Rural Health
Resources by Topic: Trauma-informed care
Services to Conduct a Needs Assessment For Substance Use Prevention and Treatment Services Among Special Youth Populations Using Qualitative Methods, Protocol 2: In-Depth Interviews with Youth Regarding the System of Care
Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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Reports on a needs assessment related to social determinants of health (SDOH) for special youth populations in Hawaii, including those who identify as Native Hawaiian, Compacts of Free Association (COFA) Nation/Micronesian, and rural populations. Discusses health disparities, substance use, adverse childhood experiences, cultural responsiveness, mental health and trauma, stigma issues, and data on school facilities and enrollment by county.
Additional links: Executive Summary, Interim Report
Author(s): Susana Helm, Tai-An Miao, Jane Onoye, et al.
Date: 09/2021
Sponsoring organizations: State of Hawai`i, Department of Health, Alcohol and Drug Abuse Division, University of Hawai`i at Mānoa, Department of Psychiatry, Research Division
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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
Sponsoring organizations: California Department of Health Care Services, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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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
Sponsoring organizations: California Department of Health Care Services, Northern ACEs Collaborative, Population Health Innovation Lab, Public Health Institute
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Pennsylvania Mental Health Services for Victims of Sexual Assault and Rape: A Staff Study
Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Examines existing laws and services in Pennsylvania and offers recommendations to ensure that sexual assault victims receive quality, trauma-informed medical care. Includes recommendations to promote a certified sexual assault nurse examiner (SANE) program, increase the use of telehealth, and provide for a designation for hospitals, based on their ability to provide comprehensive sexual assault services. Features a section comparing availability of certified SANE nurses in rural and urban areas.
Author(s): Yvonne Llewellyn Hursh, Allison N. Kobzowicz, Grant Rosul, Wendy L. Baker
Date: 02/2021
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Meeting Students Where They Are: Trauma-Informed Approaches in Rural Schools
Discusses the need for more supports in rural schools to address trauma and mental health concerns. Provides potential models schools can adopt to improve trauma-informed education and close achievement gaps for rural students.
Author(s): Maria Frankland
Citation: The Rural Educator, 42(2), 51-71
Date: 2021
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Discusses the need for more supports in rural schools to address trauma and mental health concerns. Provides potential models schools can adopt to improve trauma-informed education and close achievement gaps for rural students.
Author(s): Maria Frankland
Citation: The Rural Educator, 42(2), 51-71
Date: 2021
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"It's on Us": Healthcare's Unique Position in the Response to Human Trafficking
Provides an overview of human trafficking and explains the role healthcare providers can play in addressing this issue in rural communities. Features a rural hospital CEO, a State Office of Rural Health (SORH) director, a Sexual Assault Nurse Examiner, and a Safe Harbor Regional Navigator sharing their experiences combating human trafficking.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Provides an overview of human trafficking and explains the role healthcare providers can play in addressing this issue in rural communities. Features a rural hospital CEO, a State Office of Rural Health (SORH) director, a Sexual Assault Nurse Examiner, and a Safe Harbor Regional Navigator sharing their experiences combating human trafficking.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Tribal Nursing Homes: Principles of Trauma-informed Care
Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effectiveness of Peer-Delivered Trauma Treatment in a Rural Community: A Randomized Non-inferiority Trial
Discusses a study on the effectiveness of a peer-provided treatment of post-traumatic stress disorder (PTSD) and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
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Discusses a study on the effectiveness of a peer-provided treatment of post-traumatic stress disorder (PTSD) and substance use disorder compared to clinician-provided treatment in a rural county in a Southwestern state. Breaks down data by age and diagnosis, among other factors.
Author(s): Annette S. Crisanti, Cristina Murray-Krezan, Jessica Reno, Cynthia Killough
Citation: Community Mental Health Journal, 55(7), 1125–1134
Date: 07/2019
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K-12 Education: Certain Groups of Students Attend Alternative Schools in Greater Proportions Than They Do Other Schools
Examines students at alternative schools compared to non-alternative schools. Focuses on enrollment, discipline, and support staff, including school psychologists and social workers. Identifies the location of the alternative schools on a map of the U.S. and includes an example from a rural school regarding support staff needs for dealing with trauma. Provides data on alternative school enrollment by state and race/ethnicity, and students with disabilities for the top 100 districts.
Date: 06/2019
Sponsoring organization: Government Accountability Office
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Examines students at alternative schools compared to non-alternative schools. Focuses on enrollment, discipline, and support staff, including school psychologists and social workers. Identifies the location of the alternative schools on a map of the U.S. and includes an example from a rural school regarding support staff needs for dealing with trauma. Provides data on alternative school enrollment by state and race/ethnicity, and students with disabilities for the top 100 districts.
Date: 06/2019
Sponsoring organization: Government Accountability Office
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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