Rural Project Examples Addressing Healthcare needs and services

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.

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.

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.

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.

Updated/reviewed October 2025

Need: To reduce injuries in agricultural communities and improve emergency responders' preparedness when called to farms and ranches.
Intervention: RF-DASH equips rural fire/EMS personnel and others with agricultural health and safety knowledge and tools to pre-plan for agricultural emergencies as well as assess and then mitigate agricultural hazards.
Results: Over 250 firefighters and EMTs have received training to become RF-DASH trainers.

Updated/reviewed October 2025

Need: To improve oral health among the residents of the Rosebud Reservation in South Dakota.
Intervention: St. Francis Mission founded a dental clinic, staffed by volunteers from across the country, to offer free oral healthcare to residents of the Rosebud Reservation.
Results: The clinic typically offered 20 one-week clinics every year and served 3,000 patients after transitioning to electronic records in 2021.

Updated/reviewed September 2025

Need: To provide accessible and affordable services to address the challenges associated with aging, serious illness, and grief across rural western Colorado.
Intervention: A nonprofit, community-sustained healthcare model was created to provide the Program of All-Inclusive Care for the Elderly (PACE), dementia support, hospice care and palliative care, as well as grief support services for individuals of all ages.
Results: Since 1993, HopeWest has grown to serve more than 3,000 patients and families annually across five counties in western Colorado.

Updated/reviewed August 2025

Need: To educate rural community members about Alzheimer's disease and other dementias and to support older adults with dementia and caregivers in need.
Intervention: A community group formed in Winnemucca, Nevada, to discuss topics like health, housing, social events, community improvement, education, and transportation for older adults. The group also provides outreach to older adults, caregiver support, and a variety of educational activities and events.
Results: The group's efforts have led to many changes for community welfare and safety as well as opportunities for education and activities.

Updated/reviewed July 2025

Need: To help older adults age in place.
Intervention: For four to five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
Results: There are currently 38 CAPABLE sites across the country, 19 of which are located in rural communities.

Updated/reviewed July 2025

Need: To reduce suicide and substance-related deaths in North Dakota and Minnesota.
Intervention: The Care and Support program provides support through phone calls, cards, and texting to those who have called suicide helplines or were referred by a healthcare provider.
Results: In 2024, FirstLink sent 2,870 cards and texts to program participants and made 12,378 total contacts.