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Rural Health
Resources by Topic: Abuse and violence

Interdisciplinary Collaboration Needed in Obtaining High-Quality Medical Information in Child Abuse Investigations
Study addressing the lack of collaboration and reporting between healthcare providers and investigative professionals in cases of suspected child abuse in Wisconsin. Discusses the intervention of the Wisconsin Child Abuse Network and the barriers to providing and accessing medical information in abuse investigations, including rural-specific issues. Analyzes data from focus group interviews with providers, child protective services, judges, lawyers, and law enforcement with experience in child abuse cases.
Author(s): Elizabeth A. Cleek, Norah L. Johnson, Lynn K. Sheets
Citation: Child Abuse and Neglect, 92, 167-178
Date: 06/2019
Type: Document
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Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse
Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Additional links: Full Report
Date: 06/2019
Type: Document
Sponsoring organization: Government Accountability Office
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance abuse, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Integrating a Trauma-Informed Approach into Substance Use Disorder Treatment
Webinar recording on incorporating trauma-informed care into substance use disorder treatment. Features a healthcare provider from rural Tennessee and a provider focused on treating opioid use disorder in women with HIV. Addresses the connection between traumatic experiences, including adverse childhood events (ACEs), and risky health behaviors such as substance abuse, as well as strategies for caring for this population. Provides presentation slides.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Center for Health Care Strategies
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Population-Based Trauma Outcomes
Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Type: Document
Sponsoring organization: National Quality Forum
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Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Resilient Rural America: Southeast Kentucky
Series of articles about the challenges of life in rural southeast Kentucky. Includes discussion of Mountain Moms, an Appalachian Kentucky support group for low-income women who have experienced domestic violence. Part of the Resilient Rural America series.
Author(s): Blake Tommey
Date: 04/2019
Type: Document
Sponsoring organization: Baptist News Global
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Planning and Partnerships: Coordinating Rural Resources for Emergency Preparedness and Response
Discusses how rural healthcare facilities can prepare for natural and man-made disasters, the need for flexibility, and the importance of learning from others' experiences. Includes examples of rural communities and providers responding to a tornado in Iowa, an earthquake in Alaska, and an armed hostage standoff in South Dakota.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 03/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promising Practice: Pennsylvania Office of Rural Health Puts Focus on Rural Human Trafficking
Discusses ways in which the Pennsylvania Office of Rural Health is raising awareness and bringing attention to the issue of human trafficking in rural areas.
Author(s): Beth Blevins
Date: 03/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Health System Interventions to Prevent Firearms Injuries and Death: Proceedings of a Workshop
Summarizes the proceedings of a workshop focused on how healthcare systems can reduce gun violence and injuries. Discusses the impact of health systems on the reduction, ways to identify high risk individuals, health system interventions, program examples, and more. Addresses rural in several chapters, including firearm homicide and suicide rates for rural and urban areas, a VA program targeting rural veterans at risk for suicide, a study of gun behavior in Alaska Native populations, and recommendations from a rural physician.
Additional links: Interactive Overview of Workshop Proceedings, Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 02/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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