These stories feature model programs and successful rural projects that can serve as a
source of ideas. Some of the projects or programs may no longer be active. Read about the
criteria and evidence-base
for programs included.
Need: To increase access to telemental health services for rural veterans, especially women, with a history of trauma.
Intervention: STAIR (Skills Training in Affective and Interpersonal Regulation) is a 10-week program designed to reduce PTSD and depression symptoms and increase emotional regulation and social functioning in clients.
Results: Therapists reported that clients attended more sessions when offered via teleconferencing, and clients reported satisfaction with the program.
Need: Improve screening rates for rural uninsured/underinsured patients in counties surrounding Bryan-College Station, Texas.
Intervention: An academic center's nursing and family medicine training programs partnered with its public health program to obtain state grant funds for execution of a coordinated cancer prevention and detection program.
Results: In 5 years of colorectal screening efforts, 18 cases of colorectal cancer were diagnosed in addition to detection of precancerous lesions in 25% of nearly 2000 screening colonoscopies. In 3 years of women's health screening, 18 cases of breast cancer and 141 precancerous cervical lesions were also detected. Due to the initial success of the project, the program continues.
Need: To develop a child welfare system that provides rural Texas communities with flexibility, authority, and adaptability to improve services for children and families.
Intervention: SJRC Texas's division Belong is the lead provider for Community-Based Care, which oversees foster and kinship care, case management, reunification services, and prevention services in the South Central and Hill Country regions of Texas.
Results: Since October 2021, SJRC Texas Belong CBC has served over 1,100 children and young adults and provided over 700 home and virtual visits.
Need: Suicide among veterans has been steadily increasing, and rural veterans have an increased risk of death by suicide compared to urban veterans.
Intervention: A program called Together With Veterans was formed to help rural communities address and prevent suicides among veterans. The initiative is veteran-led, collaborative, evidence-based, and community-centered.
Need: Reliable transportation options for employment and medical access needs for residents of Paris, Texas.
Intervention: A regional government coalition, already operating a rural regional transportation system, partnered with a rural community's medical, education and business entities to expand and improve the community's transportation system.
Results: Paris Metro now provides a low cost/no cost transportation option for local residents, including those with special transportation needs. After implementation, decreased emergency room visits were noted, likely due to reliable transportation for scheduled medical appointments.
Need: Improved behavioral health care offerings for a community after losing 5 senior-aged men to suicide.
Intervention: A Critical Access Hospital in Yoakum, Texas, created a community-based program focusing on inpatient and outpatient behavioral health care for area residents age 50 and older.
Results: A financially-sustainable behavioral health care delivery model demonstrating positive impacts on physical health conditions, healthcare service utilization, and high patient satisfaction rates.
Need: To improve mental health and well-being in rural Texas.
Intervention: The Hogg Foundation has awarded $7.75 million in grants to support five rural Texas communities in developing collaborative approaches to mental health that best fit each community's needs.
Results: Five community collaboratives have successfully completed their planning process and developed implementation plans.