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Rural Mental Health Resources

Selected recent or important resources focusing on Rural Mental Health.

Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Provides an overview of Medicare payments for beneficiaries receiving psychiatric treatment. Discusses rural location adjustments.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: The Journal of Rural Health
Date: 10/2018
Type: Document
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Key Informant Perspectives on Rural Social Isolation and Loneliness
Describes challenges and opportunities related to health impacts of social isolation in rural areas, using data from interviews with 22 experts from 11 states and the District of Columbia. Addresses gaps in the literature on rural-urban differences in social isolation and offers suggestions for policy changes and programmatic interventions.
Author(s): Carrie Henning-Smith, Alexandra Ecklund, Megan Lahr, et al.
Date: 10/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Pacific County, Wash.: Connection to Services Through Jail Screening and Referral
Describes efforts of a rural Washington State community to address the number of people with mental illnesses in their jail, as part of the national "Stepping Up" initiative. Examines the process of screening and providing connections to community-based providers.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Calaveras County, Calif.: Connecting Justice-Involved People to Treatment and Services
Describes best practice strategies used by a rural northern California county as part of the national "Stepping Up" initiative, for the purpose of reducing the number of adults with mental illness in jails and connecting them to community-based treatment.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Results from the 2017 National Survey on Drug Use And Health: Detailed Tables
Provides data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics.
Date: 09/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Understanding Rural Communities
Podcast featuring an interview with Dennis Mohatt, the Vice President for Behavioral Health at the Western Interstate Commission for Higher Education (WICHE), discussing rural health and the stigma surrounding mental healthcare in rural communities. Covers what it means to work and collaborate with rural partners.
Date: 07/2018
Type: Video/Multimedia
Sponsoring organization: Hogg Foundation for Mental Health
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Closing Behavioral Health Workforce Gaps: A HRSA Program Expanding Direct Mental Health Service Access in Underserved Areas
Commentary describing HRSA's Behavioral Health Workforce Education and Training program, an initiative to address behavioral health disparities through supply and distribution of providers to underserved areas. Includes statistics on employment status and location of 1,975 graduates of the program.
Author(s): Hayden O. Kepley, Robin A. Streeter
Citation: American Journal of Preventive Medicine, 54(6), Supplement 3, S190-S191
Date: 06/2018
Type: Document
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Mental Health-related Physician Office Visits by Adults Aged 18 and Over: United States, 2012–2014
Examines adult mental health-related physician office visits by specialty and patient characteristics. Includes information on visits to psychiatrists, primary care physicians, and other physicians in large metropolitan, medium to small metropolitan, and rural areas.
Additional links: Questions for the Lead Author, NCHStats blog
Author(s): Donald Cherry, Michael Albert, Linda F. McCaig
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Providing Access to Mental Health Services for Children in Rural Areas
Policy brief discussing options for improving access to mental health services for rural children, including telemedicine, integration of behavioral health and primary care, and school-based care. Features three brief case studies.
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Preventing Suicide In Rural America
Policy brief focused on rural suicide prevention. Provides an overview of rural suicide rates and key suicide risk factors for rural residents. Identifies policy options for preventing suicide in rural areas and includes two brief case studies.
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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NACRHHS Policy Brief on Understanding the Impact of Suicide in Rural America
Webinar recording discusses the National Advisory Committee on Rural Health and Human Services (NACRHHS) policy brief on the impact of suicide in rural areas. Features presentations from the NACRHHS Committee Chair and Executive Secretary, as well as a representative from the Centers for Disease Control and Prevention and and a retired professor of social work at Stephen F. Austin State University.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Expanding Care for Rural Patients
Discusses the telehealth psychology program at Texas A&M and the effect the program has had on mental health access across the state. Details the program's implementation and the ways it is overcoming barriers for rural people.
Author(s): Amy Novotney
Citation: APA Monitor on Psychology, 49(3), 64
Date: 03/2018
Type: Document
Sponsoring organization: American Psychological Association
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Suicides Among American Indian/Alaska Natives — National Violent Death Reporting System, 18 States, 2003-2014
Compares differences in suicide characteristics and circumstances between American Indian/Alaska Natives (AI/AN) and whites. Includes data on age, sex, nonmetropolitan residence, mechanism and location of suicide, interpersonal circumstances, life stressors, mental health, and substance use.
Author(s): Rachel A. Leavitt, Allison Ertl, Kameron Sheats, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(8), 237-242
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy
Presents a report on the causes, costs, and potential solutions to the drug, alcohol, and suicide crisis in the U.S. Features updated data on opioid deaths in 2015-2016, as well as projected rates of drug, alcohol, and suicide deaths for 2025.
Additional links: Full Report
Author(s): Laura M. Segal, Anne De Biasi, Jennifer L. Mueller, Consultant Kendra May, Molly Warren
Date: 02/2018
Type: Document
Sponsoring organization: Trust for America's Health
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Rural Suicide: One California County's Fight to Save Lives
Series of articles exploring the causes for high rates of suicide in rural areas of Northern California, including Amador, Calaveras, and Mariposa counties. Topics include shortages of mental health professionals and the higher risk of suicide among veterans and Native Americans.
Author(s): Sammy Caiola
Date: 2018
Type: Website
Sponsoring organization: Capital Public Radio
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Suicide Clusters Within American Indian and Alaska Native Communities: A Review of the Literature and Recommendations
Analyzes suicide clusters within American Indian and Alaska Native (AI/AN) populations to develop recommendations to prevent and address suicide clusters within AI/AN communities. Discusses risk, developmental, and protective factors influencing likelihood that individuals will consider, attempt, or complete suicide.
Date: 12/2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Research Recap: Rural Behavioral Health
Summarizes key findings from the Rural Health Research Centers' most recent rural behavioral health projects. Discusses mental illness prevalence in rural areas, adverse childhood experiences (ACEs) among rural children, access to behavioral health services in rural communities, and rural behavioral health interventions. Provides links to each of the referenced source documents.
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Health Professional Shortage Areas: Mental Health
Printable map that shows nonmetropolitan and micropolitan mental health HPSAs on one color scale and metropolitan mental health HPSAs on another. Data source: data.HRSA.gov
Date: 11/2017
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Mental Health Best Practices with Kari Oyen
Kari Oyen, professor of School Psychology at the University of South Dakota, discusses mental health issues including suicidal behavior in rural America, the role played by school psychologists, and prevention services based on risk factors including single-parent homes, poverty, and poor attendance at school.
Date: 10/2017
Type: Audio
Sponsoring organizations: Center for Rural Affairs, National Rural Education Association
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Suicide Trends Among and Within Urbanization Levels by Sex, Race/Ethnicity, Age Group, and Mechanism of Death — United States, 2001–2015
Reports on county-level trends in suicide rates during 2001–2015 for large metropolitan, medium/small metropolitan, and nonmetro counties. Includes data by gender, race/ethnicity, and age group. Also covers the mechanism of death, with data on firearms, hanging/suffocation, drug poisoning, non-drug poisoning, and other causes.
Author(s): Asha Z. Ivey-Stephenson, Alex E. Crosby, Shane P. D. Jack, Tadesse Haileyesus, Marcie-jo Kresnow-Sedacca
Citation: MMWR Surveillance Summaries, 66(18), 1-16
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Toolkit for Legislative Reform: Improving Criminal Justice Responses to Mental Illness in Rural States
Toolkit details methods to improve access to mental health treatment in rural communities through the criminal justice system. Presents options for state policy reform, using South Dakota's mental illness intervention law as a case study.
Author(s): Barbara A. Pierce
Date: 09/2017
Type: Document
Sponsoring organization: Crime and Justice Institute
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Behavioral Health Workforce Supply
Webinar recording presents a discussion on the supply and distribution of behavioral health professionals across the U.S. Breaks down data by U.S. Census regions.
Additional links: Webinar Slides, Webinar Transcript
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Use of the Emergency Department for Mental Health and Substance Abuse among Women
Fact sheet identifying trends among rural and urban women who utilize the emergency department (ED) for treatment of substance abuse (SA) and/or mental health (MH) issues. Research seeks to help communities understand who is using the ED for MH and SA so they can provide more effective, less costly care.
Author(s): Shawnda Schroeder, Mandi-Leigh Peterson, Jordan Jaeger
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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The Supply and Distribution of the Behavioral Health Workforce in America: A State-Level Analysis
State-level analysis of the supply and distribution of the behavioral health workforce. Provides individual data briefs for each state and includes information on the following health professionals: psychiatrists, psychologists, social workers, psychiatric nurse practitioners, and counselors. Findings are shown in actual numbers, as a ratio of providers per 100,000 population, and by metro/non-metro status. Builds on the work and research of an earlier companion brief.
Author(s): C. Holly A. Andrilla, Lisa A. Garberson, Davis G. Patterson, Eric H. Larson
Date: 07/2017
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Addressing Mental Health Needs: Perspectives of African Americans Living in the Rural South
Examines mental health, mental health treatment, and barriers to treatment for rural South African American residents to develop culturally competent treatment approaches. Includes characteristics data for age group, race/ethnicity, education, marital status, employment, and gender.
Author(s): Tiffany F. Haynes, Ann M. Cheney, J. Greer Sullivan, et al.
Citation: Psychiatric Services, 68(6), 573-578
Date: 06/2017
Type: Document
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Innovating Mental Healthcare in Texas and Beyond: Q&A with Dr. Octavio Martinez
An interview with Dr. Octavio Martinez, the executive director of the Hogg Foundation for Mental Health. Discusses the mission of the foundation and how it is addressing mental health in Texas, as well as some of the challenges of providing mental healthcare in Texas and throughout the U.S.
Author(s): Beth Blevins
Citation: Rural Monitor
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Online Screening Helps Michigan Men Gauge Mental Health
Features the Healthy Men Michigan campaign, which uses an anonymous online survey to evaluate the risk of depression and suicide among men in the state. Focuses on working-age Michigan men and on reaching those in male-dominated industries, using mental health messaging targeted to this audience.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Mental and Behavioral Health of Rural Children - Insights from the CDC MMWR Rural Health Series
Webinar recording details a CDC report on children with mental, behavioral, and developmental disorders (MBDD) and the differences in healthcare, family and community support available to them in both rural and urban areas. Highlights the Ben Archer Health Center that services a rural area along the U.S. border in New Mexico and discusses some of the strategies for overcoming challenges, such as language and access barriers for children with MBDD, and how those strategies can be applied to other rural areas.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Date: 05/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Access to Mental Health Services for Children in Rural Areas
Policy brief identifying strategies to help rural children with mental, behavioral, or development disorders (MBDDs) access behavioral health services. Discusses the potential of telehealth, integration of behavioral health and primary care, and school-based health centers to address this need.
Date: 05/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Trends in Suicide by Level of Urbanization — United States, 1999–2015
Reports on suicide rates from 1999–2015, with data for metropolitan, micropolitan, and non-core (rural) areas. Discusses possible causes for geographic disparities in suicide rates, including limited access to mental health care, social isolation, and the opioid overdose epidemic. Also discusses the widening gap beginning in 2007-2008, which may relate to the impact of the recession on rural areas.
Author(s): Scott R. Kegler, Deborah M. Stone, Kristin M. Holland
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(10), 270-273
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Differences in Health Care, Family, and Community Factors Associated with Mental, Behavioral, and Developmental Disorders Among Children Aged 2–8 Years in Rural and Urban Areas — United States, 2011–2012
Provides rural and urban data on a variety of health-related factors for children 2-8 years of age with and without mental, behavioral, and developmental disorders. Topics addressed include demographics, health insurance coverage, having a medical home, parental mental health, family financial difficulties, and community factors.
Author(s): Lara R. Robinson, Joseph R. Holbrook, Rebecca H. Bitsko, et al.
Citation: MMWR Surveillance Summaries, 66(8), 1-11
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vermont Care Network Advocates for Behavioral Health and Developmental Disability Agencies
Highlights the work of the Vermont Care Network, which supports 16 non-profit agencies that provide behavioral health and developmental disability services in the state. Discusses cross-sector collaboration and integration of mental health, substance use, and developmental disability services with primary care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Suicide Prevention Toolkit for Primary Care Practices
Provides tools, information, and resources to implement suicide prevention practices in primary care settings, including those in rural areas.
Additional links: PDF Version
Author(s): Elizabeth Tupa, April Hendrickson, Ken Cole, Hannah Koch
Date: 2017
Type: Document
Sponsoring organizations: Suicide Prevention Resource Center, WICHE Mental Health Program
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Behavioral Health Barometer: United States, Volume 4
Provides a broad overview of behavior health in metropolitan and nonmetropolitan areas of the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Includes special focus on the misuse of prescription pain relievers, heroin use, and medication-assisted therapy (MAT) for opioid addiction. Data is from the 2015 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Suicide Prevention in Indian Country
A fact sheet describing suicide prevention in Indian Country, and how the 2012 National Strategy for Suicide Prevention can align with tribal communities.
Date: 12/2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Supply and Distribution of the Behavioral Health Workforce in Rural America
Discusses and compares the provider to population ratios of the behavioral health workforce in metropolitan and nonmetro (micropolitan and non-core) U.S. counties. A state-level analysis of the study is also available with information for all states.
Author(s): Eric H. Larson, Davis G. Patterson, Lisa A. Garberson, C. Holly A. Andrilla
Date: 09/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Age at First Birth and Psychiatric Disorders in Low-Income Pregnant Women
Details a study on the correlation between women's age at the time of first giving birth and the prevalence of psychiatric disorders. Features data from low-income pregnant women from 5 rural counties in Missouri. Looks at the subjects' age, diagnoses, and income, among other factors.
Author(s): Maya Tabet, Louise H. Flick, Cynthia A.L. Cook, et al.
Citation: Journal of Women's Health, 25(8), 810-817
Date: 08/2016
Type: Document
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Suicide Rates by Occupational Group - 17 States, 2012
Provides a detailed report on the incidence of suicide in 2012 in the U.S. by occupation using the national Standard Occupational Classification (SOC) system. Identifies farming, fishing, and forestry as the occupation group having the highest rates of suicide (84.5 suicides per 100,000 persons), and among males farming, fishing, and forestry also accounted for the highest rates of suicide (90.5 per 100,000).
Additional links: Notice to Readers: Ongoing Analysis of Suicide Rates Data by Occupational Group from Results Reported in MMWR, June 29, 2018
Author(s): Wendy LiKamWa McIntosh, Erica Spies, Deborah M. Stone, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(25), 641-645
Date: 07/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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I Got You: Healthy Life Choices for Teens (IGU)
Video featuring I Got You: Healthy Life Choices for Teens (IGU), an outreach program working to improve the mental health of students in Mississippi. Features program leaders and participating students sharing stories of how IGU is making a difference.
Date: 06/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Surveillance Success Stories: The Fort Peck Indian Reservation
Describes a partnership between the National Native Children’s Trauma Center (NNCTC) and the Fort Peck Indian Reservation that examines and compares data from healthcare providers and emergency services within the reservation and in surrounding Roosevelt County. The objective was to establish a baseline of understanding of suicidal behavior on the reservation in order to effectively apply their suicide prevention resources, and monitor individual cases to determine if their methods were successful.
Author(s): Richard A. van den Pol
Date: 06/2016
Type: Document
Sponsoring organization: Suicide Prevention Resource Center
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Adverse Childhood Experiences in Rural and Urban Contexts
Reports on a study analyzing the rural prevalence of individual adverse childhood experiences (ACEs), the level of exposure to ACEs in rural regions, and the rural-urban differences of exposure to ACEs by adults using data from the Behavioral Risk Factor Surveillance System (BRFSS).
Author(s): Jean A. Talbot, Donald Szlosek, Erika C. Ziller,
Date: 04/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Recruitment and Retention of Mental Health Care Providers in Rural Nebraska: Perceptions of Providers and Administrators
Results from focus groups held in 4 rural mental health regions of Nebraska during 2012 and 2013 to identify possible solutions to the mental health provider shortage in rural and frontier areas.
Author(s): Shinobu Watanabe-Galloway, Lynda Madison, Katherine Watkins, Anh Nguyen, Li-Wu Chen
Citation: Rural and Remote Health, 15, 3392
Date: 11/2015
Type: Document
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Statement of James Macrae, Health Resources and Services Administration, on Rural Health before the U.S. Senate Health, Education, Labor and Pensions Committee
Testimony of the HRSA Acting Administrator at an October 29th, 2015, U.S. Senate HELP Committee hearing, Mental Health and Substance Use Disorders in America: Priorities, Challenges, and Opportunities. Identifies HRSA activities that address mental health and substance abuse issues, highlighting efforts focused on rural areas. A full video of the hearing is available, with Macrae's testimony beginning at 38:30.
Author(s): James Macrae
Date: 10/2015
Type: Document
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Results from the 2014 National Survey on Drug Use and Health: Mental Health Detailed Tables
Provides data on mental health conditions, co-occurring substance use disorders, use of mental health services, and unmet needs. Rural-specific information is available in the detailed tables that list "geographic characteristics."
Date: 09/2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Not Near Enough: Racial and Ethnic Disparities in Access to Nearby Behavioral Health Care and Primary Care
Analyzes the association of integrated behavioral health and primary care services with communities in rural areas and communities with higher percentages of African Americans and Hispanics for a better understanding of the disparities in access to integrated care.
Author(s): Lynn M. VanderWielen, Emma C. Gilchrist, Molly A. Nowels, et al.
Citation: Journal of Health Care for the Poor and Underserved, 26(3) 1032–1047
Date: 08/2015
Type: Document
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Advancing Suicide Prevention Research with Rural American Indian and Alaska Native Populations
Summarizes the conclusions from a meeting of a multidisciplinary group of American Indian or Alaska Native (AI/AN) suicide research experts to discuss the persistent issues related to suicide disproportionately affecting Indigenous communities. Identifies challenges hindering improvement in Indigenous suicide research and provides recommendations to support and strengthen Indigenous suicide research.
Author(s): Lisa Wexler, Michael Chandler, Joseph P. Gone, et al.
Citation: American Journal of Public Health, 105(5), 891-899
Date: 05/2015
Type: Document
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Widening Rural-Urban Disparities in Youth Suicides, United States, 1996-2010
Analyzes the trends in suicide rates from January 1, 1996 through December 31, 2010 in rural and urban areas for deceased individuals aged 10 to 24 years using county-level national mortality data for all counties in the United States. Includes differences by sex.
Author(s): Cynthia A. Fontanella, Danielle L. Hiance-Steelesmith, Gary S. Phillips, et al.
Citation: JAMA Pediatrics, 169(5), 466–473
Date: 05/2015
Type: Document
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QuickStats: Age-Adjusted Rates for Suicide, by Urbanization of County of Residence - United States, 2004 and 2013
Chart comparing suicide rates in non-metropolitan and metropolitan counties, with data for 2004 and 2013. Shows higher suicide rates for less urbanized counties.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(14), 401
Date: 04/2015
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations from Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Date: 03/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Human Services Program Evaluation: How to Improve Your Accountability and Program Effectiveness
Manual describing how to develop an evaluation program focused on process and outcome measures for human service programs. Includes a section on rural mental health and rural homelessness.
Author(s): Thomas Barrett, James Sorensen
Date: 03/2015
Type: Document
Sponsoring organization: WICHE Mental Health Program
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Evaluation and Disposition of Medicaid-Insured Children and Adolescents with Suicide Attempts
Evaluates the sociodemographic characteristics linked with differences in the evaluation of youth ages 7–18 enrolled in Medicaid with suicidal behavior in rural, urban and suburban areas of Tennessee.
Author(s): Candice L. Williams, William O. Cooper, Leanne S. Balmer, et al.
Citation: Academic Pediatrics, 15(1), 38-40
Date: 02/2015
Type: Document
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Type: Document
Sponsoring organization: National Rural Health Association
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Fact Sheet: Implementation of Coordinated Specialty Services for First Episode Psychosis in Rural and Frontier Communities
Details a six-step guide to implementing, facilitating, and sustaining evidence-based coordinated specialty care (CSC) services to treat first-episode psychosis (FEP) in rural and frontier communities. Presents the integration of telehealth as a crucial coordination and information sharing tool in CSC FEP delivery in rural areas.
Author(s): A.S. Crisanti, D. Altschul, L. Smart, C. Bonham
Date: 2015
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Special Considerations for Mental Health Services in Rural Schools
Discusses the challenges experienced by rural and frontier schools regarding the development, implementation, and the expansion of behavioral health services for students and their families.
Author(s): Susan Wilger
Date: 2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Behavioral Health and Service Use Among Civilian Wives of Service Members and Veterans: Evidence from the National Survey of Drug Use and Health
Analyzes rural-urban differences in behavioral health and service use among civilian wives of military veterans and service members.
Author(s): Joshua Breslau, Ryan Andrew Brown
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
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Behavioral Health Equity Barometer: United States, 2014
Reports on differences in prevalence of behavioral health disorders, perceptions of risk, and access to treatment for different populations. Includes information for metropolitan and nonmetropolitan residents, as well as by race/ethnicity, income level, and health insurance status.
Date: 2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Prevalence and Correlates of Lifetime Psychiatric Disorders and Trauma Exposures in Urban and Rural Settings: Results from the National Comorbidity Survey Replication (NCS-R)
Results of a study of national statistics to compare the correspondence of exposure to trauma and psychiatric disorders, with a particular focus on rural communities. Includes statistics and data broken down by race, age, diagnosis, types of trauma, and rural or urban location.
Author(s): Jennifer S. McCall-Hosenfeld, Sucharita Mukherjee, Erik B. Lehman
Citation: PLOS ONE, 9(11)
Date: 11/2014
Type: Document
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Rural Parents' Perceived Stigma of Seeking Mental Health Services for Their Children: Development and Evaluation of a New Instrument
Discusses the effectiveness of a research tool to measure perceptions of stigma by parents living in rural Appalachia regarding the provision of mental health services for children with psychosocial issues.
Author(s): Stacey L. Williams, Jodi Polaha
Citation: Psychological Assessment, 26(3), 763-773
Date: 09/2014
Type: Document
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A Comparison of Mental Health, Substance Use, and Sexual Risk Behaviors Between Rural and Non-Rural Transgender Persons
Evaluates the mental health, substance use, and sexual risk behaviors of transgender persons in both rural and non-rural areas to determine the need for mental and physical health services.
Author(s): Keith J. Horvath, Alex Iantaffi, Rebecca Swinburne-Romine, Walter Bockting
Citation: Journal of Homosexuality, 61(8), 1117-1130
Date: 06/2014
Type: Document
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Suicide Among Young Alaska Native Men: Community Risk Factors and Alcohol Control
Results of a study examining the variation in suicide rates among rural Alaskan Native men.
Author(s): Matthew Berman
Citation: American Journal of Public Health, 104(Suppl 3), S329-S335
Date: 06/2014
Type: Document
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Implications of Rurality and Psychiatric Status for Diabetic Care Use among Adults with Diabetes
Examines patterns of diabetic preventive care use among adults with diabetes to determine whether these patterns varied according to respondents’ rural/urban residence or psychiatric status (i.e. the presence/absence of a mental health diagnosis).
Author(s): Jean A. Talbot, Erika C. Ziller, Jennifer Lenardson, David Hartley
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Primary Care, Behavioral Health, Provider Colocation, and Rurality
Results of a study regarding the colocation of behavioral health and primary care service delivery as related to rural. Study showed that 40.2% of primary care physicians in urban areas are colocated with behavioral health providers compared with 22.8% in isolated rural areas and 26.5% in frontier areas. Challenges include payment policies separating physical and behavioral health care, workforce distribution, and supply deficiencies, particularly in rural areas.
Author(s): Benjamin F. Miller, Stephen Petterson, Shandra M. Brown Levey, et al.
Citation: Journal of the American Board of Family Medicine, 27(3), 367-374
Date: 05/2014
Type: Document
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Reducing Rural Suicide
Describes the efforts of psychologists searching for innovative ways to reach out to people in isolated communities, with specific focus on Native American and veteran populations, to address stigma, access to care, and create a preventive environment.
Author(s): Rebecca A. Clay
Citation: APA Monitor on Psychology, 45(4), 36
Date: 04/2014
Type: Document
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Strategies for Behavioral Health Organizations to Promote New Health Insurance Opportunities: In American Indian and Alaska Native Communities
Provides examples of successful outreach and enrollment strategies for organizations to use when introducing health insurance options to American Indian and Alaska Native communities.
Date: 03/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Citation: Telemedicine and e-Health, 2D(1), 83-85
Date: 01/2014
Type: Document
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Feasibility and Preliminary Outcomes From a Pilot Study of an Integrated Health-Mental Health Promotion Program in School Mental Health Services
Results of a study of adolescents and their parents who received mental health services in a school-based setting for emotional and behavioral problems. The participants lived in a rural and underserved southern region of the U.S. where low income, high poverty are prevalent and where few mental health services are available.
Author(s): Melissa W. George, Nevelyn N. Trumpeter, Dawn K. Wilson, et al.
Citation: Family & Community Health, 37(1), 19-30
Date: 01/2014
Type: Document
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A Rural African American Faith Community's Solutions to Depression Disparities
Discusses how a rural African American community of faith in the Arkansas Delta could deal with depression within their community as well as in their congregation.
Author(s): Keneshia Bryant, Tiffany Haynes, Karen Hye-cheon Kim Yeary, Nancy Greer-Williams, Mary Hartwig
Citation: Public Health Nursing, 31(3), 262-271
Date: 2014
Type: Document
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Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in 53 telemental rural health programs. Also outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John Gale, Anush Y. Hansen, Zach Croll, David Hartley
Date: 12/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
Type: Document
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Traditional Living and Cultural Ways as Protective Factors Against Suicide: Perceptions of Alaska Native University Students
Examines the experiences of traditional Alaska Native ways. Covers subsistence activities that may prevent suicide and strengthen indigenous populations.
Author(s): Christopher R. DeCou, Monica C. Skewes, Ellen D. S. López
Citation: International Journal of Circumpolar Health, 72(1)
Date: 08/2013
Type: Document
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A Needs-Based Method for Estimating the Behavioral Health Staff Needs of Community Health Centers
Analyzes data, from the 2010 Uniform Data System and 2010 National Survey on Drug Use and Health, to estimate the number of full time behavioral health providers are needed to serve the health centers’ growing patient population in rural and urban areas.
Author(s): Bridget Teevan Burke, Benjamin F. Miller, Michelle Proser, et al.
Citation: BMC Health Services Research, 13, 245
Date: 07/2013
Type: Document
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Mental Health Services in Rural Long-Term Care: Challenges and Opportunities for Improvement
This research and policy brief examines promising practices for enhancing mental health services to the elderly living in rural long-term care facilities or in their own homes.
Author(s): Jean A. Talbot, Andrew F. Coburn
Date: 06/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care
Explores practices for increasing the quality, quantity, and accessibility of mental health services in rural long-term care.
Author(s): Jean A. Talbot, Andrew F. Coburn
Date: 06/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Patterns of Care for Rural and Urban Children with Mental Health Problems
Examines the prevalence of mental health diagnoses in rural and urban children, as well as variation in treatment rates and psychotropic medication prescriptions. Addresses the effect of insurance type and income on mental health service use.
Additional links: Policy Brief: Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment
Author(s): Nathaniel J. Anderson, Samantha J. Neuwirth, Jennifer D. Lenardson, David Hartley
Date: 06/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Evaluating the Promise of Health IT to Enhance/Expand the Reach of Mental Health Services
Discusses methods for improving access to mental health services and reducing barriers limiting the expansion of mental healthcare services in rural America.
Author(s): Greg Clarke, Bobbi Jo Yarborough
Citation: General Hospital Psychiatry, 35(4), 339-344
Date: 05/2013
Type: Document
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Farmworkers and Mental Health
Provides an overview of farmworker mental health. Includes information on symptoms, treatment options, mental health risk factors, and recommendations for providers.
Date: 05/2013
Type: Document
Sponsoring organization: National Center for Farmworker Health
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Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing patient outcomes between a practice-based and telemedicine based collaborative primary care models to address depression in rural Federally Qualified Health Centers (FQHCs). Includes data on both collaborative care models by patient characteristics, for example age, race/ethnicity, income, insurance, marital status, and more.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Citation: American Journal of Psychiatry, 170(4), 414-425
Date: 04/2013
Type: Document
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Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration’s (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Date: 02/2013
Type: Document
Sponsoring organization: Health Resources and Services Administration
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A Population-Based Cross-Sectional Study of Health Service Deficits among U.S. Adults with Depressive Symptoms
Examines the prevalence of health service deficits in rural versus non-rural adults with depressive symptoms. Looks at factors contributing to health service deficits include: no health insurance, no health provider, deferred medical care due to cost and no routine medical exam in the past year. Table 4 lists demographics of adults with current depressive symptoms by rural versus urban.
Author(s): Krista L. Huot, May Nawal Lutfiyya, Michael F. Akers, et al.
Citation: BMC Health Services Research, 13, 160
Date: 2013
Type: Document
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Causes, Consequences, and Prevention of Burnout Among Substance Abuse Treatment Counselors: A Rural Versus Urban Comparison
Analyzes data from 28 rural and urban substance abuse treatment centers collected through focus group interviews with counselors identify three themes related to substance abuse counselor burnout: causes, consequences, and prevention. Examines underlying differences in reasons for burnout between rural and urban substance abuse treatment counselors.
Author(s): Carrie B. Oser, Elizabeth P. Biebel, Erin Pullen, Kathi L. H. Harp
Citation: Journal of Psychoactive Drugs, 45(1), 17-27
Date: 2013
Type: Document
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summarizes innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Date: 2013
Type: Document
Sponsoring organization: National Rural Health Association
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Medicaid Handbook: Interface with Behavioral Health Services
Provides a basic understanding of the Medicaid program, specifically emphasizing the interplay between Medicaid principles and the provision of behavioral health services in both rural and urban settings.
Date: 2013
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Partners in Health: Mental Health, Primary Care and Substance Use Interagency Collaboration Tool Kit
Designed to assist primary care clinics and behavioral health agencies, including Federally Qualified Health Centers and Rural Health Clinics, to build collaborative relationships. Provides job descriptions, sample agreements and contracts, screening instruments and evaluation measures, operational forms, strategies and prototypes for integrating mental and physical services, practical advice, issues to consider when brokering agreements, and mutual role descriptions.
Date: 2013
Type: Document
Sponsoring organization: Integrated Behavioral Health Project
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Continuing Education Training Focused on the Development of Behavioral Telehealth Competencies in Behavioral Healthcare Providers
Examines the impact of a Behavioral Telehealth Ethical Competencies Training Program on 16 behavioral health providers' developing a behavioral telehealth competency education training program. Fourteen behavioral telehealth competencies were developed that require an understanding of the roles and responsibilities of a behavioral telehealth coordinator working at a distal site and of a therapist. Behavioral telehealth competency training was provided to 21 providers, six of those were from rural areas in Alaska and evaluated using video vignettes and self-reported competence surveys.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Citation: Rural and Remote Health, 12, 2108
Date: 12/2012
Type: Document
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Rural Older Adults’ Mental Health: Status and Challenges in Care Delivery
Examines the mental health service needs of, and use by, independently living rural older adults, with a focus on depression.
Author(s): Emilee Bocker, Michael Glasser, Kimberly Nielsen, Vicki Weidenbacher-Hoper
Citation: Rural and Remote Health, 12, 2199
Date: 11/2012
Type: Document
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Rural Mental Health Workforce Needs Assessment: A National Survey
Examines the shortages of mental health professionals in rural communities and the impact of inadequate mental health services access on rural hospitals.
Author(s): Daniel Thomas, Martin MacDowell, Michael Glasser
Citation: Rural and Remote Health, 12, 2176
Date: 10/2012
Type: Document
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Behavioral Health Aides: A Promising Practice for Frontier Communities
Provides information on seven emerging behavioral health aide (BHA) models: care coordinators and case managers; support workers; mental health first aid certified laypeople; peer counselors and peer specialists; promotoras with supplemental behavioral health training; Alaska’s BHA model; and behavioral health practitioners.
Author(s): Saskia van Hecke
Date: 08/2012
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Lost in the Rush to National Reform: Recommendations to Improve Impact on Behavioral Health Providers in Rural Areas
Highlights the challenges faced by behavioral health agencies, providers, and clients in rural New Mexico via a piloted version of the health home and presents recommendations to improve access to and quality of services.
Author(s): Rafael Semansky, Cathleen Willging, David Ley, Barbara Rylko-Bauer
Citation: Journal of Health Care for the Poor and Underserved, 23(2), 842-856
Date: 05/2012
Type: Document
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Suicide Among Patients in the Veterans Affairs Health System: Rural-Urban Differences in Rates, Risks, and Methods
Examines rural and urban differences in suicide rates, risks, and methods in veterans. Provides veteran characteristic data by gender, age, psychiatric condition, risk days, distance to Veterans Affairs mental healthcare, and more.
Author(s): John F. McCarthy, Frederic C. Blow, Rosalinda V. Ignacio, et al.
Citation: American Journal of Public Health, 102(Suppl 1), S111–S117
Date: 03/2012
Type: Document
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Humboldt County, California: A Promising Model for Rural Human Services Integration for Transformation
Summarizes an assessment of Humboldt County, California's integrated health and human services delivery model. Analyzes operational structure and model elements that resulted in demonstrated effectiveness in serving a rural community.
Author(s): Mario Gutierrez, Kathleen Belanger, Jane Forrest Redfern, Larry Goolsby, Jocelyn Richgels
Date: 02/2012
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Human Services Panel
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Partnership for Implementation of Evidence-Based Mental Health Practices in Rural Federally Qualified Health Centers: Theory and Methods
Discusses the findings of a study to develop an effective implementation strategy between an academic health center and a rural community health center to facilitate the modification and adoption of an evidence-based mental health program to be used by primary care providers in rural community health centers located in Arkansas.
Author(s): Justin B. Hunt, Geoffrey Curran, Teresa Kramer, et al.
Citation: Progress in Community Health Partnerships: Research, Education, and Action, 6(3), 389-398
Date: 2012
Type: Document
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Preventing Suicide: A Toolkit for High Schools
Provides tools and resources for high schools, school districts, and their partners to design and implement strategies to prevent suicide. Promote behavioral and mental health among students with a special focus on American Indian students and other minority student populations in rural and urban areas.
Date: 2012
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Depression Literacy: Rates and Relation to Perceived Need and Mental Health Service Utilization in a Rural American Sample
Reports on a study that evaluated the depression literacy of a rural American sample, and examined the relationship of depression literacy with perceived need for and utilization of different types of services for those with emotional problems.
Author(s): Tisha Deen, Ana Bridges
Citation: Rural and Remote Health, 11, 1803
Date: 11/2011
Type: Document
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Assessment of Awareness of Connectedness as a Culturally-Based Protective Factor for Alaska Native Youth
Describes development of the Awareness of Connectedness Scale, a quantitative scale tested with 284 Alaska Native youth to assess risk, resiliency, and change, based on cultural concepts of disorder, wellness, and healing.
Author(s): Nathaniel V. Mohatt, Carlotta C. Ting Fok, Rebekah Burket, David Henry, James Allen
Citation: Cultural Diversity and Ethnic Minority Psychology, 17(4), 444–455
Date: 10/2011
Type: Document
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Rural Mental Health Research White Paper for National Institute of Mental Health
Discusses the methods and focuses of rural mental health research, issues in rural mental health, and future areas for research addressing the needs and disparities in rural mental health.
Author(s): Jacqueline S. Gray
Date: 09/2011
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, plus suggestions and tips for setting up, operating, and maintaining telemental health (TMH) clinics for rural Native veterans.
Date: 08/2011
Type: Document
Sponsoring organization: Veterans Rural Health Resource Centers
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Rural Behavioral Health Programs and Promising Practices
Examines rural behavioral health programs that were involved in a 2008 study. Reports information gathered from the study, the value of collecting and using the data to make program improvements, and finding funding for sustainability.
Date: 06/2011
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Adolescent Suicide Prevention Program Manual: A Public Health Model For Native American Communities
Describes a community-based suicide prevention program in a rural Native American community.
Author(s): Patricia Serna
Date: 04/2011
Type: Document
Sponsoring organization: Suicide Prevention Resource Center
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Altitude, Gun Ownership, Rural Areas, and Suicide
Analyzes the relationship between the mean county and state altitude with total age-adjusted firearm and non-firearm suicide rates, gun ownership, and population densities within the western part of the United States.
Author(s): Namkug Kim, Jennie B. Mickelson, Barry E. Brenner, et al.
Citation: American Journal of Psychiatry, 168(1), 49-54
Date: 01/2011
Type: Document
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Town-level Comparisons May be an Effective Alternative in Comparing Rural and Urban Differences: A Look at Accidental Traumatic Brain Injuries in North Texas Children
Summarizes the results of examined data on North Texas pediatric traumatic brain injury among four levels of rurality: urban city, large town, small town, and isolated town.
Author(s): Brian Robertson, Charles McConnell
Citation: Rural and Remote Health, 11, 1521
Date: 01/2011
Type: Document
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PTSD Treatment-Seeking Among Rural Latino Combat Veterans: A Review of the Literature
Contains a review of literature regarding post-traumatic stress disorder treatment available to rural Latino combat veterans and the challenges associated with accessing these treatment options.
Author(s): Michael R. Duke, Roland S. Moore, Genevieve M. Ames
Citation: Journal of Rural Social Sciences, 26(3), 157-180
Date: 2011
Type: Document
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Access to Mental Health Services and Family Impact of Rural Children with Mental Health Problems
Provides information on the prevalence of children's mental health needs and associated access to care, and family impact across rural and urban areas.
Additional links: Policy Brief: Mental Health Problems Have Considerable Impact on Rural Children and their Families
Author(s): Jennifer D. Lenardson, Erika C. Ziller, David Lambert, Melanie M. Race, Anush Yousefian
Date: 10/2010
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Mental Health Care Services in Primary Care: Tackling the Issues in the Context of Health Care Reform
Explores various issues in mental healthcare and suggestions for reform, highlighting those that are facilitated by the provisions of the Patient Protection and Affordable Care Act (ACA). Focuses on the role of primary care in the delivery of mental healthcare services including services in rural areas and how this can be improved.
Author(s): Lesley Russell
Date: 10/2010
Type: Document
Sponsoring organization: Center for American Progress
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Assessment of the Mental Health Funding Marketplace in Rural vs. Urban Settings
Reports on the source of payment for mental health treatment for urban and rural residents. Source of payment is identified as private insurance, public insurance, or self-pay. Seeks to understand rural payer mix and inform future policies and finance-based interventions with the hope of reducing rural/urban mental healthcare disparities.
Additional links: Findings Brief: Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings for Individuals with Serious Mental Illness, Summary Report: Assessment of the Mental Health Funding Marketplace in Urban vs. Rural Settings
Author(s): Jeffrey S. Harman, Fran Dong, Stan Xu, Nathan Ewigman, John C. Fortney
Date: 02/2010
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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Mental Health Services Are a Critical Rural Need
Reports high rates of depression, suicide, and addiction among rural people, and notes barriers to treatment including lack of anonymity, shortage of detoxification centers, transportation-related problems, and cultural reluctance to seek help with emotional and behavioral stresses. Notes that telemedicine has enabled psychiatrists to treat distance patients effectively, yet initiatives such as this have received little support.
Author(s): Patrick T. Reardon
Citation: Health Progress, 91(5)
Date: 2010
Type: Document
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Addressing Suicide Potential and Prevention in Rural and Frontier Areas: Suicide Prevention Toolkit for Rural Primary Care Providers
Provides an overview of suicide in rural areas and discusses the role of primary care providers in suicide prevention. Focuses on identifying high risk rural counties and equipping rural primary providers to care for suicidal patients.
Author(s): Mimi McFaul, Jim Ciarlo, Jean Demmler, Christa Smith, Tamara DeHay
Date: 08/2009
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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Rural Mental Health: Challenges and Opportunities Caring for the Country
Presentation slides providing an overview of the mental health crisis in rural America and offer suggestions to address the crisis. Includes brief examples of programs that have shown to be successful.
Author(s): Dennis F. Mohatt
Date: 01/2003
Type: Document
Sponsoring organization: WICHE Center for Rural Mental Health Research
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Scopes of Practice for Behavioral Health Professionals
Tool for finding state-by-state characteristics of the behavioral health professional workforce, including credentialing requirements and services they are allowed to perform.
Type: Tool
Sponsoring organization: Behavioral Health Workforce Research Center
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Health Professional Shortage Areas (HPSA) - Mental Health
A map of the U.S. displaying Health Professional Shortage Areas (HPSA) and HPSA scores for mental health by county, updated daily.
Type: Map/Mapping System
Sponsoring organization: Health Resources and Services Administration
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Health Equity Change Makers: Elk's Story
A video describing the Northern Arapaho Horse Culture class, a suicide and substance abuse prevention program that uses Native American culture and horsemanship to encourage youth to work through challenges and build resiliency. The program is part of the Northern Arapaho Suicide Prevention Program on the Wind River Reservation in Wyoming funded by the Indian Health Service. Length: 2:25
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Health and Human Services Office of Minority Health
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IHS Suicide Prevention Program
Provides information and resources to support suicide prevention programs in American Indian and Alaska Native (AI/AN) communities. Also provides the resources to help AI/AN communities and individuals recover from the grief caused by suicide.
Type: Website
Sponsoring organization: Indian Health Service
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Child Health USA 2014
A collection of data on the physical, mental, and emotional health of the Nation’s children. Addresses poverty, education, child care, and health service utilization and financing. Includes selected data by rural and urban residence.
Type: Website
Sponsoring organization: Maternal and Child Health Bureau
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SAMHSA’s Tribal Training and Technical Assistance Center
Provides culturally relevant and evidence-based training and technical assistance on mental health and substance use disorders, and suicide prevention to federally recognized tribes, other American Indian/Alaska Native (AI/AN) communities, SAMHSA tribal grantees and other organizations that serve Indian Country.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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National Survey on Drug Use and Health (NSDUH)
Provides access to results for this annual survey focused on substance abuse and mental health issues. Includes information on prevalence and services. Rural-specific data is available in detailed tables that list "geographic characteristics." Data is also made available by state and for regions within states.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Journal of Rural Mental Health
Peer-reviewed publication including articles on rural mental health research, practice, and policy. Official journal of the National Association for Rural Mental Health. Subscription required.
Type: Journal/Newsletter
Sponsoring organization: National Association for Rural Mental Health
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Suicide Prevention Online Training
Provides a listing of free online courses for training healthcare and other service providers, educators, health professionals, public officials, and community-based coalitions to develop effective suicide prevention programs and policies.
Type: Tutorial/Training
Sponsoring organization: Suicide Prevention Resource Center
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PubMed Search: Rural Populations, Rural Health Services and Suicide
Searches PubMed's collection of journal article citations on the topic of suicide related to rural populations and rural health services.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Mental Health First Aid
Details a public education program to assist the public in identifying, understanding, and responding to signs of mental illnesses and substance use disorders. Provides a "Find a Course" link to access mental health first aid instructors who will train residents in rural areas.
Type: Website
Sponsoring organization: National Council for Behavioral Health
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VA Community Provider Toolkit
Delivers support, therapeutic tools, and resources to community providers treating veterans for mental health concerns.
Type: Website
Sponsoring organization: U.S. Department of Veterans Affairs
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PubMed Search: Mental Health and Rural Populations
Searches PubMed's collection of journal article citations on the topic of mental health and rural populations.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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American Indian and Alaska Native Mental Health Research
A professionally refereed scientific journal. Contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which relate to the mental health status of American Indians and Alaska Natives.
Type: Journal/Newsletter
Sponsoring organization: Centers for American Indian and Alaska Native Health
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Suicide Prevention Resource Center: States
Provides information, resources, and suicide prevention plans. Includes contacts and lists events for each state on the topic of suicide prevention.
Type: Website
Sponsoring organization: Suicide Prevention Resource Center
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SAMHSA-HRSA Center for Integrated Health Solutions (CIHS)
Provides clinical practice tools and resources for integrating mental health, substance abuse, and primary care to better address the needs of individuals with behavioral health conditions. Includes resources to address integrated care in rural settings.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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American Indian/Alaska Native Suicide Prevention
Provides resources and information for professionals and other individuals working with American Indian and Alaska Native populations to support suicide prevention and promote mental health. Includes information on a culturally relevant approach to suicide prevention.
Type: Website
Sponsoring organization: Suicide Prevention Resource Center
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Tools for Transforming Rural Mental Health Programs into Promising And/Or Evidence-Based Practices
Webinar recording discusses a technical assistance guide for promising practices in rural mental health. Includes the strategies, methodologies, and resources needed to transform rural mental health program into evidenced based practices.
Type: Video/Multimedia
Sponsoring organization: Western Interstate Commission for Higher Education
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2-1-1 Information and Referral Service
Provides a free, confidential information and referral service for help with employment, food, housing, healthcare, addiction prevention programs, and counseling.
Type: Hotline
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APA: Rural Health
Provides a listing of publications, agencies, organizations, and other resources on the topic of rural behavioral health.
Type: Website
Sponsoring organization: American Psychological Association
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WISQARS (Web-based Injury Statistics Query and Reporting System)
An interactive database system that provides fatal and nonfatal injury, violent death, and cost of injury data from a variety of sources. Fatal injury data is available by metropolitan/nonmetro status in the Fatal Injury Reports section. Fatal Injury Mapping section provides access to county-level data.
Type: Database
Sponsoring organization: Centers for Disease Control and Prevention
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Behavioral Health Treatment Services Locator
Locate treatment facilities addressing substance abuse, addiction, and mental health problems by zip code or city and state.
Type: Directory
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 10/15/2018