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Rural Health Information Hub

Rural Health
Resources by Topic: Abuse and violence

Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Consent and Capacity in Indian Country - Elder Abuse and the Connection to Consent, Capacity, and Undue Influence
Defines consent, capacity, and undue influence in connection to the abuse of American Indian and Alaska Native (AI/NA) elders. Highlights 6 pillars for evaluating capacity in older adults and gives cultural context for AI/NA elders.
Date: 12/2020
Sponsoring organization: Native American Elder Justice Initiative
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Roadmap for Resilience: The California Surgeon General's Report on Adverse Childhood Experiences, Toxic Stress, and Health
Reports on Adverse Childhood Experiences (ACEs) and toxic stress in California, addressing the health impacts of ACEs and stress, economic costs, and public health implications of the issue. Discusses initiatives that increase access to screening and treatment for ACEs in urban, rural, and tribal communities. Explores prevention strategies among public health, social service, early childhood, education, and justice agencies.
Author(s): Devika Bhushan, Krista Kotz, Julianne McCall, et al.
Date: 12/2020
Sponsoring organization: California Office of the Surgeon General
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Health Policy Brief: Adverse Childhood Experiences (ACEs) Health Impact of ACEs in Ohio
Examines the impact of adverse childhood experiences (ACEs) on health and wellbeing of Ohio residents and provides a state map that examines ACE prevalence by region. Includes discussions about the potential adverse consequences of ACEs as well as the percentage of residents who have experienced multiple ACEs, broken down by urban, suburban, Appalachian, non-Appalachian, and rural county.
Date: 08/2020
Sponsoring organization: Health Policy Institute of Ohio
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Arizona's American Indian Trauma Report 2020
Identifies the disproportionate impact of trauma on Native Americans in Arizona in order to target interventions to improve injury prevention programs and reduce traumatic injuries. Identifies patient demographics, trauma risk factors such as alcohol or drug use, injury characteristics, access to care, and mortality rates.
Date: 08/2020
Sponsoring organization: Arizona Department of Health Services
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"It's on Us": Healthcare's Unique Position in the Response to Human Trafficking
Provides an overview of human trafficking and explains the role healthcare providers can play in addressing this issue in rural communities. Features a rural hospital CEO, a State Office of Rural Health (SORH) director, a Sexual Assault Nurse Examiner, and a Safe Harbor Regional Navigator sharing their experiences combating human trafficking.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Mitigating COVID-19's Rural Impact on Families At-Risk for Violence and Child Maltreatment and Neglect
Discusses the potential impact of COVID-19 physical distancing measures on rural children experiencing maltreatment and those living in situations of intimate partner violence. Describes how rural communities and providers can help through community awareness efforts and changes to screening and other service delivery approaches.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2020
Sponsoring organization: Rural Health Information Hub
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Child Sexual Abuse and Exploitation in Pennsylvania
Presents an overview of child sexual abuse and exploitation in Pennsylvania. Highlights specific issues in rural areas and compares rural and urban areas in the state. Details conclusions and makes policy recommendations.
Additional links: Executive Summary
Author(s): Sarah A. Font, Sheridan Miyamoto, Casey N. Pinto
Date: 01/2020
Sponsoring organization: Center for Rural Pennsylvania
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Development and Early Outcomes of the Watauga Compassionate Community Initiative, North Carolina
Examines the work of a rural North Carolina community group dedicated to promoting health and resiliency on the local level, by preventing childhood trauma and helping adults who had adverse childhood experiences. Describes their organizing model, including goals of raising awareness, using data to inform actions, and creating context for health families through policies.
Author(s): Tim Marema, Erin Bouldin
Citation: Journal of Appalachian Health, 2(1), 41-46
Date: 2020
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