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Rural Health
Resources by Topic: Stress and stress disorders

The Implications of COVID-19 for Mental Health and Substance Use
Explores the impact the COVID-19 pandemic has had on mental health and substance use. Tracks rates of anxiety and depression, as well as substance use, from before and after the pandemic. Breaks down data by age, race, and rurality, among other measures.
Author(s): Nirmita Panchal, Heather Saunders, Robin Rudowitz, Cynthia Cox
Date: 03/2023
Type: Document
Sponsoring organization: KFF
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The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i
Results of a study detailing the health-related needs of Hawai'i's unhoused people, most of whom live in rural areas. Features statistics on self-reported rates of depression and anxiety, illicit substance use, alcohol use, smoking, obesity, and overall physical health.
Author(s): Andrew M. Subica, Daryl S. Sampaga, Jana Ortiz-Misiaszek, Tammy K. K. Martin, Scott K. Okamoto
Citation: Community Mental Health Journal, 59, 1021–1026
Date: 03/2023
Type: Document
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Emergency Department Visits Related to Mental Health Disorders Among Adults, by Race and Hispanic Ethnicity: United States, 2018–2020
Report explores the rates of mental health-related visits to emergency departments (EDs) by race and Hispanic ethnicity. Breaks down data by race, mental health disorder, and urbanization level, among other measures.
Author(s): Zachary J. Peters, Loredana Santo, Danielle Davis, Carol J. DeFrances
Date: 03/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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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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Health Disparities in Central Nervous System Disorders: Driving Transformative Change: Proceedings of a Workshop–in Brief
Highlights the proceedings of a workshop on strategies to reduce health disparities relating to central nervous system (CNS) disorders. Explores CNS health disparities in rural and low-income communities and among racial and ethnic minority groups, such as American Indian and Alaska Native tribal nations. Discusses the roles academia, industry, and the government have in creating a diverse neuroscience workforce to advance community partnerships and collaborations.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Improving Access to High-Quality Mental Health Care for Veterans: Proceedings of a Workshop
Presents a workshop focusing on mental healthcare access for veterans. Discusses some of the challenges the VA faces in delivering mental healthcare to veterans, particularly those in rural and low-income communities. Explores methods to improve mental health access and highlights best practices.
Author(s): Board on Health Care Services
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Mental and Substance Use Disorders Prevalence Study: Findings Report
Report discusses the lifetime and past-year prevalence of mental health disorders and past-year substance use across the United States. Breaks down prevalence data by age, race, diagnosis, and rurality, among other measures.
Author(s): H. Ringeisen, M. Edlund, H. Guyer, et al.
Date: 2023
Type: Document
Sponsoring organization: RTI International
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Early Interventions for Psychosis - First Episodes and High Risk Populations: Proceedings of a Workshop
Highlights the proceedings of a 2022 workshop hosted by the National Academies of Science, Engineering, and Medicine and discusses how early interventions can improve outcomes for those who are as high risk of behavioral health issues. Details the challenges rurality can present to providers and patients.
Additional links: Read Online
Author(s): Forum on Mental Health and Substance Use Disorders
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Urban–Rural Differences in Mental and Physical Health among Primary Care Patients with Multiple Chronic Conditions: A Secondary Analysis from a Randomized Clinical Trial
Presents a study on the differences in mental and physical health outcomes for people with multiple chronic conditions in rural and urban areas with access to primary care providers. Breaks down data by demographic characteristics, such as age, income, and chronic conditions, among others.
Author(s): Levi N. Bonnell, Jessica Clifton, Gail L. Rose, et al.
Citation: International Journal of Environmental Research and Public Health, 19(23), 15580
Date: 11/2022
Type: Document
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