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Rural Health
Resources by Topic: Behavioral health

Brief Report: Sex Differences in Substance Use, Mental Health, and Impaired Driving Among Rural DUI Offenders
Highlights a study exploring the rates of rural DUI offenders by sex. Details the substance use, mental health, and impaired driving histories of study participants by sex via self-reported data.
Author(s): J. Matthew Webster, Michele Staton, Megan F. Dickson
Citation: The American Journal on Addictions, 28(5), 405-408
Date: 09/2019
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Overall and Cause-specific Mortality in a Cohort of Farmers and Their Spouses
Highlights a study examining the overall mortality rates of farmers and their families that participated in the Agricultural Health Survey in Iowa and North Carolina. Details participants by age, sex, education and smoking status, among other factors. Compares mortality rates to the general population.
Author(s): Srishti Shrestha, Christine G. Parks, Alexander P. Keil, et al.
Citation: Occupational and Environmental Medicine, 76(9), 632-643
Date: 09/2019
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Life Course Patterns of Concurrent Trajectories of BMI and Affective Symptoms of Rural Mothers: Socioeconomic Antecedents and Disease Outcomes in Later Life
Study examining patterns of body mass index (BMI), socioeconomic background, and symptoms of depression and anxiety in rural Midwestern mothers over a 25-year period from 1991-2015. Participants in the study were 552 White families in rural Iowa who were parents of early adolescents in 1991. Discusses health risks, comorbidity, and socioeconomic stresses over time, noting that the rural women in the study experienced the rural farm crisis of the late 1980s.
Author(s): Kandauda Wickrama, Eric T. Klopack, Catherine Walker O'Neal, et al.
Citation: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 74(7), 1233-1244
Date: 09/2019
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Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
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Farm Family Stressors: Private Problems, Public Issue
Outlines the types of stressors farm families experience, the impacts these stressors have, and recommendations for policymakers working to address this issue.
Author(s): Bonnie Braun
Date: 09/2019
Sponsoring organization: National Council on Family Relations
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Electronic Prescribing of Controlled Substances among Office-Based Physicians, 2017
Examines rates of electronic prescribing of controlled substances (EPCS), with information by type of physician practice, including rural or urban location, practice size, practice ownership, physician specialty, and technology available. EPCS is mandated for Medicare Part D providers by 2021, through the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act.
Author(s): Sonal Parasrampuria, Martin Blanco, Wesley Barker
Date: 09/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Needs Assessment Methodologies in Determining Treatment Capacity for Substance Use Disorders: Final Report
Presents the results from an environmental scan reviewing the literature on needs assessment methods and substance use disorder (SUD) needs assessment reports representing various interests, including rural and urban areas, researchers, government agencies, and private consultants. Highlights best practices for conducting SUD needs assessments, identifies gaps and opportunities for improvement in the available data, and discusses why SUD needs assessments are necessary.
Date: 09/2019
Sponsoring organizations: Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy, U.S. Department of Health and Human Services
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The Providers
Collection of learning resources related to The Providers, a film which follows 3 healthcare providers employed at a group of safety-net clinics in northern New Mexico. Explores the physician shortage, health disparities, and the opioid epidemic in rural America. Geared toward high school and college students.
Date: 09/2019
Sponsoring organization: PBS Learning Media
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care
Examines the supply and distribution of behavioral health providers and prescribers across New Mexico, with a focus on services available to Medicaid managed care enrollees. Includes data for rural and frontier counties. Discusses rural broadband connectivity challenges that impact the use of telehealth to address access. Offers policy recommendations. Findings are likely to be relevant to behavioral healthcare access in other states' rural and frontier counties.
Date: 09/2019
Sponsoring organization: Office of Inspector General (HHS)
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