Rural Project Examples: Healthcare needs and services
Promising Examples
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed June 2022
- Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of eastern Kentucky and Ohio.
- Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
- Results: Participants significantly reduced smoking rates or quit altogether.
School-Based Health Center Dental Outreach
Updated/reviewed July 2020
- Need: To improve the oral health status of children ages 3 to 17 living in rural areas of Louisiana.
- Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
- Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.
Other Project Examples
Riverfront Talks: Substance Matters Podcast
Updated/reviewed December 2025
- Need: To reduce stigma around mental illness and substance use in North Carolina.
- Intervention: The Beaufort County Behavioral Health Task Force created the Riverfront Talks: Substance Matters podcast to interview people with lived experience.
- Results: As of December 2025, the podcast has 18 episodes.
CMH Addiction Recovery Program
Updated/reviewed November 2025
- Need: To help individuals and families impacted by substance use disorder access treatment and counseling in rural Missouri.
- Intervention: The CMH Addiction Recovery Program provides medication-assisted treatment, counseling, peer and family support, and other related services within a Rural Health Clinic.
- Results: The program operates 5 days a week and sees 400 patients each month.
Men's Conversation Group
Updated/reviewed November 2025
- Need: Suicide rates among men 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: Chatham County Aging Services of North Carolina started the Men's Conversation 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.
Mobile Integrated Healthcare Network (MIHN)
Updated/reviewed November 2025
- Need: To bring preventive care and other services to rural Missouri patients with chronic illnesses and difficulties accessing primary care.
- Intervention: Community paramedics make home visits and provide basic care, home assessments, and medication reconciliation and facilitate telehealth visits.
- Results: Patients experienced improved access to care, health status, and compliance with medication regimens along with increased patient engagement, satisfaction, and access to community resources.
One Health Recovery Doulas
Updated/reviewed November 2025
- Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
- Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
- Results: A team of four recovery doulas (or doulas-in-training) employed by One Health offer services in 8 rural eastern Montana counties. One Health has also successfully trained and certified 35 Peer Recovery Doulas statewide through their Peer Recovery Doula certification curriculum.
The Coffee Break Project
Updated/reviewed November 2025
- Need: Men in the agriculture industry face high suicide rates due to factors including long hours, geographic isolation, lack of social opportunities, and stigma surrounding mental health care.
- Intervention: The Coffee Break Project, a program led by Valley-Wide Health Systems, Inc. in southeastern Colorado, encourages mental health check-ins for farmers and ranchers through a public awareness campaign and casual coffee gatherings that utilize COMET, an intervention model developed specifically for rural communities.
- Results: Between eight and 20 people typically attend each coffee gathering.
ADPH Telehealth Program
Updated/reviewed October 2025
- Need: To increase access to healthcare throughout Alabama.
- Intervention: The Alabama Department of Public Health (ADPH) has created telehealth communications at county health departments.
- Results: ADPH telehealth services are currently available in 65 of 67 county health departments.
HCC Network's Project Connect Event
Updated/reviewed October 2025
- Need: To expand public health and human services to adults living in rural West Central Missouri.
- Intervention: HCC Network organized Project Connect events, daylong resource fairs that offer free public health and human services to low-income adults, and now serves as a resource for other organizations who would like to host a Project Connect event in their area.
- Results: In 2024, local Project Connect events welcomed 100 families and offered numerous services and resource connections.
For examples from other sources, see:
