Rural Health
Resources by Topic: Behavioral health
A Rural-Urban Analysis of Buprenorphine Therapy During and After Pregnancy Among the Commercially Insured
Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Explores the use of evidence-based buprenorphine treatment and adherence during the peri-pregnancy period among commercially insured individuals by rurality. Analyzes data on 1,331,040 people between 15 and 44 years-old with diagnosis codes for pregnancy and labor/delivery from January 1, 2015, to December 31, 2019.
Author(s): KariLynn Dowling-McClay, Bill Brooks, Daniel Krauss, et al.
Date: 01/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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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
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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
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Behavioral Health Crisis Services Billed to Commercial Insurance, Medicaid, and Medicare
Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Patient Centered Medication Treatment for Opioid Use Disorder in Rural Vermont: A Qualitative Study
Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
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Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
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Cannabis Use Characteristics and Associations with Problematic Use Outcomes, Quitting-Related Factors, and Mental Health among US Young Adults
Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
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Examines factors related to cannabis use via latent class analysis of survey data provided by 4,031 young adults. Includes data on frequency of use, problematic use, quitting, and mental health, with data breakdowns by rural, suburban/micropolitan, and urban dwelling.
Author(s): Carla J. Berg, Cassidy R. LoParco, Katelyn F. Romm, et al.
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 1
Date: 01/2025
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Assessing the Feasibility of Creating a National Behavioral Health Workforce Database
Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Implementation of Mobile Medication Units: Findings from a Qualitative Study
Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Cancer-Related Health Behaviors During the COVID 19 Pandemic in Geographically Diverse Samples Across the US
Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
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Examines cancer-related health behaviors during the COVID-19 pandemic via a June 2020-March 2021 survey of 21,911 people conducted through eight cancer centers. Includes demographic data, including rural-urban comparisons, on changes in physical activity, fruit and vegetable intake, smoking and tobacco use, and alcohol consumption.
Author(s): Breanna B. Greteman, Allison Cole, Mary E. Charlton, et al.
Citation: BMC Cancer, 25, 50
Date: 01/2025
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Disparities in Allergy and Asthma Prevalence among Schoolteachers
Examines prevalence of allergic and respiratory symptoms among 398 schoolteachers in Massachusetts. Includes comparisons between teachers in rural, suburban, and urban schools for health behaviors and factors associated with adverse breathing symptoms, including headache, sleep apnea, food allergy, nighttime awakening, sore throat, and more.
Author(s): Hana B. Ruran, Briana L. Mallouh, Lisa M. Bartnikas, Wanda Phipatanakul, Abhinav Kaushik
Citation: The Journal of Allergy and Clinical Immunology, 155(1), 223-227
Date: 01/2025
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Examines prevalence of allergic and respiratory symptoms among 398 schoolteachers in Massachusetts. Includes comparisons between teachers in rural, suburban, and urban schools for health behaviors and factors associated with adverse breathing symptoms, including headache, sleep apnea, food allergy, nighttime awakening, sore throat, and more.
Author(s): Hana B. Ruran, Briana L. Mallouh, Lisa M. Bartnikas, Wanda Phipatanakul, Abhinav Kaushik
Citation: The Journal of Allergy and Clinical Immunology, 155(1), 223-227
Date: 01/2025
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