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Rural Health
Resources by Topic: Integrated service delivery

Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Study examining the impacts of telepsychiatric consultations on the capacity for clinical and non-clinical staff to recognize and treat psychiatric disorders. Draws from interviews with 17 staff members at 3 rural primary care facilities in Washington. Discusses implications of telepsychiatric consultation for primary care and behavioral health integration models.
Author(s): Morhaf Al Achkar, Ian M. Bennet, Lydia Chwastiak, et al.
Citation: Annals of Family Medicine, 18(5), 438-445
Date: 09/2020
Type: Document
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Medical-Dental Integration Manual
Provides guidance to North Dakota's rural primary care providers looking to integrate a dental hygienist into their practice. Highlights rules and regulations, billing, scope of practice, and workflow issues, among other topics.
Date: 09/2020
Type: Document
Sponsoring organizations: North Dakota Department of Health, University of North Dakota Center for Rural Health
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Oral Health Value-Based Care - The Federally Qualified Health Center (FQHC) Story
Explores the role Federally Qualified Health Centers (FQHCs) play in providing oral healthcare through integration and how FQHCs used technology and flexible workforce modeling to provide care during the COVID-19 pandemic. Analyzes data from the IBM Watson MarketScan Multi-State Database, the Health Resources and Services Administration Uniform Data System, and a survey of participants of the safety net technical assistance program to evaluate health outcomes and service provision of FQHC patients versus non-FQHC patients. Discusses how value-based payment models can effect health outcomes and how FQHCs used telehealth to reach rural and underserved populations during the pandemic.
Date: 08/2020
Type: Document
Sponsoring organizations: CareQuest Institute for Oral Health, National Association of Community Health Centers
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Suicide Prevention in Primary Care
Two-part webinar recording on integrating suicide prevention measures into a rural primary care setting. Part one discusses rural suicide rates, screening, and risk assessment. Part two covers interventions, post-intervention follow-ups, and telehealth.
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Integrating Responses to the Opioid Use Disorder and Infectious Disease Epidemics
Highlights the epidemic of infectious diseases co-occurring with opioid use disorder and the need for integrated treatment. Discusses barriers. such as workforce training, payment, and data sharing, among others. Includes suggestions for rural areas.
Author(s): Sandra A. Springer, Andrew P. Merluzzi, Carlos del Rio
Citation: JAMA, 324(1), 37-38
Date: 07/2020
Type: Document
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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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Pennsylvania Mental Health Care Workforce Shortage: Challenges and Solutions: A Staff Study
Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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