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Rural People with Disabilities – Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

Promising Examples

SASH® (Support and Services at Home)
Updated/reviewed December 2018
  • Need: In Vermont, the growing population of older adults, coupled with a lack of a decentralized, home-based system of care management, posed significant challenges for those who wanted to remain living independently at home.
  • Intervention: SASH® (Support and Services at Home), based in affordable-housing communities throughout the state, works with community partners to help older adults and people with disabilities receive the care they need so they can continue living safely at home.
  • Results: Compared to their non-SASH peers, SASH participants report better health outcomes, including fewer falls, lower rates of hospitalizations, fewer emergency room visits, and the completion of more advance directives – all of which has the potential of saving millions of dollars.

Other Project Examples

North Carolina Innovative Approaches Initiative
Updated/reviewed June 2019
  • Need: Children and youth with special healthcare needs (CYSHCN) face many barriers to coordinated, comprehensive, and culturally competent healthcare.
  • Intervention: The North Carolina Innovative Approaches (IA) initiative works with families of CYSHCN and other community leaders to make systems changes in the state's healthcare system.
  • Results: In ten years, IA has impacted 22 counties and has had a positive impact on increasing family engagement and community capacity for systems changes.
Disabled Adults Oral Health Initiative
Updated/reviewed April 2019
  • Need: To help rural Maryland adults with disabilities learn more about oral health and access care.
  • Intervention: Health Right community health workers gave educational presentations at agencies serving those with disabilities.
  • Results: From March 2014 to February 2016, educational presentations reached 1,084 adults with disabilities and 344 staff and caregivers, and 256 people received dental treatment.
Farm Assessment and Rehabilitation Methods (FARM) Program
Updated/reviewed June 2018
  • Need: To help farmers with disabilities continue farming while protecting their well-being.
  • Intervention: The FARM program helps disabled or ill farmers continue to operate and work their Wisconsin farms.
  • Results: Since 2009, the FARM Program has helped over 3,000 farmers continue to farm, resume farming, or find an alternative agricultural occupation.

Last Updated: 6/4/2019