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Rural Health
Resources by Topic: Behavioral health

Patient-Centered Care Through Nurse Practitioner–Led Integrated Behavioral Health: A Case Study
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Recruiting the Next Generation of Behavioral Health Professionals
Podcast episode regarding the recruitment, training, and retention of behavioral health specialists in rural areas. Discusses the University of Iowa Health Care rural psychiatry residency track and Public Psychiatry Fellowship program.
Date: 05/2023
Type: Audio
Sponsoring organization: American Hospital Association
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When It's Not Enough: Sleep's Impact on Rural America's Health and Safety
Discusses the impact of sleep on rural health and public safety, with insights from clinical sleep experts, a federal public health agency representative, and Nebraska Extension.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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Understanding the U.S. Behavioral Health Workforce Shortage
Discusses the shortage of behavioral health professionals across the country and highlights some of the contributing factors. Breaks down factors affecting licensed providers, clinical supporters, community care workers, and frontline workers. Makes recommendations for policymakers and includes considerations for rural areas.
Author(s): Nathaniel Counts
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
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Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief focused on Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features rural stakeholder perspectives on the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Behavioral Health Conditions Reach Crisis Levels: Counties Urge Stronger Intergovernmental Partnerships and Outcomes
Features a number of counties throughout the nation and details their behavioral health needs and access challenges. Presents each county as a case study. Describes the policy priorities for each county and the barriers to access. Several of the featured counties are rural.
Additional links: Executive Summary
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Counties
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Pandemic Era Telehealth Innovations in the Mental Health and Substance Use Treatment Fields: Practice-Informed Findings and Recommendations
Report highlights some takeaways from the expansion of telebehavioral health during the COVID-19 pandemic. Discusses the ways behavioral health providers adapted telehealth to their practices and the effect that had on access, outcomes, and care utilization, among other factors. Details the effect telebehavioral health had on expanding access to rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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The Use of Qualitative Methods to Guide the Development of the Border Resilience Scale in a Participatory Research Study
Highlights a study on the effect of social and ecological stressors for Mexican-origin adults residing along the U.S.-Mexico border on their physical and psychological health. Explores the factors that contribute to community resilience and emotional and physical wellness.
Author(s): Maia Ingram, Karina R. Dueñas, Idolina Castro, et al.
Citation: International Journal of Environmental Research and Public Health, 20(9), 5703
Date: 05/2023
Type: Document
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