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Rural Health
Resources by Topic: Stress and stress disorders

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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Ensuring Contact: Calling Rural Appalachian Older Adults During the COVID-19 Epidemic
Presents a study on the well-being and healthcare needs of socially isolated adults 75 years and older during the COVID-19 pandemic in rural West Virginia. Bases conclusions on telephone interviews with seniors from April 1-22, 2020. Breaks down data by demographic characteristics, mental and physical health conditions, and comfort with different forms of communication technology, among other factors.
Author(s): Robert B Walker, Michael Grome, William Rollyson, Adam D Baus
Citation: Rural and Remote Health, 21, 6122
Date: 01/2021
Type: Document
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Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, Kate Leger, Katie Keynton
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
Type: Document
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): D Bhushan, K Kotz, J McCall, et al.
Date: 12/2020
Type: Document
Sponsoring organization: California Office of the Surgeon General
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Rural/Urban Differences in Children's Health
Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Frequent Mental Distress Among Adults, by Disability Status, Disability Type, and Selected Characteristics — United States, 2018
Reports on prevalence of mental distress among adults with and without disabilities, by disability type and selected demographic characteristics. Features statistics with breakdowns by metropolitan or nonmetropolitan designation.
Author(s): Robyn A. Cree, Catherine A. Okoro, Matthew M. Zack, Eric Carbone
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(36), 1238-1243
Date: 09/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Mental Health in Rural America
Discusses mental health issues among farmers and ranchers. Highlights some of the stressors for farmers and farm families, as well as strategies and resources to help cope with farm-related stress.
Date: 08/2020
Type: Video/Multimedia
Sponsoring organization: American Farm Bureau
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Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic - United States, June 24-30, 2020
Reports on the number of adults experiencing elevated adverse mental health conditions associated with COVID-19. Features statistics on self-reported incidence of anxiety or depressive disorder, trauma- and stressor-related disorder (TSRD) related to the pandemic, and substance use, with breakdowns by rural or urban residence.
Author(s): Mark E. Czeisler, Rashon I. Lane, Emiko Petrosky, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(32),1049-1057
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress
Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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