start Communities that C.A.R.E. (HSCC) program that utilizes family nurse practitioners (FNPs) and a licensed clinical social worker (LCSW) to serve women in 4 rural counties in Indiana. Provides commentary on the program, such as reducing access barriers, utilizing bilingual healthcare practitioners, providing mental health support and trauma-informed care, and more. Transcript available below description.
Author(s): Heather M. Grable, Joanah Wischmeier, Kasia Jayjack
Date: 09/2021
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Discusses the Healthy Start Communities that C.A.R.E. (HSCC) program that utilizes family nurse practitioners (FNPs) and a licensed clinical social worker (LCSW) to serve women in 4 rural counties in Indiana. Provides commentary on the program, such as reducing access barriers, utilizing bilingual healthcare practitioners, providing mental health support and trauma-informed care, and more. Transcript available below description.
Author(s): Heather M. Grable, Joanah Wischmeier, Kasia Jayjack
Date: 09/2021
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Improving Behavioral Health Services for Individuals with SMI in Rural and Remote Communities
Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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Discusses behavioral health workforce shortages in rural and remote areas and the effect this has on healthcare access for people with serious mental illness (SMI). Highlights strategies for reducing barriers to access and improve workforce retention. Provides examples of programs to improve access in various states.
Date: 08/2021
Sponsoring organizations: American Psychiatric Association, SMI Adviser, Substance Abuse and Mental Health Services Administration
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ACEs Screening in Rural California: Exploring Provider Perspectives and Experiences
Report examining the implementation of adverse childhood experiences (ACEs) screening in rural communities in Northern California based on interviews with Medi-Cal providers. Discusses opportunities to support screening, referral, and treatment as well as barriers, including limited time, resources, infrastructure, and skilled staff. Discusses disproportionate rates of ACEs in rural adults and health impacts of ACEs.
Author(s): Kathryn Stewart, Lisa Tadlock, Shauna Olsen, Sue Grinnell
Date: 07/2021
Sponsoring organizations: California Department of Health Care Services, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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Report examining the implementation of adverse childhood experiences (ACEs) screening in rural communities in Northern California based on interviews with Medi-Cal providers. Discusses opportunities to support screening, referral, and treatment as well as barriers, including limited time, resources, infrastructure, and skilled staff. Discusses disproportionate rates of ACEs in rural adults and health impacts of ACEs.
Author(s): Kathryn Stewart, Lisa Tadlock, Shauna Olsen, Sue Grinnell
Date: 07/2021
Sponsoring organizations: California Department of Health Care Services, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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American Rescue Plan Act of 2021 (P.L. 117-2): Public Health, Medical Supply Chain, Health Services, and Related Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to public health; behavioral health; medical supply chain; and health-related workforce, services, and support. Includes information related to funding for the National Health Service Corps and Nurse Corps, funding for graduate medical education, and emergency rural development grants for rural healthcare providers.
Date: 07/2021
Sponsoring organization: Congressional Research Service
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The Arizona Behavioral Health Workforce Report
Reports on the distribution of the behavioral health workforce in Arizona and access to behavioral healthcare, comparing rural and urban areas. Discusses prevalence of mental health disorders and substance misuse disorder and compares workforce data to behavioral health needs for the state. Offers county-level data on total providers by type, ratio of providers per 100,000 residents, and provider percentages by Rural Urban Commuting Area (RUCA) codes.
Author(s): B. Koch, S. Coates, B. Brady, J. Peters, D. Derksen
Date: 07/2021
Sponsoring organization: Arizona Center for Rural Health
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Reports on the distribution of the behavioral health workforce in Arizona and access to behavioral healthcare, comparing rural and urban areas. Discusses prevalence of mental health disorders and substance misuse disorder and compares workforce data to behavioral health needs for the state. Offers county-level data on total providers by type, ratio of providers per 100,000 residents, and provider percentages by Rural Urban Commuting Area (RUCA) codes.
Author(s): B. Koch, S. Coates, B. Brady, J. Peters, D. Derksen
Date: 07/2021
Sponsoring organization: Arizona Center for Rural Health
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