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Rural Health
Resources by Topic: Stress and stress disorders

Mental Health in Rural New York: Findings and Implications of a Listening Tour with Residents and Professionals
Findings from the Rural Mental Health Listening Tour of New York State, conducted between March 2020 and September 2021 to elicit input and experiences of community members living and working in rural areas. Presents strengths and assets of rural communities, and highlights model programs and success stories. Includes recommendations in categories including access to transportation and broadband, access to mental health programs, availability of services, improving and sustaining workforce capacity, and offers state- and county-specific recommendations.
Author(s): Brett Harris, Katie Gallant, Abby Mariani
Date: 01/2023
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2021
Presents 2021 survey data, including revisions, on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 01/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults with Serious Mental Illness
Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
Type: Document
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Rural-Urban Differences in Child and Adolescent Mental Health Prior to and During the COVID-19 Pandemic: Results from the National Survey of Children's Health
Policy brief analyzing data from a national sample of children and adolescents to examine similarities and differences between rural and urban mental health outcomes prior to and during the COVID-19 pandemic. Offers considerations for policy and program development. Features demographics and statistics on incidence of anxiety, depression, and behavioral problems in 2018-2019 and 2020, with breakdowns by urban or rural areas.
Author(s): Kristen Figas, Theodoros Giannouchos, Elizabeth Crouch
Date: 11/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Evidence Brief: Safety and Effectiveness of Telehealth-Delivered Mental Health Care
Presents an overview of research evidence on the safety and effectiveness of telehealth-based mental healthcare for veterans. Discusses outcomes and studies of telehealth treatment for posttraumatic stress disorder (PTSD), depression, anxiety, substance use, and multiple mental health conditions.
Additional links: Supplemental Materials
Author(s): E.H. Beech, S. Young, J.K. Anderson, B.E. Belsher, N.J. Parr
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January, 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Self-reported Illness Experiences and Psychosocial Outcomes for Reservation-Area American Indian Youth During COVID-19
Results of a Spring 2021 study of 2,559 American Indian students in grades 6-12 in schools on or near Indian reservations. Features statistics on COVID-19 experiences for self and others.
Author(s): Linda R. Stanley, Meghan A. Crabtree, Randall C. Swaim, Mark A. Prince.
Citation: JAMA Network Open, 5(9), e2231764
Date: 09/2022
Type: Document
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Tips for Disaster Responders: Cultural Awareness When Working in Indian Country Post-Disaster
Provides information for disaster response workers to build cultural awareness for supporting Native Americans before, during, and after a traumatic event. Discusses cultural values; types of traumatic events; traditional teachings, values, and language; and community healing.
Date: 09/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Moral Distress Among Clinicians Working in US Safety Net Practices During the COVID-19 Pandemic: A Mixed Methods Study
Explores the causes and levels of moral distress experienced by clinicians treating low-income primary care, dental, and behavioral health patients in safety net practices and participating in education loan repayment programs during the COVID-19 pandemic. Features statistics on reported degree of moral distress related to work experienced during the pandemic, with breakdowns by discipline and practice type, including Federally Qualified Health Centers, Indian Health Service or tribal site, and Rural Health Clinics.
Author(s): Donald E. Pathman, Jeffrey Sonis, Thomas E Rauner, et al.
Citation: BMJ Open, 2022
Date: 08/2022
Type: Document
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Farm Dinner Theater: Farmers Helping Farmers
Video highlighting a Cooperative Extension-led program where community members take part in dinner theater productions that focus on issues related to farm health.
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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