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Rural Health
Resources by Topic: Stress and stress disorders

Racial/Ethnic Differences in Mental Health Service Use among Adults and Adolescents (2015-2019)
Report showing rates of mental health service use by race and ethnicity, including American Indians and Alaska Natives. Breaks down data drawn from the National Survey on Drug Use and Health from 2015 to 2019.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mental Health Treatment Among Adults: United States, 2020
Report highlights the rates of mental health treatment provided to adults in 2020. Breaks down the data by type of treatment received and by patient race, gender, and whether they lived in a large metropolitan, medium or small metropolitan, or nonmetropolitan community.
Author(s): Emily P. Terlizzi, Tina Norris
Date: 10/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Veteran Suicide Prevention: Innovative Research and Expanded Public Health Efforts
Presents a full committee hearing discussing expanded public health efforts to address veteran suicide by the House Committee on Veterans' Affairs. Features testimonies by representatives of the Veterans Health Administration, the Veterans of Foreign Wars, the Iraq and Afghanistan Veterans of America, the Wounded Warrior Project, the National Indian Health Board, and the Rand Corporation.
Additional links: Bill Smith Testimony, Jennifer Silva Testimony, Kaitlynne Hetrick Testimony, Kameron Matthews Testimony, Rajeev Ramchand Testimony, Tammy Barlet Testimony
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: House Committee on Veterans' Affairs
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Adverse Childhood Experience (ACE) Screening in Rural Northern California: Exploring Provider Perspectives and Experiences
Report examining Adverse Childhood Experiences (ACEs) in 6 rural counties in Northern California, focusing on Medi-Cal provider experiences with implementing ACE screening and trauma-informed care in the area. Discusses rural impacts of ACEs, stressors that contribute to ACEs, and findings from 9 provider interviews.
Author(s): Kathryn Stewart, Lisa Tadlock, Shauna Olsen, Sue Grinnell
Date: 07/2021
Type: Document
Sponsoring organizations: ACEs Aware, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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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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Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
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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: 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, Per 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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