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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
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural and Minority Health Research Center: Annual Report 2020
Highlights research projects in areas including healthcare access, maternal and child health, health economics and policy, cancer prevention and control, and social determinants of health. Features statistics on hospital-based obstetric units from 2002-2013 with breakdowns by metropolitan, micropolitan, and noncore locations, social determinants of health in rural areas with breakdowns by race or ethnicity, adverse child experiences exposure with breakdowns by urban or rural location, and colorectal cancer incidence trends from 2000-2016 with breakdowns by urban and rural location.
Date: 2021
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
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 disparities 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
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Human Trafficking in Native Populations: Q&A with Commissioner Jeannie Hovland
Interview with Jeannie Hovland, Commissioner of the Administration for Native Americans (ANA) under the U.S. Department of Health and Human Services (HHS) Administration for Children and Families, about ANA and HHS responses to human trafficking, abuse, and violence in Native American communities. Discusses the relationship between trafficking and missing and murdered Native Americans and HHS tools to support tribal healthcare and human service efforts.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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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
Type: Document
Sponsoring organization: Rural Health Information Hub
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