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Rural Health
Resources by Topic: Stigma

Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Factors that Influence Access to Medication-Assisted Treatment
Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Behavioral Health, University of Michigan Behavioral Health Workforce Research Center
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions
Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance abuse, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Tennessee Faith Based Initiative: Certified Recovery Congregations
Reviews how the Tennessee Department of Mental Health and Substance Abuse Services partnered with the state's faith community to address substance abuse. Outlines the role of certified peer recovery specialists and faith based community coordinators, the Lifeline Peer Project, Tennessee Recovery Navigators, and how they work together. Presentation slides from the Arkansas 2019 Annual Rural Health Conference.
Author(s): Monty Burks
Date: 06/2019
Type: Presentation Slides
Sponsoring organization: Tennessee Department of Health
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American Farm Bureau Federation Rural Stress Polling Presentation
Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Date: 04/2019
Type: Document
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
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Opioid Treatment and Rural Health Clinics: Part 2
Second webinar focusing on rural health clinics and opioid treatment. Dr. Reid Lofgran addresses running medication assisted treatment (MAT) in a rural health clinic with minimal community resources in Gooding, Idaho. Covers challenges faced, medications used for MAT, staffing needs, the importance of contracts, sigmas associated with addiction, and more.
Additional links: Medication Assisted Treatment Program Consent Form, Medication Assisted Treatment Program Contract, Medication Assisted Treatment Program Financial Agreement, Medication Assisted Treatment Program Information & Instructions, Opiate and Other Substance Use Questionnaire, Presentation Slides, Transcript
Date: 04/2019
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
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Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care — Medical Monitoring Project, United States, 2011–2015
Reports on sociodemographic, behavioral, and clinical characteristics of American Indian/Alaska Native (AI/AN) patients in HIV care. Includes information on stigma, healthcare discrimination, social supports, depression, substance use, sex without a condom, antiretroviral therapy adherence, and viral suppression.
Author(s): Amy R. Baugher, Linda Beer, Heather M. Bradley, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1405-1409
Date: 01/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South
Provides an overview of a pilot test of a faith-based intervention to address HIV-related stigma in rural Alabama. Discusses the factors that contribute to HIV stigma among African-Americans in the South.
Author(s): Erin L.P. Bradley, Madeline Y. Sutton, Eric Cooks, et al.
Citation: Health Promotion Practice, 19(5), 730-740
Date: 09/2018
Type: Document
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