Rural Health
Resources by Topic: Stigma
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 Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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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 Mental Wellbeing, 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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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
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
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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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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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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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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Wild . . . But Not So Wonderful - Responding to Injection Drug Use in West Virginia
Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
Type: Document
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Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
Type: Document
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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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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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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
Type: Document
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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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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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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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