Violence and Abuse in Rural America – Resources
Selected recent or important resources focusing on Violence and Abuse in Rural America.
Workplace Violence Prevention: Impacting Providers and Patients, with Kathy Griffis
An episode of the Exploring Rural Health podcast featuring Kathy Griffis, Chief Operating Officer of Titus Regional Medical Center in Mount Pleasant, Texas. Focuses on her facility's recent efforts to reduce violence and ensure safe healthcare environments for their staff and patients. Part 3 in a 3-part series from the December 2025 Health Innovation Potluck held in Hutchinson, Kansas.
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Kathy Griffis, Chief Operating Officer of Titus Regional Medical Center in Mount Pleasant, Texas. Focuses on her facility's recent efforts to reduce violence and ensure safe healthcare environments for their staff and patients. Part 3 in a 3-part series from the December 2025 Health Innovation Potluck held in Hutchinson, Kansas.
Date: 04/2026
Sponsoring organization: Rural Health Information Hub
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Rural-Urban Differences in the Prevalence and Correlates of Elder Mistreatment
Examines rural and urban differences among 11 indicators of mistreatment for older adults. Discusses the role of rural residency as a protective factor, underreporting elder mistreatment, and potential policy and community solutions that support prevention and response.
Author(s): Carrie Henning-Smith, Ingrid Jacobson, Dionne Bailey, et al.
Citation: Journal of Applied Gerontology, 2025
Date: 12/2025
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Examines rural and urban differences among 11 indicators of mistreatment for older adults. Discusses the role of rural residency as a protective factor, underreporting elder mistreatment, and potential policy and community solutions that support prevention and response.
Author(s): Carrie Henning-Smith, Ingrid Jacobson, Dionne Bailey, et al.
Citation: Journal of Applied Gerontology, 2025
Date: 12/2025
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Criminal Victimization, 2024
Presents 2024 data on violent and property victimization. Highlights types of crime, trends over time, victim and offender demographics, unreported crime, and rural, urban, and suburban crimes in 2023 and 2024.
Author(s): Susannah N. Tapp, Emilie J. Coen
Date: 09/2025
Sponsoring organization: U.S. Department of Justice
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Presents 2024 data on violent and property victimization. Highlights types of crime, trends over time, victim and offender demographics, unreported crime, and rural, urban, and suburban crimes in 2023 and 2024.
Author(s): Susannah N. Tapp, Emilie J. Coen
Date: 09/2025
Sponsoring organization: U.S. Department of Justice
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Variation in Extreme Risk Protection Order Use Among Urban, Suburban, and Rural ZIP Codes in Maryland: A Descriptive Study
Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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Analyzes the use of extreme risk protection orders (ERPOs) in rural, suburban, and urban Maryland between October 2018 and June 2020. Includes rural and urban analysis of various demographic characteristics, type of threat, target of threat, type of ERPO petitioner, and court outcomes. Discusses a variety of violence types include interpersonal violence, mass shootings, and suicide as well as ERPO uptake in rural areas.
Author(s): Mia Aassar, Elise Omaki, Lisa Geller, April M. Zeoli, Shannon Frattaroli
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 09/2025
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National Elder Abuse Victim Services Needs Assessment
A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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A needs assessment investigating services available to older adults who have experienced abuse, gaps in those services, barriers in offering and accessing services, and resources needed for elder justice professionals. Offers recommendations based on assessment findings. Discusses rural throughout.
Author(s): Alana M. Henninger, Christine Doelger, Rachel Castellano, et al.
Date: 05/2025
Sponsoring organizations: ICF, U.S. Department of Justice
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Exposure to Firearm Injury and Suicide in a Rural Pennsylvania County: Implications for Mental and Behavioral Health
Presents a study exploring the relationship gun violence exposure and behavioral health indicators among a rural population. Bases findings on a survey of 630 residents of a rural county in Pennsylvania. Breaks down data by behavioral health indicator, level of exposure, and demographic information, such as age, sex, and economic situation, among other measures.
Author(s): Richard Stansfield, Daniel C. Semenza, Devon Ziminski
Citation: Journal of Behavioral Medicine, 48(1), 188-198
Date: 02/2025
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Presents a study exploring the relationship gun violence exposure and behavioral health indicators among a rural population. Bases findings on a survey of 630 residents of a rural county in Pennsylvania. Breaks down data by behavioral health indicator, level of exposure, and demographic information, such as age, sex, and economic situation, among other measures.
Author(s): Richard Stansfield, Daniel C. Semenza, Devon Ziminski
Citation: Journal of Behavioral Medicine, 48(1), 188-198
Date: 02/2025
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Child Maltreatment 2023
Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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Reports on rates of children receiving child protective services, children who died of abuse and neglect, and children who are victims of maltreatment, using data collected from the National Child Abuse and Neglect Data System (NCANDS). Offers information on availability and access to child protective services at the state and territory level, including how some counties respond to child abuse and neglect screenings, referrals, and the provision of services. Includes data broken down by race/ethnicity as well as discussions specific to rural and tribal areas.
Date: 01/2025
Sponsoring organizations: Administration for Children and Families, U.S. Department of Health and Human Services
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MDT Guide and Toolkit: Developing an Elder Abuse Case Review Multidisciplinary Team in Your Community
Resource for communities developing elder abuse case review multidisciplinary teams (MDTs). Discusses community needs, developing the team, best practices, and more. Includes rural-specific concerns and resources.
Date: 2025
Sponsoring organization: U.S. Department of Justice
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Resource for communities developing elder abuse case review multidisciplinary teams (MDTs). Discusses community needs, developing the team, best practices, and more. Includes rural-specific concerns and resources.
Date: 2025
Sponsoring organization: U.S. Department of Justice
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Preventing Violence Against Rural Health Care Workers
Policy brief discussing violence against healthcare workers and unique factors that may influence underreporting of such violence in rural areas. Offers policy recommendations to prevent healthcare worker violence in rural healthcare settings and communities and reduce barriers to reporting.
Author(s): Carrie Howard, Aaron Kramer, Devon Noonan
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief discussing violence against healthcare workers and unique factors that may influence underreporting of such violence in rural areas. Offers policy recommendations to prevent healthcare worker violence in rural healthcare settings and communities and reduce barriers to reporting.
Author(s): Carrie Howard, Aaron Kramer, Devon Noonan
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Morbidity and Mortality Related to Intimate Partner Violence in the Perinatal Period
Policy brief discussing intimate partner violence (IPV) during the perinatal period, including IPV and IPV screening disparities in rural areas. Offers policy recommendations to address IPV experienced by perinatal people living in rural areas, focusing on prevention, screening, and resources for survivors.
Author(s): Susie Gurzenda, Casey P. Balio, Megan Weis
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Policy brief discussing intimate partner violence (IPV) during the perinatal period, including IPV and IPV screening disparities in rural areas. Offers policy recommendations to address IPV experienced by perinatal people living in rural areas, focusing on prevention, screening, and resources for survivors.
Author(s): Susie Gurzenda, Casey P. Balio, Megan Weis
Date: 12/2024
Sponsoring organization: National Rural Health Association
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Additional resources are available related to this guide. See the full list of resources by topic for: