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Rural Health
Resources by Topic: Mental health conditions

Health Conditions and Health Care Use Among American Indian and Alaska Native Adults by Tribal Land Residential Status: United States, 2019–2021
Examines chronic disease, healthcare access to basic services such as vaccinations, and mental health among American Indian and Alaska Natives (AI/AN) from 2019-2021 National Health Interview Survey data, with comparisons between living on or off tribal lands.
Author(s): Amanda E. Ng, Dzifa Adjaye-Gbewonyo, Anjel Vahratian
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Location, Age, and Race Matter: A Path Model of Emotional Distress in the U.S. During COVID-19
Examines factors that contributed to emotional distress during COVID-19 such as rurality, race, demographics, substance use, and more. Provides 2020 survey results from 947 U.S. adults and discusses mental health in vulnerable populations.
Author(s): Viktor Clark, Hannah Ming, Sunny Jung Kim
Citation: BMC Public Health, 23, 762
Date: 04/2023
Type: Document
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Mental Health of Agricultural Adolescents and Adults: Preliminary Results of a Five-year Study
Surveyed 122 farm families in 2021 to analyze symptoms of depression and anxiety in farm adults and their children as well as correlation between mental health and finances using the Family Stress Model. Participant characteristics include rurality and various physical and mental health measures.
Author(s): Josie M. Rudolphi, Richard L. Berg
Citation: Frontiers in Public Health, 11, 1056487
Date: 03/2023
Type: Document
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing CHWs to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional setting such as a food bank distribution center, county fair, livestock auction, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
Type: Document
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Rural US Residents Recognize Anxiety Better than Urbanites and Suburbanites but Hold Similar Stigma
Surveys 627 adults to find whether rural adults are more likely to recognize anxiety symptoms when compared with nonrural adults. Also examines stigma regarding anxiety and compares results between both rural and nonrural adults and level of access to mental health services. Data is broken down by multiple variables including gender, race, age, household income, education, rurality, and more.
Author(s): Scott Loveridge, Mark Skidmore, Robert Shupp, et al.
Citation: Journal of Rural Health, 39(4), 860-869
Date: 03/2023
Type: Document
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The Implications of COVID-19 for Mental Health and Substance Use
Explores the impact the COVID-19 pandemic has had on mental health and substance use. Tracks rates of anxiety and depression, as well as substance use, from before and after the pandemic. Breaks down data by age, race, and rurality, among other measures.
Author(s): Nirmita Panchal, Heather Saunders, Robin Rudowitz, Cynthia Cox
Date: 03/2023
Type: Document
Sponsoring organization: KFF
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
Type: Document
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Implementation of a Women's Reproductive Behavioral Health Telemedicine Program: A Qualitative Study of Barriers and Facilitators In Obstetric and Pediatric Clinics
Results of a study exploring a South Carolina telemedicine program for the treatment of Perinatal Mood and Anxiety Disorders and Perinatal Substance Use Disorders in obstetric and pediatric providers in the outpatient community practice setting. Features statistics with breakdowns by urban or rural location.
Author(s): Katherine R. Sterba, Emily E. Johnson, Edie Douglas, et al.
Citation: BMC Pregnancy and Childbirth, 23, 167
Date: 03/2023
Type: Document
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