Rural Project Examples Addressing Schools - Rural Health Information Hub

Project ACTIVATE (Advancing Coordinated and Timely InterVentions, Awareness, Training, and Education)

Updated/reviewed February 2024

Need: To improve students' access to behavioral health services in rural North Carolina.
Intervention: North Carolina Project ACTIVATE provides three tiers of behavioral health supports in the school setting.
Results: The six pilot sites (Cohorts 1 and 2) have created or revised 91 mental health policies, and 40,572 school-based and related employees have received training in different topics and protocols.

Updated/reviewed December 2023

Need: Drowning was a leading cause of death for children in Alaska.
Intervention: Cold Water Safety and Survival for Educators workshops were developed in 1998, with help from a 4-year federal grant, to train educators to provide education and hands-on skills for school children and members of the public.
Results: The safety program was integrated into about 50% of Alaskan school curriculum and schools in other states, helping to train hundreds of educators and thousands of children on the importance of cold water safety.

Updated/reviewed July 2023

Need: School-based drug misuse prevention program in Appalachian Ohio, a need triggered by a high school student's overdose death.
Intervention: Implementation of the HOPE curriculum, an age-appropriate K through 12th grade drug abuse prevention program.
Results: No further drug overdose deaths after curriculum initiated.

Updated/reviewed May 2023

Need: To improve health outcomes in rural Appalachian Ohio.
Intervention: Schools as a Hub for Health promotes holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
Results: The project has gained administrator buy-in and was featured in a December 2016 County Health Rankings & Roadmaps webinar.

Updated/reviewed May 2023

Need: To encourage children to make healthy eating choices through learning and tasting.
Intervention: Brief, fun, and informative presentations and tastings for children on over 42 different fruits and vegetables.
Results: Participants are exposed to new foods and show more interest in healthy eating.

Updated/reviewed April 2023

Need: An increased interest among young people to pursue a medical career in rural North Carolina
Intervention: Two medical students started a program that gives high school seniors medical academic training, mentor relationships, and hands-on experience in rural North Carolina facilities.
Results: Project PROMISE has graduated 36 high school students, 16 of whom are pursuing an undergraduate degree with an interest in studying medicine. Two students were recently accepted into medical school.

Updated/reviewed March 2023

Need: To increase students' levels of physical activity, engagement in learning, and academic achievement.
Intervention: With The Walking Classroom, students take a brisk walk as a group while listening to a kid-friendly, custom-written educational podcast that aligns with the curriculum.
Results: Children increase their activity level while learning academic content, building health literacy, and developing healthy lifestyle habits to prevent obesity and improve cognitive function and retention.

Updated/reviewed February 2023

Need: Teen pregnancy and sexually transmitted diseases, including HIV, in young girls were concerns for members of Union Parish, Louisiana.
Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, and personal responsibility to teen girls.
Results: Teen pregnancy rates in Union Parish have dropped by 18%, exceeding the program's initial goal of 5%. Graduation rates have also increased the longer girls remain in the program.

Updated/reviewed February 2023

Need: Union Parish, a rural county in Louisiana, was experiencing higher than average suicide rates among youth.
Intervention: Union General Hospital, a Critical Access Hospital, started a program to educate students grade 4 through 12 on the negative effects of bullying and how to model positive social behavior.
Results: The 3,000+ students trained have learned how to recognize, report, and react to bullying.

Updated/reviewed October 2022

Need: Rural school children lack proper healthcare resources within the school setting.
Intervention: Health-e-Schools provides health services to students via telehealth using video conferencing and special equipment.
Results: Health-e-Schools increases access to primary healthcare, increases attendance in the classroom, and decreases the amount of time that parents or guardians must take off of work to bring their child to health-related appointments.