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Rural Health
Resources by Topic: Integrated service delivery

Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans
Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Grantee Sourcebook: Rural Health Network Planning Development Program, 2019
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Mitigating COVID-19's Rural Impact on Families At-Risk for Violence and Child Maltreatment and Neglect
Discusses the potential impact of COVID-19 physical distancing measures on rural children experiencing maltreatment and those living in situations of intimate partner violence. Describes how rural communities and providers can help through community awareness efforts and changes to screening and other service delivery approaches.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Compendium of Rural Oral Health Best Practices - 2020
Highlights examples of the best practices in rural oral healthcare across the country. Presents a number of models regarding workforce development and training, integration of care, telehealth, clinical care, and policy.
Date: 2020
Type: Document
Sponsoring organization: National Rural Health Association
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Opportunities to Improve Opioid Use Disorder and Infectious Disease Services: Integrating Responses to a Dual Epidemic
Examines opioid use and drug-related infectious diseases. Identifies the barriers to integration of opioid use disorder (OUD) and infectious disease services, including barriers faced in rural areas such as workforce shortages. Offers strategies to overcome those barriers. Offers case studies of programs that have successfully integrated services, including programs serving rural areas. Includes policy recommendations.
Additional links: Read Online, Report Highlights
Author(s): Board on Population Health and Public Health Practice
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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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 Angstman, et al.
Citation: BMC Family Practice, 20, 123
Date: 09/2019
Type: Document
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Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Behavioral Health, University of Michigan Behavioral Health Workforce Research Center
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop
Summary of panel discussions held December 6, 2018 in Washington, D.C. by the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine. Topics include health literacy, care integration, interventions for children, and development of a research agenda. Chapter 6 includes a discussion of provision of oral health services in urban versus rural settings.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 07/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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