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Rural Health
Resources by Topic: Behavioral health

Patient-Centered Care Through Nurse Practitioner–Led Integrated Behavioral Health: A Case Study
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Recruiting the Next Generation of Behavioral Health Professionals
Podcast episode regarding the recruitment, training, and retention of behavioral health specialists in rural areas. Discusses the University of Iowa Health Care rural psychiatry residency track and Public Psychiatry Fellowship program.
Date: 05/2023
Sponsoring organization: American Hospital Association
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When It's Not Enough: Sleep's Impact on Rural America's Health and Safety
Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Sponsoring organization: Rural Health Information Hub
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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Understanding the U.S. Behavioral Health Workforce Shortage
Discusses the shortage of behavioral health professionals across the country and highlights some of the contributing factors. Breaks down factors affecting licensed providers, clinical supporters, community care workers, and frontline workers. Makes recommendations for policymakers and includes considerations for rural areas.
Author(s): Nathaniel Counts
Date: 05/2023
Sponsoring organization: Commonwealth Fund
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Behavioral Health Conditions Reach Crisis Levels: Counties Urge Stronger Intergovernmental Partnerships and Outcomes
Features a number of counties throughout the nation and details their behavioral health needs and access challenges. Presents each county as a case study. Describes the policy priorities for each county and the barriers to access. Several of the featured counties are rural.
Additional links: Executive Summary
Date: 05/2023
Sponsoring organization: National Association of Counties
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The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study
Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
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Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Sponsoring organization: Centers for Disease Control and Prevention
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Retaining A Rural Nursing Workforce: It Takes A Village
A podcast that discusses attracting and retaining nurses in rural areas. Focuses on the University of Vermont Health Network and how they addressed the nursing shortage, such as focusing on staff well-being, creating a positive work environment, and investing in higher pay for nurses.
Date: 05/2023
Sponsoring organization: American Hospital Association
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