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Rural Health
Resources by Topic: Culture and cultural competency

Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medi-Cal Specialty Mental Health External Quality Review: FY 2019-20 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to California Medicaid beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth, bilingual providers, and culturally responsive services; timeliness of providing service and tracking timeliness; and quality management.
Date: 01/2021
Type: Document
Sponsoring organization: California Department of Health Care Services
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Thunder Valley Forges a Pathway to Healing, Hope, and Liberation
Describes the Thunder Valley Community Development Corporation's efforts to implement Lakota-centric wellness, healing, and community development practices, for which they were awarded the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize.
Date: 2021
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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For the Love of Our People
Provides information resources to address COVID-19 and vaccine hesitancy in Native American communities. Tools include vaccination messaging and conversation guides, fact sheet, social media resources, and video interviews.
Date: 2021
Type: Website
Sponsoring organizations: IllumiNative, Urban Indian Health Institute
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Communication Strategies for Community Outreach and Education Webinar Series
8-part webinar series covering communication topics, connecting with rural communities, and telehealth opportunities. Each webinar builds on the others in the series, which is focuses on healthcare leadership. Produced by the DRCHSD (Delta) Program with guest experts from Legato Healthcare.
Date: 12/2020
Type: Website
Sponsoring organizations: Legato Healthcare, National Rural Health Resource Center
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Communication With American Indians and Alaska Natives About Cardiovascular Disease
Examines strategies for successfully conveying information about cardiovascular disease (CVD) to American Indians and Alaska Natives to reduce CVD morbidity and mortality among those populations. Features data and statistics on survey respondents' sources of information about CVD as well as their perception of CVD risk and perceived information sufficiency, with information broken down by location of residence, including reservations, rural areas or towns, and metropolitan areas.
Author(s): Amanda Boyd, Amber Fyfe-Johnson, Carolyn Noonan, Clemma Muller, Dedra Buchwald
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Introducing Telehealth to Rural and Indigenous Communities: A Telehealth 101 Virtual Workshop for Tribes
Webinar recordings from a 2-day workshop on telehealth implementation in rural and Indigenous communities. Presentation topics include telehealth business, technology, standards, and evaluation; health equity; maternal health; Indian Health Service (IHS) resources; telehealth funding; telebehavioral health and telemedicine-based Medication Assisted Treatment (MAT); and other telehealth-related topics.
Date: 11/2020
Type: Video/Multimedia
Sponsoring organizations: American Indian Public Health Resource Center, Health Resources and Services Administration, North Dakota Department of Health
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COVID-19 Outbreak in an Amish Community — Ohio, May 2020
Reports on a COVID-19 outbreak in a rural Ohio Amish community. Discusses access to testing, provision of culturally responsive health education messages, and collaboration among health department staff and community leaders to help overcome cultural barriers.
Author(s): Hammad Ali, Karthik Kondapally, Paran Pordell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(45), 1671-1674
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Strengthening Resilience: Promoting Positive School Mental Health Among Indigenous Youth
Toolkit highlights the role of cultural competence in providing mental healthcare and promoting mental well-being to American Indian and Alaska Native (AI/AN) youth in a school setting. Explores mental health concepts through AI/AN language and cultural symbolism. Discusses underlying mental health considerations such at historical trauma, microaggressions, and adverse childhood experiences, among other factors.
Author(s): Lavonne Fox, Sarah Nielsen, Thomasine Heitkamp, Shawnda Schroeder
Date: 10/2020
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Acculturation Associated with Sleep Duration, Sleep Quality, and Sleep Disorders at the US-Mexico Border
Highlights a study on sleep disorders along rural areas of the U.S.-Mexico boarder. Explores the role of acculturation in sleep patterns and disorders. Breaks down data by age, sex, and country of origin among other measures.
Author(s): Sadia B. Ghani, Marcos E. Delgadillo, Karla Granados, et al.
Citation: International Journal of Environmental Research and Public Health, 17(19), 1738
Date: 10/2020
Type: Document
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