Rural Project Examples Addressing Healthcare needs and services

Updated/reviewed September 2022

Need: Suicide rates among white males age 65 and older have been rising in North Carolina. Challenges include losing friends, illnesses, and the loss of independence – all of which can lead to isolation and depression.
Intervention: The Chatham County Council on Aging of North Carolina started Geezers, Gulpers, and Gardeners (3G Group) to connect retired men in need of male friends and mutual support.
Results: Men in similar stages of life and varying backgrounds are forming friendships, engaging in activities, and taking care of their mental health.

Updated/reviewed August 2022

Need: Before 2000, Butte and southwest Montana had around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.

Updated/reviewed August 2022

Need: Since the late 1800s, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 94% since 2008.

Updated/reviewed August 2022

Need: To reduce the number of deaths and injuries caused by drunk driving in Isanti County.
Intervention: The SafeCab program provides alternative transportation home for bar patrons who would otherwise drive impaired.
Results: The program is credited with a significant decrease in DUI (Driving Under the Influence) arrests and the lower average corresponding BAC (Blood Alcohol Content) levels in Isanti County.

Added August 2022

Need: With the nearest hospital more than an hour away, the local community health center in rural Jackman, Maine struggled to maintain its ability to offer 24/7 care to due to staffing and budgetary challenges.
Intervention: Critical Access Integrated Paramedics provide urgent care to patients after hours and on weekends.
Results: The Jackman Community Health Center has been able to offer round-the-clock care to clinic patients, while also increasing the level of EMS service available to the community.

Updated/reviewed August 2022

Need: To reduce the incidences of repeat drunk driving.
Intervention: Repeat DWI (driving while intoxicated) offenders were given a staggered sentence, allowing them to serve their sentence in segments of time, typically separated by several months to a year. The offender was able to file a motion to request a waiver for the remaining sentence period(s), if able to show that he/she maintained sobriety.
Results: The incidence of recidivism, or crime relapse, has been reduced among offenders given staggered sentences, by comparison to offenders given traditional DWI sentences. The program has also reduced the average cost of jail time that otherwise would have been served from a full sentence.

Updated/reviewed July 2022

Need: Like many Native American populations, the Seneca Nation of Indians has experienced disproportionate rates of opioid, alcohol, and substance misuse.
Intervention: The Seneca Nation Government and Executives founded Seneca Strong, a cultural recovery peer advocate program, with the goal of reducing substance misuse across the Nation.
Results: Seneca Strong has since grown in personnel and capacity to meet the needs of the Allegany and Cattaraugus territories of the Seneca Nation.

Updated/reviewed June 2022

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 June 2022

Need: Increased number of emergency medical technicians in rural northern Wisconsin.
Intervention: Creation of a program, Rescue Divas, for middle school girls to spark interest in emergency medical services careers.
Results: Post-participation results demonstrate the camp increases interest in an emergency medical services career.

Updated/reviewed November 2021

Need: To improve mental health and well-being in rural Texas.
Intervention: The Hogg Foundation has awarded $7.75 million in grants to support five rural Texas communities in developing collaborative approaches to mental health that best fit each community's needs.
Results: Five community collaboratives have successfully completed their planning process and developed implementation plans.

Rural Project Examples: Healthcare needs and services