Rural Health
Resources by Topic: Behavioral health
Variation in Extreme Risk Protection Order Use Among Urban, Suburban, and Rural ZIP Codes in Maryland: A Descriptive Study
Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Supporting Rural Health Facilities
Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies pursued by states to strengthen the financial stability of rural hospitals and expand access to primary care, behavioral healthcare, and emergency care. Describes state policies related to technical assistance, financial stabilization grants, payment models, Rural Health Clinics (RHCs), health centers, Certified Community Behavioral Health Clinics (CCBHCs), and free-standing emergency departments.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Best Practices for Implementing the Continuum of Crisis Services Under Medicaid and CHIP
Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Substance Abuse and Mental Health Services Administration
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Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Substance Abuse and Mental Health Services Administration
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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Treatment Initiations and Opioid Overdoses among Recently Incarcerated People after Adoption of the Take-Home Methadone Policy
Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Explores the effect flexible methadone policies implemented during the COVID-19 pandemic had on opioid overdoses and treatment initiation and uptake among incarcerated people upon release. Highlights the effect this policy had on rural areas and communities that lack access to opioid treatment.
Author(s): Benjamin A. Barsky, Shapei Yan, Meredith B. Rosenthal
Citation: Drug and Alcohol Dependence, 274, 112775
Date: 09/2025
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Introducing Public Health Vending Machines in Rural Communities: Protocol for a Study Using a Community-Based Participatory Approach
Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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Provides a study protocol focused on creating a community-engaged approach to implementing public health vending machines (PHVMs) that distribute naloxone in rural North Carolina. Discusses the need to engage people who have experienced substance use when developing public health interventions to prevent drug overdose.
Author(s): Meghan Guter, Lauren Harrell, Kathleen L Egan, Reese Hiatt, Lori Ann Eldridge
Citation: JMIR Research Protocols, 14
Date: 09/2025
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Rural Providers' Attitudes Toward Integrating Harm Reduction Strategies and PrEP Prescribing into Rural Primary Care Settings in the US. Southeast and Midwest
Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
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Examines the perceptions of providers working in rural primary care settings toward buprenorphine, methadone, comprehensive harm reduction, and PrEP prescriptions. Analyzes 409 providers treating either a person with opioid use disorder or a person with HIV and provides data breakdowns on PrEP prescriptions, medications for opioid use disorder (MOUD), and perceptions toward harm reduction integration.
Author(s): Phillip L. Marotta, Miryam Biaid, Robert Heimer, et al.
Citation: Addiction Science & Clinical Practice, 20, 73
Date: 09/2025
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Electronic Data Capture of Patient-Report Questionnaire in Patient Management in a Rural Population
Explores the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients at an academic medical center in rural West Virginia. Describes results of a patient questionnaire regarding the experience of using a tablet to complete psychosocial evaluations before seeing a behavioral health provider and their preference for using a tablet or traditional paper-and-pencil forms.
Author(s): Hayley Harman, Ashleigh A. Pona, Lawrence Tabone, et al.
Citation: JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 29(3), e2025.00068
Date: 09/2025
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Explores the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients at an academic medical center in rural West Virginia. Describes results of a patient questionnaire regarding the experience of using a tablet to complete psychosocial evaluations before seeing a behavioral health provider and their preference for using a tablet or traditional paper-and-pencil forms.
Author(s): Hayley Harman, Ashleigh A. Pona, Lawrence Tabone, et al.
Citation: JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 29(3), e2025.00068
Date: 09/2025
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Oregon Areas of Unmet Health Care Need Report, 2025
Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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Covers nine variables that describe areas of unmet healthcare need in Oregon and measure access to primary care, mental, and oral healthcare services. Areas of unmet need are scored based on variables within the following categories: availability of providers, ability to afford care, and utilization. Includes statistics and county-level information by service areas.
Date: 09/2025
Sponsoring organization: Oregon Office of Rural Health
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Navigating Hepatitis C Care: Knowledge Gaps and Access Barriers Among Young Women Who Inject Drugs in Rural Appalachia
Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE, 20(9), e0331849
Date: 09/2025
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Presents a study on the barriers to hepatitis C virus (HCV) testing and treatment for young women who inject drugs (YWID) in rural areas. Aims to identify the factors influencing the accessibility of HCV testing and treatment for YWID in rural Appalachian Ohio. Bases findings on interviews with 30 YWID aged 18-35 and discusses interpersonal and community barriers to care.
Author(s): Cheyenne R. Wagi, Renee McDowell, Anyssa Wright, et al.
Citation: PLOS ONE, 20(9), e0331849
Date: 09/2025
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