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.
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
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.
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.
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