Rural Health
Resources by Topic: Sustainability of programs
Addressing Behavioral Health Needs in Rural North Carolina: A Community Paramedicine Approach
Profiles a mobile integrated healthcare-community paramedicine (MIH-CP) model in rural western North Carolina that supports rural residents with complex medical, behavioral health, and social needs. Discusses the MIH-CP's behavioral healthcare staffing, funding, and services, providing implementation strategies for rural areas interested in expanding sustainable community paramedicine services.
Author(s): Ashley Jasko
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Profiles a mobile integrated healthcare-community paramedicine (MIH-CP) model in rural western North Carolina that supports rural residents with complex medical, behavioral health, and social needs. Discusses the MIH-CP's behavioral healthcare staffing, funding, and services, providing implementation strategies for rural areas interested in expanding sustainable community paramedicine services.
Author(s): Ashley Jasko
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Leveraging the Community-Based Workforce to Strengthen Behavioral Health Care in Rural Tennessee
Profiles River Valley Health (RVH), a Federally Qualified Health Center (FQHC) and Community Mental Health Center (CMHC) that serves rural communities in eastern Tennessee. Discusses how a community-based workforce can provide more accessible and responsive behavioral healthcare in rural areas. Includes staffing models and funding strategies for sustainability.
Author(s): Christopher Menschner
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Profiles River Valley Health (RVH), a Federally Qualified Health Center (FQHC) and Community Mental Health Center (CMHC) that serves rural communities in eastern Tennessee. Discusses how a community-based workforce can provide more accessible and responsive behavioral healthcare in rural areas. Includes staffing models and funding strategies for sustainability.
Author(s): Christopher Menschner
Date: 10/2026
Sponsoring organization: Center for Health Care Strategies
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Integration of Behavioral Health by Community Health Workers Into a Lifestyle Intervention That Addresses Reduction of Risk for Cardiovascular Disease in Rural Communities
Discusses the impact of having community health workers (CHWs) integrate behavioral healthcare into a rural lifestyle change intervention focused on reducing cardiovascular disease risk. Analyzes CHW visits with participants in the Colorado Heart Healthy Solutions (CHHS) program from 2019-2023 and provides data on completed behavioral health screening assessments, connections to care, and CHW-delivered health coaching interventions. Discusses sustainability and feasibility of integrating behavioral health into CHW-led programs in rural communities.
Author(s): Stephanie Coronel-Mockler, Nick Flattery, Ashley Ambrose, et al.
Citation: Preventing Chronic Disease, 23
Date: 10/2026
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Discusses the impact of having community health workers (CHWs) integrate behavioral healthcare into a rural lifestyle change intervention focused on reducing cardiovascular disease risk. Analyzes CHW visits with participants in the Colorado Heart Healthy Solutions (CHHS) program from 2019-2023 and provides data on completed behavioral health screening assessments, connections to care, and CHW-delivered health coaching interventions. Discusses sustainability and feasibility of integrating behavioral health into CHW-led programs in rural communities.
Author(s): Stephanie Coronel-Mockler, Nick Flattery, Ashley Ambrose, et al.
Citation: Preventing Chronic Disease, 23
Date: 10/2026
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What Will It Take to Sustain Maternal Care in Rural Communities? These Strategies Are Helping Keep Care Close to Home
Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Discusses challenges facing rural maternal healthcare, such as workforce shortages, low birth volumes, and reimbursement. Provides strategies to help improve sustainability, focusing on leadership, diversifying the workforce, strengthening regional and community partnerships, extending community care, addressing behavioral health and social needs, and supporting financial sustainability.
Author(s): Julia J. Resnick, Aisha Syeda
Date: 09/2026
Sponsoring organization: Commonwealth Fund
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Increasing Access to Rural Behavioral Health Care Through a Community-Based Workforce
Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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Provides examples for improving access to behavioral healthcare via a community-based workforce in rural areas. Discusses behavioral health workforce needs in rural communities, prioritizing relationship building alongside formal training, promoting conditions for peer support specialists to thrive, integrating community-based roles into clinical teams and community settings, and leveraging the Rural Health Transformation Program (RHTP) and other time-limited funds to build long-term sustainability.
Author(s): Hadley Fitzgerald, Ashley Jasko
Date: 09/2026
Sponsoring organization: Center for Health Care Strategies
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Planning with Purpose: Leveraging FORHP's Rural Health Network Development Planning Program for Lasting Community Impact
Webinar recording highlighting the one-year Rural Health Network Development Planning Program (Network Planning Program) grant from the Federal Office of Rural Health Policy (FORHP). Speakers include former Network Planning Program grantees discussing their experiences and work as part of this grant program, including a focus on partnerships, strengthening infrastructure, and improving access to care.
Additional links: Audio Recording, Webinar Slides
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
Webinar recording highlighting the one-year Rural Health Network Development Planning Program (Network Planning Program) grant from the Federal Office of Rural Health Policy (FORHP). Speakers include former Network Planning Program grantees discussing their experiences and work as part of this grant program, including a focus on partnerships, strengthening infrastructure, and improving access to care.
Additional links: Audio Recording, Webinar Slides
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
Related funding:
Rural Health Network Development Planning Program
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Evaluation of a Minigrant Program for Multilevel Interventions to Promote Human Papillomavirus Vaccination in Rural Communities in Georgia
Examines 4 health department minigrant programs related to human papillomavirus (HPV) vaccine uptake in rural communities. Analyzes program results according to reach of patients, intervention levels, HPV vaccination effectiveness, implementation barriers, and sustainability.
Author(s): Cam Escoffery, Courtney Petagna, Rithika Chari, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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Examines 4 health department minigrant programs related to human papillomavirus (HPV) vaccine uptake in rural communities. Analyzes program results according to reach of patients, intervention levels, HPV vaccination effectiveness, implementation barriers, and sustainability.
Author(s): Cam Escoffery, Courtney Petagna, Rithika Chari, et al.
Citation: Preventing Chronic Disease, 23
Date: 08/2026
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A Multilevel Adaptation Approach for the Sustainable Scale-Up of Family Cancer History Screening in Rural Public Health Clinics
Provides an overview of a multilevel approach to improve delivery of a family cancer history screening program. Outlines a 14-month adaptation process of a public health district in rural Georgia as well as individual, provider, clinic, organization, and community adaptations. Discusses the impact of partnerships among public health agencies, community organizations, and academic institutions to sustain successful implementation frameworks, multilevel stakeholder engagement, and adaptations of hereditary cancer screening programs.
Author(s): Yue Guan, Shacoria Anderson, Cindy Snyder, et al.
Citation: Archives of Public Health, 84, 221
Date: 07/2026
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Provides an overview of a multilevel approach to improve delivery of a family cancer history screening program. Outlines a 14-month adaptation process of a public health district in rural Georgia as well as individual, provider, clinic, organization, and community adaptations. Discusses the impact of partnerships among public health agencies, community organizations, and academic institutions to sustain successful implementation frameworks, multilevel stakeholder engagement, and adaptations of hereditary cancer screening programs.
Author(s): Yue Guan, Shacoria Anderson, Cindy Snyder, et al.
Citation: Archives of Public Health, 84, 221
Date: 07/2026
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Collaboration to Contracting: A Guide to Rural Clinically Integrated Networks
Identifies 5 pillars of successful rural clinically integrated network (CIN) development. Covers legal matters, governance, care delivery, data infrastructure, and financial sustainability. Includes action steps for administrators of CINs.
Date: 07/2026
Sponsoring organization: Rural Health Value
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Identifies 5 pillars of successful rural clinically integrated network (CIN) development. Covers legal matters, governance, care delivery, data infrastructure, and financial sustainability. Includes action steps for administrators of CINs.
Date: 07/2026
Sponsoring organization: Rural Health Value
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