As Program Chief of the Office of Rural Mental Health Research, Dawn Morales, PhD, discusses recent stressors such as the financial impact of natural disasters on farmers and ranchers as well as the loss of revered elders in indigenous communities due to COVID-19. She also stresses the importance of cultural competency in mental healthcare and rural-specific protective factors.
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A community consortium in McKinley County brings together a range of local organizations and entities to take a holistic approach to recovery.
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Oklahoma State University’s College of Osteopathic Medicine at the Cherokee Nation prepares future doctors to work in rural and tribal settings where healthcare workers are in short supply.
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Three programs across rural America demonstrate how doulas improve birth outcomes by providing prenatal, labor, and postpartum support. A New Mexico program reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units; a Minnesota program works with moms experiencing incarceration; and a North Dakota program is training postpartum doulas who will care for families impacted by opioid use disorder and other substance use.
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In rural Virginia, Tri-Area Community Health puts their own spin on the integrated care model to better serve their communities.
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With federal funds supporting its implementation in Oklahoma’s Marshallese community, a Community Health Worker model exemplifies how culturally sensitive education can improve healthcare access, health literacy, and health outcomes.
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To improve care for its American Indian and Latino patients, St. Charles Madras, a Critical Access Hospital in Oregon, created a Patient Family Advisory Council, implemented cultural competency trainings, and installed new artwork to better represent its community.
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Tribal communities have been hit especially hard by the COVID-19 pandemic. Serving the four federally recognized tribes in Maine, Wabanaki Public Health is taking a stand to address these disparities. A recipient of the Rural Tribal COVID Response (RTCR) grant, they have implemented a number of programs to meet the needs of their communities, providing support by reinforcing cultural connection even in the most difficult of times.
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Contact tracing is an important step in preventing further spread of the coronavirus. Alaska’s AHEC program, a center for public health in Washington, and a national public health foundation share their training strategies while an IHS hospital in Arizona discusses its in-person contact tracing initiative.
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Advance care planning — planning for decision-making in times of medical crisis — has always been intended for all people, all ages, with or without a chronic disease. Clinicians talk about the challenges of these conversations now that COVID-19 has nudged planning from the realm of the theoretical future to current reality.
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