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Rural Health
Resources by Topic: Behavioral health

Impact of the COVID-19 Shutdown on Mental Health in Appalachia by Working Status
Results of a study on issues faced by Appalachian residents during the COVID-19-related shutdown in the spring of 2020, including concerns about healthcare and finances, and the effect on mental health. Examines whether there were higher levels of anxiety, fear, and depression among those who continued working outside the home compared with those who began working remotely during the shutdown. Features demographics and statistics on chronic health conditions and types of concerns, with breakdowns by work categories.
Author(s): Erin N. Haynes, Timothy J. Hilbert, Susan C. Westneat, et al.
Citation: Journal of Appalachian Health, 3(1), 18-28
Date: 2021
Type: Document
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
Type: Document
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Delaware State Health Improvement Plan: 2020 Annual Report
Assesses policy improvements and the alignment of activities among 9 key Delaware stakeholder groups with the 2018-2023 Delaware State Health Needs Assessment and State Health Improvement Plan. Includes sections on chronic disease, maternal and child health, substance use disorders, and mental health, and offers system-wide recommendations.
Additional links: Executive Summary
Date: 12/2020
Type: Document
Sponsoring organizations: Delaware Health and Social Services, University of Delaware Partnership for Healthy Communities
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Behavioral Health Barometer: United States, Volume 6
Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, gender, race/ethnicity, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
Type: Document
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A Guide to Understanding Mental Health Systems and Services in Texas
Presents an overview of the mental health system in Texas to help policymakers, advocates, and individuals, including the structure of and services provided by Texas state agencies. Discusses implications and outcomes of rural mental health and substance abuse prevention policy and programs.
Additional links: Supplement to the 5th Edition, 2022
Date: 12/2020
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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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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Prevalence and Geographic Distribution of Obstetrician-Gynecologists Who Treat Medicaid Enrollees and Are Trained to Prescribe Buprenorphine
Highlights a study on the geographic distribution of Medicaid-claimant obstetrician-gynecologists trained to prescribe buprenorphine for opioid use disorder. Compares provider prevalence in rural versus urban counties.
Author(s): Max Jordan Nguemeni Tiako, Jennifer Culhane, Eugenia South, et al.
Citation: JAMA Network Open, 3(12), e2029043
Date: 12/2020
Type: Document
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Impacts of COVID-19 on Rural Mental Health
Presentation slides from an American Farm Bureau Federation poll of 2,000 rural adults in December 2020, comparing results to a similar April 2019 poll. Addresses perceived importance of mental health, issues of stigma, impacts of the COVID-19 pandemic on mental health, barriers to care, and other mental health topics. Tracks response trends between 2019 and 2020, highlighting consistent aspects of the survey and changes in impressions and experiences.
Date: 12/2020
Type: Presentation Slides
Sponsoring organization: American Farm Bureau Federation
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How Does DATA-Waiver Provider Patient Capacity Relate to Opioid and Buprenorphine Prescribing?
Explores if regulatory changes to increase the patient capacity among buprenorphine waivered providers effects buprenorphine and opioids prescription rates at the county-level. Compares prescription rates by metropolitan and non-metropolitan counties.
Author(s): Robin Ghertner, Mir M. Ali
Date: 12/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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