Rural Health
Resources by Topic: Integrated service delivery
SAMHSA Strategic Plan 2023-2026
Details the Substance Abuse and Mental Health Services Administration's framework and funding priorities for 2023-2026. Discusses priorities such as strengthening the behavioral health workforce, suicide prevention, and behavioral health integration, among other issues. Highlights behavioral health equity measures that address rural communities.
Date: 08/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Details the Substance Abuse and Mental Health Services Administration's framework and funding priorities for 2023-2026. Discusses priorities such as strengthening the behavioral health workforce, suicide prevention, and behavioral health integration, among other issues. Highlights behavioral health equity measures that address rural communities.
Date: 08/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Montana Healthcare Foundation Annual Report, 2022
Provides an overview of the Montana Healthcare Foundation's work in 2022. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 07/2023
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Provides an overview of the Montana Healthcare Foundation's work in 2022. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 07/2023
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, June 27–28, 2023
Minutes from the June 27-28, 2023 meeting, including presentations on a family medicine residency program at the Northern Navajo Medical Center in Shiprock, New Mexico, the Choptank Community Health System community-based program in Maryland, managing patients with complex conditions, empowering clinicians for resiliency and transformative care, reports from Bureau of Health Workforce council meetings, and National Health Service Corps updates.
Additional links: Agenda, Choptank Community Health System Community-Based Program, Shiprock-UNM Family Medicine Residency
Date: 06/2023
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Minutes from the June 27-28, 2023 meeting, including presentations on a family medicine residency program at the Northern Navajo Medical Center in Shiprock, New Mexico, the Choptank Community Health System community-based program in Maryland, managing patients with complex conditions, empowering clinicians for resiliency and transformative care, reports from Bureau of Health Workforce council meetings, and National Health Service Corps updates.
Additional links: Agenda, Choptank Community Health System Community-Based Program, Shiprock-UNM Family Medicine Residency
Date: 06/2023
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Report to Congress on Medicaid and CHIP, June 2023
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Covers recommendations on disproportionate share hospital (DSH) payments, care integration for people who are dually eligible for Medicaid and Medicare, access to Medicaid coverage for adults leaving incarceration, and barriers to Medicaid home- and community-based services (HCBS). Includes rural references throughout.
Date: 06/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Integrating Behavioral Health and Primary Care in Rural America
Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center
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Recording of a May 2023 webinar discussing behavioral health and primary care integration in rural areas. Explores the importance of integration in rural areas, the barriers to integration, and opportunities for policies that can improve access to care. Features opening remarks from Tom Morris, Associate Administrator for Rural Health Policy at the Health Resources and Services Administration (HRSA), and a panel of providers from Missouri, New Hampshire, and Texas. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Bipartisan Policy Center
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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
Type: Document
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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
Type: Document
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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
Type: Document
Sponsoring organization: Bipartisan Policy Center
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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
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
Type: Document
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Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
Type: Document
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Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic
Shares the results of a study examining changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among Veterans Affairs (VA) beneficiaries. Uses data from 138 VA healthcare systems from March 2019 to December 2021. Features demographics and statistics with breakdowns by visit type and rural or urban area.
Author(s): Lucinda B. Leung, Caroline Yoo, Karen Chu, et al.
Citation: JAMA Network Open, 6(3)
Date: 03/2023
Type: Document
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Shares the results of a study examining changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among Veterans Affairs (VA) beneficiaries. Uses data from 138 VA healthcare systems from March 2019 to December 2021. Features demographics and statistics with breakdowns by visit type and rural or urban area.
Author(s): Lucinda B. Leung, Caroline Yoo, Karen Chu, et al.
Citation: JAMA Network Open, 6(3)
Date: 03/2023
Type: Document
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NACRHHS Update: Emergency Medical Services (EMS) and Integration of Behavioral Health and Primary Care Services
Webinar recording discusses the 90th meeting of the National Advisory Committee on Rural Health and Human Services which focused on rural EMS and the integration of behavioral health into primary care services. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Bureau of Primary Health Care, Tri-Area Community Health, the Maine Rural Health Research Center, and the Kansas Health Institute.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording discusses the 90th meeting of the National Advisory Committee on Rural Health and Human Services which focused on rural EMS and the integration of behavioral health into primary care services. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Bureau of Primary Health Care, Tri-Area Community Health, the Maine Rural Health Research Center, and the Kansas Health Institute.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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