Rural Health
Resources by Topic: American Indian or Alaska Native
Rural Recovery Innovations
Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
Type: Document
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
Type: Document
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Translation and Assessment of Encultured Meaning of the Multi-Dimensional Scale of Perceived Social Support in Diné Bizaad (Navajo) Using Community-Based Participatory Action Research Methods
Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
Type: Document
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Highlights the community-engaged research approach to translating the Multidimensional Scale of Perceived Social Support (MSPSS) into the Diné bizaad (Navajo) language so that it can be used to measure perceived social support in Navajo communities. Breaks down the structure of the MSPSS and details the translation process through a community-based participatory research method.
Author(s): Tapati Dutta, Jon Agley, Camille Keith, Gregory Zimet
Citation: Rural and Remote Health, 25(1), 9433
Date: 01/2025
Type: Document
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Medicaid's Role in Small Towns and Rural Areas
Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Discusses the roles Medicaid and the Children's Health Insurance Program (CHIP) play in providing health coverage to residents of small towns and rural areas. Presents data from the U.S. Census Bureau's American Community Survey (ACS) on the percentage of children, non-elderly adults, and older adults covered by Medicaid and CHIP in 2023, and compares the share of Medicaid coverage of these groups by metro areas and small town/rural residence. Describes Medicaid coverage of American Indian and Alaska Native (AI/AN) in metro and non-metro areas. Includes lists of the top 20 small towns and rural areas with the highest share of children, non-elderly adults, and older adults covered by Medicaid.
Author(s): Joan Alker, Aubrianna Osorio, Edwin Park
Date: 01/2025
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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A Systemic Safety Study of Pedestrians in Tribal Areas
Examines pedestrian safety risks in tribal areas, identifies high-risk areas that contribute to injuries and fatalities, and provides countermeasures to improve safety. Includes a literature review on pedestrian safety, data from the Fatality Analysis Reporting System (FARS) and state/tribal departments of transportation (DOTs), crash analysis, interview feedback from tribal employees, suggestions for countermeasures, and more.
Date: 01/2025
Type: Document
Sponsoring organization: U.S. Department of Treasury
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Examines pedestrian safety risks in tribal areas, identifies high-risk areas that contribute to injuries and fatalities, and provides countermeasures to improve safety. Includes a literature review on pedestrian safety, data from the Fatality Analysis Reporting System (FARS) and state/tribal departments of transportation (DOTs), crash analysis, interview feedback from tribal employees, suggestions for countermeasures, and more.
Date: 01/2025
Type: Document
Sponsoring organization: U.S. Department of Treasury
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Addressing Workforce Challenges Across the Behavioral Health Continuum of Care: Proceedings of a Workshop
Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of presentations and discussions from a July 2024 public workshop to address workforce needs and challenges related to behavioral healthcare. Includes discussions of telepsychiatry collaborative care to improve rural access and capacity, and recruiting and retaining Native American healthcare providers in behavioral health settings.
Author(s): Board on Health Care Services
Date: 2025
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Braiding Research Approaches to Understand Home Visiting in Indigenous Communities
Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Type: Document
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Type: Document
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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Arizona State Health Assessment, 2024
Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Reports on the health of people in Arizona, including population subgroups, social determinants of health, and priority health issues. Discusses health and access disparities in rural, tribal, and border areas. Includes county-level data.
Date: 12/2024
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Water Affordability Needs Assessment: Report to Congress
Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Environmental Protection Agency
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Reports on access to affordable, safe water across the United States. Discusses challenges faced by community water systems and household-level access challenges, and recommends policies to increase affordable water access. Highlights rural, tribal, and underserved communities throughout, including discussion of funding and program case studies.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Environmental Protection Agency
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Civil Rights and Disparities in Pediatric Healthcare Access for Racial and Ethnic Minority Families in Arizona
Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Commission on Civil Rights
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Reports on disparities in pediatric healthcare access and quality experienced by racial and ethnic minority families in Arizona. Discusses primary findings based on testimony heard by the Arizona Advisory Committee to the U.S. Commission on Civil Rights, and provides suggestions to address civil rights concerns related to pediatric healthcare. Includes findings related to insurance, foster youth, healthcare provider shortages, data collection, and bias, among other topics. Discusses rural and tribal health throughout.
Date: 12/2024
Type: Document
Sponsoring organization: U.S. Commission on Civil Rights
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