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Rural Health
Resources by Topic: Stress and stress disorders

Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study
Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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ACEs Screening in Rural California: Exploring Provider Perspectives and Experiences
Report examining the implementation of Adverse Childhood Experiences (ACEs) screening in rural communities in Northern California based on interviews with Medi-Cal providers. Discusses opportunities to support screening, referral, and treatment as well as barriers, including limited time, resources, infrastructure, and skilled staff. Discusses disproportionate rates of ACEs in rural adults and health impacts of ACEs.
Author(s): Kathryn Stewart, Lisa Tadlock, Shauna Olsen, Sue Grinnell
Date: 07/2021
Type: Document
Sponsoring organizations: California Department of Health Care Services, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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Telephone Veteran Peer Coaching for Mental Health Treatment Engagement among Rural Veterans: The Importance of Secondary Outcomes and Qualitative Data in a Randomized Controlled Trial
Presents a study of telephone motivational coaching for veterans receiving primary care in rural VA clinics in Northern California and Louisiana. Compares 272 veterans who screened positive for mental health problems, examining impacts of veteran peer motivational coaching on depression, quality of life, posttraumatic stress disorder, and self-care. Discusses barriers to mental healthcare for rural veterans.
Author(s): Karen H. Seal, Jeffrey M. Pyne, Jennifer K. Manuel, et al.
Citation: The Journal of Rural Health
Date: 05/2021
Type: Document
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Healing Our Protectors: Building Resilience Among Tribal Law Enforcement Officers Through Cultural Interventions
Report highlights behavioral health issues facing tribal law enforcement officers, specifically post-traumatic stress disorder. Details common mental health concerns for tribal law enforcement and explores the personal experience of a law enforcement officer who has served tribal communities in a number of positions. Discusses the role of cultural beliefs in behavioral health treatment and support.
Author(s): LaVonne Fox, Leo Belgarde, Sr., Thomasine Heitkamp, et al.
Date: 05/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Building Resilience Among Physical and Behavioral Healthcare Providers During a Global Health Pandemic
Toolkit discusses burnout among physical and behavioral healthcare providers during the COVID-19 pandemic. Provides strategies to build resilience to burnout. Defines a number of root causes to provider burnout, such as compassion fatigue, ambiguous loss, and secondary traumatic stress, among others. Discusses how rural providers, especially sole community providers, can face specific challenges during a pandemic that can lead to burnout.
Author(s): Shawnda Schroeder, Ostmo, Robin Landwehr, Andrew McLean, Thomasine Heitkamp
Date: 04/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Rural Suicide Prevention: Reviewing the Evidence and Gaps
Cyberseminar discusses current state of suicide prevention for rural veterans. Highlights data, risk and protective factors, and current and potential prevention practices. Details knowledge gaps and makes recommendations for researchers.
Additional links: Audio Recording, Presentation Slides
Author(s): Nate Mohatt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Factors Affecting Adoption of Coordinated Anxiety Learning and Management (CALM) in Veterans' Affairs Community-Based Outpatient Clinics
Explores the efficacy of a training program designed to educate rural providers on evidence-based psychotherapies (EBPs) in VHA affiliated clinics. Details the barriers and facilitators of the program in rural areas and features the perspectives of providers who participated in the program.
Author(s): Anthony H. Ecker, Traci H. Abraham, Lindsey A. Martin, et al.
Citation: Journal of Rural Health, 37(2), 447-455
Date: 03/2021
Type: Document
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Family-Centered Prevention Effects on the Association Between Racial Discrimination and Mental Health in Black Adolescents: Secondary Analysis of 2 Randomized Clinical Trials
Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
Type: Document
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, gender, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RAND Corporation
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Building Farm Resilience During COVID-19
A collection of resources to help farmers and farm communities manage financial and emotional stress caused by the COVID-19 pandemic. Also addresses health and safety for farmers, farmworkers, and customers.
Date: 03/2021
Type: Website
Sponsoring organization: Cornell Small Farms Program
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