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Rural Health
Resources by Topic: Behavioral health

Defining and Evaluating In-Home Drug Disposal Systems for Opioid Analgesics: Proceedings of a Workshop
Offers summary of a June 2023 workshop to analyze in-home drug disposal systems with focus on unused opioid analgesics. Discusses the life cycle of prescribed opioids, characteristics of in-home disposal systems, implementation and equity concerns, legal concerns, environmental impacts, and real-world settings. Includes discussions of tribal and rural-specific challenges and benefits.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2024
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Pre-Implementation Adaptation of Suicide Safety Planning Intervention Using Peer Support in Rural Areas
Using a community-based participatory research process, study aimed to identify adaptable components of a veteran-focused suicide intervention as well as barriers and facilitators for implementation in rural Arkansas using peer support. Includes discussion of the benefits of community input early in the research process.
Author(s): Eva N. Woodward, Amanda Lunsford, Rae Brown, et al.
Citation: Frontiers in Health Services, 3
Date: 12/2023
Type: Document
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Rural and Nonrural Racial Variation in Mentally Unhealthy Days: Findings from the Behavioral Risk Factor Surveillance System in North Carolina, 2015–2019
Compares rates at which rural and nonrural Black and White North Carolinians experience days with stress, depression, and problems with emotions, utilizing 2015-2019 North Carolina Behavioral Risk Factor Surveillance System data. Discusses social factors which may influence racial mental health disparities in rural areas.
Author(s): Caroline R. Efird, Derrick D. Matthews, Kathryn E. Muessig, et al.
Citation: SSM - Mental Health, 3, 100199
Date: 12/2023
Type: Document
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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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A Community-Engaged Approach to Understanding Suicide in a Small Rural County in Georgia: A Two-Phase Content Analysis of Individual and Focus Group Interviews
Evaluates the need for suicide prevention and appropriateness of prevention efforts in a rural Georgia county by presenting analysis of 20 individual interviews and 2 focus groups conducted August 2021-June 2022. Covers individual and community contextual drivers of suicide, facilitators and barriers of medical and social support access, linkage gaps in mental health care services, and community response. Discusses schools, a military base, nonprofit and religious organizations, and other institutional supports for suicide prevention.
Author(s): Kimberly Beth Roth, Eleni Gaveras, Fatima Ghiathi, et al.
Citation: International Journal of Environmental Research and Public Health, 20(24), 7145
Date: 12/2023
Type: Document
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Use of Primary Care and Emergency Departments for Substance Use Treatment: The Rural and Urban Divide
Explores the use of primary care and emergency departments for substance use treatment in rural and urban areas. Draws from the National Survey on Drug Use and Health from 2015-2019 and breaks down data by age, race, and rurality, among other measures.
Author(s): Nathaniel Albright, Christina Dyar, Ethan Morgan
Citation: Substance Use & Misuse, 59(2), 300-305
Date: 12/2023
Type: Document
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Changes in Perceptions of First Responders after Witnessing a Drug Overdose: Individual and Contextual Variations among People Who Use Opioids in West Virginia
Evaluates changes in attitude toward first responders among people who witnessed an overdose and stayed until first responders arrived. Utilizes interview data from 50 nonmedical users of prescription opioids from 3 rural Appalachian West Virginia counties. Identifies personal and contextual factors associated with changed perceptions of first responders.
Author(s): Kathleen L. Egan, Kelly Gurka, Alexandria Macmadu, Herb Linn
Citation: Journal of Appalachian Health, 5(3), 22-37
Date: 12/2023
Type: Document
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Report on the Mental Health Program for Veterans for Fiscal Year 2023
Report on the administration of the Texas Mental Health Program for Veterans. Discusses various program outcomes and services to special populations including rural, female, and incarcerated veterans. Offers recommendations for future program goals.
Date: 12/2023
Type: Document
Sponsoring organization: Texas Health and Human Services
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Impacts of Transit on Health in Rural and Small Urban Areas
Overview of how public transportation affects health in rural and small urban areas. Summarizes findings from a literature review that looked at public transportation as it relates to the social determinants of health, healthcare access, physical activity, social isolation, and mental health. Also reports results from a survey of rural older adults supplemented by data analysis looking at travel for healthcare, challenges related to public transportation, and the impacts of missed or delayed healthcare trips.
Author(s): Jeremy Mattson, Bright Quayson
Date: 12/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Social and Structural Determinants of Maternal Morbidity and Mortality: An Evidence Map
Presents results of a systematic literature review of risk factors associated with maternal morbidity and mortality before, during, and after birth. Reports study findings on social and structural determinants of health including race, income, mental health, rurality, environment, violence, trauma, and more. Observes the state of current research and identifies limitations.
Additional links: Executive Summary, Full Report
Author(s): Jaime Slaughter-Acey, Kathryn Behrens, Amy M. Claussen, et al.
Date: 12/2023
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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