Texas Models and Innovations
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.
Updated/reviewed January 2021
- 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.
Updated/reviewed December 2018
- Need: More mental health and substance abuse prevention and treatment services in rural Texas.
- Intervention: A network was formed to bring counseling services through telehealth systems and community health workers to Brazos Valley, Texas.
- Results: The program improved health outcomes, increased general knowledge of the impact of substance abuse, and raised awareness of services among Hispanic residents.
Updated/reviewed March 2021
- 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.
Other Project Examples
Updated/reviewed September 2020
- Need: To increase access to specialty care for rural veterans living with HIV.
- Intervention: The Telehealth Collaborative Care (TCC) study connects these patients with HIV specialists via clinical video telehealth or VA video connect and works to create shared care relationships with primary care teams in rural areas.
- Results: TCC provides HIV specialty care access to rural veterans in a sustainable manner with infrastructure, mentorship, and capacity building.
Updated/reviewed August 2020
- 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.
Updated/reviewed June 2020
- Need: To help young adults with chronic or rare conditions access health and educational resources and build a community of peers and advocates.
- Intervention: Health Advocacy Summits bring together young adults, medical professionals, patient advocates, and others for a free one-day conference. HAS also facilitates programming such as the Crohn's and Colitis Young Adults Network.
- Results: HAS currently has summits in six states. HAS reported that it was one of the first advocacy interventions for young adults with chronic conditions in south Texas.
Updated/reviewed February 2020
- 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.
Updated/reviewed February 2020
- Need: Address oral health disparities in Washington's rural and underserved communities.
- Intervention: The University of Washington School of Dentistry developed the Regional Initiatives in Dental Education (RIDE) program preparing dentists for practice in rural and underserved areas.
- Results: As of 2019, 77% of all RIDE graduates are practicing in Washington state. Of those, 82% are practicing in rural and underserved communities.
Added January 2020
- Need: Strategies to recruit and retain providers to practice in rural settings.
- Intervention: A traveling one-day workshop was designed to share ideas and firsthand accounts on successful strategies on how to create "Safe Sites" for new recruits.
- Results: So far, workshops have trained over 185 hospital administrators, board members, and rural hospital recruiters.
Added December 2019
- Need: Suicide among veterans has been steadily increasing, and rural veterans have a 20% 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.
- Results: The program is currently in 6 states and reaches over 1,500 veterans every quarter while nurturing connections between agencies and community members.
Last Updated: 3/30/2021