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Rural Health
Resources by Topic: Mental health

Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults with Serious Mental Illness
Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
Type: Document
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Rural-Urban Differences in Child and Adolescent Mental Health Prior to and During the COVID-19 Pandemic: Results from the National Survey of Children's Health
Policy brief analyzing data from a national sample of children and adolescents to examine similarities and differences between rural and urban mental health outcomes prior to and during the COVID-19 pandemic. Offers considerations for policy and program development. Features demographics and statistics on incidence of anxiety, depression, and behavioral problems in 2018-2019 and 2020, with breakdowns by urban or rural areas.
Author(s): Kristen Figas, Theodoros Giannouchos, Elizabeth Crouch
Date: 11/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Advancing Rural Health Equity: Fiscal Year 2022 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Path to Coordinated Federal Leadership to Strengthen Primary Health Care
Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Evidence Brief: Safety and Effectiveness of Telehealth-Delivered Mental Health Care
Presents an overview of research evidence on the safety and effectiveness of telehealth-based mental healthcare for veterans. Discusses outcomes and studies of telehealth treatment for posttraumatic stress disorder (PTSD), depression, anxiety, substance use, and multiple mental health conditions.
Additional links: Supplemental Materials
Author(s): E.H. Beech, S. Young, J.K. Anderson, B.E. Belsher, N.J. Parr
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Suicide Prevention: Resource for Action
Presents a compilation of best practices for suicide prevention. Explores 7 different approaches to suicide prevention for communities to implement, such as strengthening economic supports, creating protective environments, and improving access and delivery of suicide care, among others. Includes discussion about how different strategies function in rural communities.
Additional links: Summary
Date: 10/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Association of Co-Occurring Mental Health Problems with Hepatitis C Status among Young People Who Inject Drugs in Rural New Mexico, 2016–2018
Study examining mental health problems and hepatitis C virus (HCV) for young adult people who inject drugs (PWID) in 2 rural New Mexico counties. Analyzes data from a parent study of 263 patients, discussing implications for addiction treatment and HCV prevention in rural settings.
Author(s): Akash Gupta, Fatma M. Shebl, Yao Tong, et al.
Citation: Addiction Science and Clinical Practice, 17, 58
Date: 10/2022
Type: Document
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January, 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Texas Statewide Behavioral Health Strategic Plan, Fiscal Years 2022-2026
5-year plan assessing the state of the behavioral health system in Texas and presenting goals and strategies related to mental health and substance use services. Outlines plans related to justice-involved people, forensic services, and highlights successes by the Statewide Behavioral Health Coordinating Council. Discusses rural concerns and programs throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Texas Health and Human Services Commission
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