Rural Health
Resources by Topic: Integrated service delivery
Rates of Primary Care and Integrated Mental Health Telemedicine Visits Between Rural and Urban Veterans Affairs Beneficiaries Before and After the Onset of the COVID-19 Pandemic
Shares the results of a study examining changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among Veterans Affairs (VA) beneficiaries. Uses data from 138 VA healthcare systems from March 2019 to December 2021. Features demographics and statistics with breakdowns by visit type and rural or urban area.
Author(s): Lucinda B. Leung, Caroline Yoo, Karen Chu, et al.
Citation: JAMA Network Open, 6(3)
Date: 03/2023
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Shares the results of a study examining changes over time in rural-urban differences in telemedicine use for primary care and mental health integration services among Veterans Affairs (VA) beneficiaries. Uses data from 138 VA healthcare systems from March 2019 to December 2021. Features demographics and statistics with breakdowns by visit type and rural or urban area.
Author(s): Lucinda B. Leung, Caroline Yoo, Karen Chu, et al.
Citation: JAMA Network Open, 6(3)
Date: 03/2023
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Strengthening Mental Health Care in Southwest Virginia
Policy brief exploring mental health access in Southwest Virginia and the benefits of integrated primary care. Includes a section on rural care accessibility and provides insights on how to strengthen the mental health care system.
Author(s): Sety Abooali
Date: 01/2023
Sponsoring organization: Virginia State Office of Rural Health
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Policy brief exploring mental health access in Southwest Virginia and the benefits of integrated primary care. Includes a section on rural care accessibility and provides insights on how to strengthen the mental health care system.
Author(s): Sety Abooali
Date: 01/2023
Sponsoring organization: Virginia State Office of Rural Health
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Participation in Project ECHO to Advance Rural Primary Care Providers' Ability to Address Patient Mental Health Needs
Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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Features a study on the role continuing education programs, such as Project ECHO, can play in aiding rural primary care providers (PCPs) to integrate behavioral healthcare into their practice. Focuses on the Advanced Primary Care (APC ECHO) Adult Psychiatry Module and evaluates its efficacy in facilitating behavioral health integration in to rural PCPs.
Author(s): Ariel Porto, Rosemary Motz, Maximillian Morris, et al.
Citation: Medical Education Online, 28(1), 2164470
Date: 01/2023
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Telehealth in Rural Integrated Care Webinar Series
A 3-part webinar series on telehealth in rural integrated care. Part 1 discusses general issues and opportunities for telehealth in decreasing health disparities. Part 2 focuses on the unique challenges for rural children and rural schools. Part 3 focuses on the unique challenges for rural migrant workers and farmworkers.
Additional links: Part 2, Part 3
Date: 2023
Sponsoring organization: National Council for Mental Wellbeing
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A 3-part webinar series on telehealth in rural integrated care. Part 1 discusses general issues and opportunities for telehealth in decreasing health disparities. Part 2 focuses on the unique challenges for rural children and rural schools. Part 3 focuses on the unique challenges for rural migrant workers and farmworkers.
Additional links: Part 2, Part 3
Date: 2023
Sponsoring organization: National Council for Mental Wellbeing
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Exploring the Question of Financial Incentives for Training Amongst Non-adopters of MOUD in Rural Primary Care
Explores the role of stigma in West Virginia primary care providers' decision to undergo training to receive a medication for opioid use disorder (MOUD) waiver and the effect financial incentives have on that decision. Discusses providers' perceptions of MOUD treatment and perceived barriers to attaining a waiver, among other issues.
Author(s): Treah Haggerty, Nicholas A. Turiano, Tyra Turner, Patricia Dekeseredy, Cara L. Sedney
Citation: Addiction Science and Clinical Practice, 17, 72
Date: 12/2022
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Explores the role of stigma in West Virginia primary care providers' decision to undergo training to receive a medication for opioid use disorder (MOUD) waiver and the effect financial incentives have on that decision. Discusses providers' perceptions of MOUD treatment and perceived barriers to attaining a waiver, among other issues.
Author(s): Treah Haggerty, Nicholas A. Turiano, Tyra Turner, Patricia Dekeseredy, Cara L. Sedney
Citation: Addiction Science and Clinical Practice, 17, 72
Date: 12/2022
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2021
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Perceptions of How Integrated Care Impacts Treatment in Rural Settings
Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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