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Rural Health
Resources by Topic: Integrated service delivery

Facing Addiction in America: The Surgeon General's Report on Alcohol, Drugs, and Health
Highlights ways substance use disorder treatment in rural and urban areas can be aligned with primary care, and provides recommendations and examples of how individuals, organizations, and communities can work together to reduce and prevent substance misuse.
Date: 11/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems
An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery and rural participation in value-based payment and delivery system reforms.
Additional links: Policy Brief
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Integrated Behavioral Health In Montana: A Baseline Assessment of Benefits, Challenges, and Opportunities
Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations from Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Date: 03/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Type: Document
Sponsoring organization: National Rural Health Association
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Providing Whole-Person Care: Integrating Behavioral Health Into Primary Care
Discusses how a patient-centered medical home in rural North Carolina is integrating primary care with mental health treatment to meet the core health needs of patients, while recognizing the need for making referrals to specialty care for more severe mental illness. Also discusses the benefits of telebehavioral health.
Author(s): Jan Sweet Freeman
Citation: North Carolina Medical Journal, 1(76), 24-28
Date: 01/2015
Type: Document
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Oral Health Strategic Framework 2014–2017
Presents a framework for improving oral healthcare. Highlights the federal government's oral healthcare priorities and outlines 5 different oral health policy goals, such as integration into primary care, improve oral health literacy, and the advancement of research, among others.
Date: 2015
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Integration of Oral Health with Primary Care in Health Centers: Profiles of Five Innovative Models
Report highlights five different FQHC-based models for integrating oral healthcare into primary care. Features examples in both rural and urban locations.
Author(s): Hannah Maxey
Date: 2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Special Considerations for Mental Health Services in Rural Schools
Discusses the challenges experienced by rural and frontier schools regarding the development, implementation, and the expansion of behavioral health services for students and their families.
Author(s): Susan Wilger
Date: 2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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