Rural Health
Resources by Topic: Abuse and violence
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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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 well-being 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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Examines the impact of adverse childhood experiences (ACEs) on health and well-being 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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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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Rural Versus Urban Prevalence of Intimate Partner Violence-Related Emergency Department Visits, 2009-2014
Examines differences in prevalence of intimate partner violence (IPV)-related incidents, using a sample of 156,945 emergency department (ED) visits by people ages 15-64. Features demographics with breakdowns by urban or rural residence, and statistics on IPV-related ED visits with breakdowns by 6 categories of population density.
Author(s): Maria J. Perez-Patron, Nancy R. Downing, Nora Montalvo-Liendo, Brandie D. Taylor
Date: 08/2020
Sponsoring organization: Southwest Rural Health Research Center
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Examines differences in prevalence of intimate partner violence (IPV)-related incidents, using a sample of 156,945 emergency department (ED) visits by people ages 15-64. Features demographics with breakdowns by urban or rural residence, and statistics on IPV-related ED visits with breakdowns by 6 categories of population density.
Author(s): Maria J. Perez-Patron, Nancy R. Downing, Nora Montalvo-Liendo, Brandie D. Taylor
Date: 08/2020
Sponsoring organization: Southwest Rural Health Research Center
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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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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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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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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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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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Indian Health Service Has Strengthened Patient Protection Policies but Must Fully Integrate Them into Practice and Organizational Culture
Explores and evaluates the current patient protection policies of the Indian Health Service (IHS) and makes recommendations. Focuses on the IHS policies implemented to prevent child sexual abuse by providers and staff.
Author(s): Joanne M. Chiedi
Date: 12/2019
Sponsoring organization: Office of Inspector General (HHS)
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Explores and evaluates the current patient protection policies of the Indian Health Service (IHS) and makes recommendations. Focuses on the IHS policies implemented to prevent child sexual abuse by providers and staff.
Author(s): Joanne M. Chiedi
Date: 12/2019
Sponsoring organization: Office of Inspector General (HHS)
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SOAR for Native Communities
Training module designed to help people serving tribal communities to understand human trafficking and its impact on American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities. Includes resources relevant to tribal communities and supports professionals in building trauma-informed and culturally appropriate interventions. Content is free with account creation.
Date: 12/2019
Sponsoring organizations: National Human Trafficking Training and Technical Assistance Center, U.S. Department of Health and Human Services Office on Women's Health
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Training module designed to help people serving tribal communities to understand human trafficking and its impact on American Indian, Alaska Native, Native Hawaiian, and Pacific Islander communities. Includes resources relevant to tribal communities and supports professionals in building trauma-informed and culturally appropriate interventions. Content is free with account creation.
Date: 12/2019
Sponsoring organizations: National Human Trafficking Training and Technical Assistance Center, U.S. Department of Health and Human Services Office on Women's Health
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