Rural Health
Resources by Topic: Behavioral health
Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Sponsoring organization: University of Vermont Center on Rural Addiction
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Sponsoring organization: ACEs Aware
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Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Sponsoring organization: ACEs Aware
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Intimate Partner Violence and Structural Violence in the Lives of Incarcerated Women: A Mixed-Method Study in Rural New Mexico
Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
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Presents a study of incarcerated women's experiences with intimate partner violence (IPV) and other structural issues disproportionately affecting rural women in New Mexico who are victims of IPV. Draws data from surveys of 99 women, discussing the correlation of IPV with mental health issues, substance use, and socioeconomic conditions.
Author(s): Shilo St. Cyr, Elise Trott Jaramillo, Laura Garrison, et al.
Citation: International Journal of Environmental Research and Public Health, 18(12), 6185
Date: 06/2021
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Multilevel Modeling of County-level Excessive Alcohol Use, Rurality, and COVID-19 Case Fatality Rates in the US
Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
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Presents a study on the relationship between COVID-19 outcomes and elevated alcohol use in rural counties. Looks at levels of alcohol use and misuse in rural counties prior to the pandemic and compares it with COVID-19 mortality data. Breaks down data by rurality and alcohol use while controlling for other comorbidities such as obesity, smoking, and being over the age of 65.
Author(s): George Pro, Paul A. Gilbert, Julie A. Baldwin, et al.
Citation: PLOS ONE, 16(6), e0253466
Date: 06/2021
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Recommendations on Strengthening Mental Health Care in Rural Minnesota
Presents policy and practice recommendations from Minnesota's Rural Health Advisory Committee (RHAC) Rural Mental Health Workgroup to improve access to mental healthcare for rural communities. Discusses challenges in accessing mental healthcare services in rural Minnesota.
Date: 06/2021
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Presents policy and practice recommendations from Minnesota's Rural Health Advisory Committee (RHAC) Rural Mental Health Workgroup to improve access to mental healthcare for rural communities. Discusses challenges in accessing mental healthcare services in rural Minnesota.
Date: 06/2021
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew
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Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew
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Midwest Initiative Seeks to Reduce Opioid Use in Rural and Tribal Communities
Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew
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Profile of the Midwest Tribal Opioid Meta-Evaluation (MTOM) and the American Indian Resource and Resiliency Team (AIRRT), an Opioid Use Disorder treatment partnership serving American Indian communities in Minnesota and the Northern Plains. Describes the process of conducting a meta-evaluation and the program's activities.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew
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Suicide Trends and Prevention in Rural Pennsylvania Counties and Schools
Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Sponsoring organization: Center for Rural Pennsylvania
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Examines the overall trends in suicide in Pennsylvania from 1990 to 2018 and the suicide prevention programs currently used by counties and in K-12 school districts. Features statistics comparing suicide rates in United States and Pennsylvania, suicide rates in Pennsylvania and predictors of suicide with breakdowns by rural and urban counties, and county-level maps showing rates of suicide per 100,000 and change in suicide rates from 1999-2018.
Author(s): Daniel J. Mallinson, Eunsil Yoo, Brandon Cruz
Date: 06/2021
Sponsoring organization: Center for Rural Pennsylvania
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Report to Congress on Medicaid and CHIP, June 2021
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses high-cost specialty drugs in the Medicaid program, access to mental health services for those enrolled in Medicaid and the State Children's Health Insurance Program (CHIP), integration of physical and behavioral health care through electronic health records (EHRs), Medicaid's non-emergency transportation (NEMT) benefit, and state strategies for integrating care for people who are dually eligible for Medicaid and Medicare. Includes rural references throughout.
Date: 06/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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