Rural Project Examples Addressing Healthcare needs and services

Family Wellness Warriors Initiative

Updated/reviewed January 2026

Need: Improve health and wellness outcomes for those affected by trauma and adverse experiences.
Intervention: A language, traditions, and customs-specific evidence-based peer support model that trains local communities on education and prevention strategies to address and heal the effects of trauma.
Results: Peer-reviewed results show decreases in emergency room visits and hospitalizations, over 50% reduction of trauma symptomology, decreases in unhealthy substance use, and improvements in family and spiritual well-being. Model elements have adapted in Canada and several Lower 48 states.

Updated/reviewed January 2026

Need: Meeting the health needs of an expanding older adult population in rural Livingston County, New York.
Intervention: In 2006, a federal grant was leveraged to create the Help For Seniors program that focused on EMT training for performing in-field health needs assessments for older adults and the support for a case management staff to address those screening results.
Results: Based on over 1200 older adult evaluations and the training of nearly 200 EMTs, the project's results and capacity building became a foundation for continued similar county activities that are now supported by state funding.

Updated/reviewed November 2025

Need: In the early 2010s, needed increase access to medication treatment for opioid use disorder in rural Vermont.
Intervention: 2012-2016 implementation of a statewide hub-and-spoke treatment access system.
Results: The original system's increased treatment capacity and care coordination successes now are a permanent system of integrated care overseen by the Vermont state health department and Vermont Blueprint for Health.

Updated/reviewed October 2025

Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
Intervention: Kentucky Homeplace was created as a community health worker initiative to provide health coaching, increased access to health screenings, and other services.
Results: From July 2001 to June 2025, over 202,000 rural residents were served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.

Updated/reviewed April 2025

Need: To provide psychotherapy to survivors of domestic violence and sexual assault.
Intervention: University of Wyoming psychology doctoral students provide psychotherapy via videoconferencing to crisis center clients in two rural locations.
Results: Clients, student therapists, and crisis center staff were satisfied with the quality of services, and clients reported reduced symptoms of depression and PTSD.

Updated/reviewed March 2025

Need: Due to West Virginia's high ranking for its use of smokeless tobacco, prevention and cessation education efforts were needed.
Intervention: Development and implementation of the Spit It Out-West Virginia program.
Results: Supported by a 2008-2010 grant allowing the program to be delivered to hundreds of people, 5 workplaces became tobacco free. The program continues to be delivered across the state and reaches hundreds with its face-to-face presentations and thousands with its specific media prevention and cessation messages.

Updated/reviewed October 2024

Need: General surgeons are needed in rural communities.
Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a general surgery rotation in rural southern Oregon.
Results: 19 graduates of the rural residency program are currently practicing in a rural setting. The residents remain more likely than other OHSU residents to enter general surgery practice and to serve in a community of fewer than 50,000 people.

Updated/reviewed August 2024

Need: Expand healthcare access for the more remote residents of 3 frontier counties in north central Idaho.
Intervention: With early federal grant-funding, a consortium of healthcare providers and community agencies used a hybrid Community Health Worker model to augment traditional healthcare delivery services in order to offer a comprehensive set of health-related interventions to frontier area residents.
Results: With additional private grant funding, success continued to build into the current model of an established and separate CHW division within the health system's population health department.

Updated/reviewed May 2024

Need: To reduce overdose-related deaths among prescription opioid users in rural Wilkes County, North Carolina.
Intervention: Education and tools are provided for prescribers, patients and community members to lessen drug supply and demand, and to reduce harm in prescription opioid use.
Results: Opioid overdose death rates have decreased in Wilkes County.

Updated/reviewed February 2024

Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
Results: As of 2018 and on a yearly basis, 6,000 7th and 8th grade students receive mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and manage their own choices.