Rural Health
Resources by Topic: Behavioral health
A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
Type: Document
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Association of Rurality With Availability of Youth Mental Health Facilities With Suicide Prevention Services in the US
Presents a study on the availability of suicide prevention services for youths age 15-19 at mental health facilities in rural versus urban areas. Compares the rates of prevalence of mental health facilities, youth-serving mental health facilities, and youth-serving mental health facilities with suicide prevention programs by rural-urban continuum codes.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Jessica L. Mackelprang, et al.
Citation: JAMA Network Open, 3(10), e2021471
Date: 10/2020
Type: Document
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Presents a study on the availability of suicide prevention services for youths age 15-19 at mental health facilities in rural versus urban areas. Compares the rates of prevalence of mental health facilities, youth-serving mental health facilities, and youth-serving mental health facilities with suicide prevention programs by rural-urban continuum codes.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Jessica L. Mackelprang, et al.
Citation: JAMA Network Open, 3(10), e2021471
Date: 10/2020
Type: Document
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21st Century Cures Mobile Crisis Teams
Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Type: Document
Sponsoring organization: Indiana University Public Policy Institute
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Report on the disproportionate impacts of the opioid crisis on populations, in the criminal justice system, rural residents, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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American Indian Addendum for the Suicide Prevention Toolkit for Primary Care Practices
Highlights suicide prevention guidance for primary care providers in tribal communities. Accompanies the Suicide Prevention Toolkit for Primary Care Practices and provides information specific to American Indian and Alaska Native populations. Includes risk assessment and intervention information on suicide prevention strategies in tribal settings.
Date: 10/2020
Type: Document
Sponsoring organizations: Montana Department of Public Health and Human Services, Western Interstate Commission for Higher Education
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Highlights suicide prevention guidance for primary care providers in tribal communities. Accompanies the Suicide Prevention Toolkit for Primary Care Practices and provides information specific to American Indian and Alaska Native populations. Includes risk assessment and intervention information on suicide prevention strategies in tribal settings.
Date: 10/2020
Type: Document
Sponsoring organizations: Montana Department of Public Health and Human Services, Western Interstate Commission for Higher Education
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Telebehavioral Health: An Effective Alternative to In-Person Care
Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Health Equity Report 2019-2020: Special Feature on Housing and Health Inequalities
Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Provides an overview of the Health Resources and Services Administration's (HRSA) program efforts in reducing health disparities and promoting health equity for various populations at the national, state, and local levels. Chapter 10 addresses rural-urban health disparities, with a focus on rural housing inequities and the opioid epidemic, and describes Federal Office of Rural Health Policy programs.
Date: 10/2020
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Rural/Urban Differences in Children's Health
Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Examines differences in child health conditions by rural and urban residency. Explores differences in mental and behavioral health, weight status and physical activity, adverse childhood experiences, and access to healthcare.
Date: 10/2020
Type: Document
Sponsoring organization: Maternal and Child Health Bureau
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Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009–2018
Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Reports on trends in drug overdose deaths involving cocaine, with data by sex, age group, race and Hispanic origin, and concurrent involvement of opioids. Includes cocaine overdose death rate data for 2018 for urban and rural areas by Census region.
Author(s): Holly Hedegaard, Merianne Rose Spencer, Matthew F. Garnett
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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