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Rural Health
Resources by Topic: Integrated service delivery

Implementing an Integrated Medication-Assisted Treatment Program at Community Health Centers: Lessons from a Pilot Project in California
Evaluates the implementation phase of a pilot project to treat patients with opioid use disorder at Federally Qualified Health Centers (FQHCs) in California, including rural FQHCs. The pilot focused on medication-assisted treatment (MAT) and integrating substance use and mental healthcare in a primary care setting.
Author(s): Jane Wishner, Lisa Clemans-Cope, Jeremy Marks, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Getting Ready for an Upcoming Grant Opportunity: The Rural Communities Opioid Response
A collection of resources useful in preparing to apply for a Federal Office of Rural Health Policy grant opportunity, The Rural Communities Opioid Response, which is expected to be available in June 2018. Includes resources on building networks and partnerships, integrating behavioral health, care coordination, substance abuse, and applying for federal grants.
Date: 06/2018
Type: Website
Sponsoring organization: National Rural Health Resource Center
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Behavioral Health Integration and Workforce Development
Issue brief examining the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Providing Access to Mental Health Services for Children in Rural Areas
Policy brief discussing options for improving access to mental health services for rural children, including telemedicine, integration of behavioral health and primary care, and school-based care. Features three brief case studies.
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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North Dakota Behavioral Health System Study Final Report, April 2018
Reports findings from the North Dakota Comprehensive Behavioral Health Systems Analysis, which includes a review of the existing behavioral health system, an analysis of utilization and payment patterns by payer source, and recommendations to improve the behavioral health system to meet the needs of the community. Discusses the benefits and challenges of providing behavioral health services in rural areas.
Date: 04/2018
Type: Document
Sponsoring organizations: Human Services Research Institute, North Dakota Department of Health
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Integrating Primary & Behavioral Healthcare for Older Adults in Rural Communities
Describes the importance of integrated care for older adults in rural areas, and highlights sample programs in rural Pennsylvania and western Illinois.
Author(s): Sara Afayee
Date: 10/2017
Type: Document
Sponsoring organization: American Society on Aging
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In Focus: Expanding Access to Addiction Treatment Through Primary Care
Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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