Rural Health
Resources by Type: Document
Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Innovation and Support for Assessing Summative Evaluation Readiness: Lessons Learned
Analyzes the progress of Youth At Risk of Homelessness (YARH), a multiphase grant program that aims to prevent homelessness among youth and young adults involved in the child welfare system. Describes the evaluation process to choose a grantee for the third phase of the program to support the building and disseminating of evidence related to the YARH grantee's service model. Includes discussion about the challenges of collecting evidence in rural areas.
Author(s): Megan J. McCormick, Kelsey Chesnut, M.C. Bradley
Date: 04/2023
Sponsoring organizations: Administration for Children and Families, Children's Bureau, Mathematica
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Analyzes the progress of Youth At Risk of Homelessness (YARH), a multiphase grant program that aims to prevent homelessness among youth and young adults involved in the child welfare system. Describes the evaluation process to choose a grantee for the third phase of the program to support the building and disseminating of evidence related to the YARH grantee's service model. Includes discussion about the challenges of collecting evidence in rural areas.
Author(s): Megan J. McCormick, Kelsey Chesnut, M.C. Bradley
Date: 04/2023
Sponsoring organizations: Administration for Children and Families, Children's Bureau, Mathematica
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Bend, Oregon, April 26-28, 2023
Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 92nd meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Bend, Oregon. Presents an overview of national, tribal, and state perspectives on the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program.
Date: 04/2023
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Wisconsin Perinatal Periods of Risk (PPOR) Analysis, 2015–2019: Understanding Inequities in Fetal and Infant Mortality Impacting American Indian and Alaska Native Communities
Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of fetal and infant mortality in American Indian/Alaska Native (AI/AN) populations in Wisconsin from 2015-2019. Includes data on 4 perinatal periods of risk (PPOR) and comparisons between the AI/AN population and the general Wisconsin population. Discusses prevention areas and needs for culturally competent care related to sudden unexpected infant death (SUID), factors of low birthweight, and delivery complications and mortality related to low birthweight.
Additional links: Summary
Date: 04/2023
Sponsoring organization: Wisconsin Department of Health Services
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Effect of the Communities That Care Prevention System on Adolescent Handgun Carrying: A Cluster-Randomized Clinical Trial
Analyzes the impact of Communities That Care (CTC), a community-based behavioral health intervention system, in reducing adolescent handgun carrying in rural areas. Examines survey data from 4,407 youth from 2003 to 2011 living in various rural communities and states in grades 5 through 12 and their likelihood to carry handguns.
Author(s): Ali Rowhani-Rahbar, Sabrina Oesterle, Emma L. Gause, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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Analyzes the impact of Communities That Care (CTC), a community-based behavioral health intervention system, in reducing adolescent handgun carrying in rural areas. Examines survey data from 4,407 youth from 2003 to 2011 living in various rural communities and states in grades 5 through 12 and their likelihood to carry handguns.
Author(s): Ali Rowhani-Rahbar, Sabrina Oesterle, Emma L. Gause, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Pesticide Exposure Among Latinx Children in Rural Farmworker and Urban Non-Farmworker Communities: Associations With Locality and Season
Presents a study on pesticide exposure of Latinx children. Compares exposure rates of rural children from farmworker families and urban children from non-farmworker families. Breaks down data by sex, family size, and types of pesticide detected, among other measures.
Author(s): Thomas A. Arcury, Haiying Chen, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5647
Date: 04/2023
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Presents a study on pesticide exposure of Latinx children. Compares exposure rates of rural children from farmworker families and urban children from non-farmworker families. Breaks down data by sex, family size, and types of pesticide detected, among other measures.
Author(s): Thomas A. Arcury, Haiying Chen, Sara A. Quandt, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5647
Date: 04/2023
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and sociodemographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Midwives: Information on Births, Workforce, and Midwifery Education
Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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Presents data on midwife-attended births, the midwifery workforce, and challenges to obtaining midwifery care. Discusses midwifery education programs, the number of students in these programs, midwifery educational challenges, and available federal financial support through the Health Resources and Services Administration (HRSA) and the Indian Health Service (IHS). Describes challenges to measuring the quality of maternal healthcare, including midwifery care.
Additional links: Full Report
Date: 04/2023
Sponsoring organization: Government Accountability Office
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