Rural Health
Resources by Topic: Mental health conditions
Strengths and Barriers in Implementing the ACE Screening Tool in Tribal, Urban Indian, and Rural Settings
Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
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Report examining barriers to the implementation of consistent Adverse Childhood Experience (ACE) screening in rural, tribal, and urban Indian clinics through the California Medi-Cal ACES Aware program. Describes barriers and recommendations related to issues of addressing resiliency, administering screening during a crisis, potential to trigger trauma or other sensitivity in the patient, and cultural appropriateness based on 12 key informant interviews.
Author(s): Becky Garrow, Maureen Wimsatt
Date: 06/2021
Type: Document
Sponsoring organization: ACEs Aware
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Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders
Evidence-based resource guide examining telehealth initiatives to treat serious mental illness (SMI) and substance use disorders (SUD) based on published research. Topics cover effectiveness of telehealth modalities, implementation of evidence-based practices, examples of telehealth treatment programs, and evaluation resources. Discusses rural-specific concerns throughout the guide.
Date: 06/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Evidence-based resource guide examining telehealth initiatives to treat serious mental illness (SMI) and substance use disorders (SUD) based on published research. Topics cover effectiveness of telehealth modalities, implementation of evidence-based practices, examples of telehealth treatment programs, and evaluation resources. Discusses rural-specific concerns throughout the guide.
Date: 06/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Characterization of Mental Illness Among US Coal Miners
Describe the prevalence of and risk factors for mental illness among 2,808 active and former coal miners from central Appalachia who received clinical care at Stone Mountain Health Services Black Lung Clinic between 2018-2020. Features statistics with breakdowns by degree of depression, pulmonary risk factors, and length of time spent working as a miner.
Author(s): Drew Harris, Timothy McMurry, Amanda Caughron, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Describe the prevalence of and risk factors for mental illness among 2,808 active and former coal miners from central Appalachia who received clinical care at Stone Mountain Health Services Black Lung Clinic between 2018-2020. Features statistics with breakdowns by degree of depression, pulmonary risk factors, and length of time spent working as a miner.
Author(s): Drew Harris, Timothy McMurry, Amanda Caughron, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Healing Our Protectors: Building Resilience Among Tribal Law Enforcement Officers Through Cultural Interventions
Report highlights behavioral health issues facing tribal law enforcement officers, specifically post-traumatic stress disorder. Details common mental health concerns for tribal law enforcement and explores the personal experience of a law enforcement officer who has served tribal communities in a number of positions. Discusses the role of cultural beliefs in behavioral health treatment and support.
Author(s): LaVonne Fox, Leo Belgarde, Sr., Thomasine Heitkamp, et al.
Date: 05/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Report highlights behavioral health issues facing tribal law enforcement officers, specifically post-traumatic stress disorder. Details common mental health concerns for tribal law enforcement and explores the personal experience of a law enforcement officer who has served tribal communities in a number of positions. Discusses the role of cultural beliefs in behavioral health treatment and support.
Author(s): LaVonne Fox, Leo Belgarde, Sr., Thomasine Heitkamp, et al.
Date: 05/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Building Resilience Among Physical and Behavioral Healthcare Providers During a Global Health Pandemic
Toolkit discusses burnout among physical and behavioral healthcare providers during the COVID-19 pandemic. Provides strategies to build resilience to burnout. Defines a number of root causes to provider burnout, such as compassion fatigue, ambiguous loss, and secondary traumatic stress, among others. Discusses how rural providers, especially sole community providers, can face specific challenges during a pandemic that can lead to burnout.
Author(s): Shawnda Schroeder, Per Ostmo, Robin Landwehr, Andrew McLean, Thomasine Heitkamp
Date: 04/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Toolkit discusses burnout among physical and behavioral healthcare providers during the COVID-19 pandemic. Provides strategies to build resilience to burnout. Defines a number of root causes to provider burnout, such as compassion fatigue, ambiguous loss, and secondary traumatic stress, among others. Discusses how rural providers, especially sole community providers, can face specific challenges during a pandemic that can lead to burnout.
Author(s): Shawnda Schroeder, Per Ostmo, Robin Landwehr, Andrew McLean, Thomasine Heitkamp
Date: 04/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Rural Suicide Prevention: Reviewing the Evidence and Gaps
Cyberseminar discusses current state of suicide prevention for rural veterans. Highlights data, risk and protective factors, and current and potential prevention practices. Details knowledge gaps and makes recommendations for researchers.
Additional links: Audio Recording, Presentation Slides
Author(s): Nate Mohatt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Cyberseminar discusses current state of suicide prevention for rural veterans. Highlights data, risk and protective factors, and current and potential prevention practices. Details knowledge gaps and makes recommendations for researchers.
Additional links: Audio Recording, Presentation Slides
Author(s): Nate Mohatt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Veterans Affairs
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Factors Affecting Adoption of Coordinated Anxiety Learning and Management (CALM) in Veterans' Affairs Community-Based Outpatient Clinics
Explores the efficacy of a training program designed to educate rural providers on evidence-based psychotherapies (EBPs) in VHA affiliated clinics. Details the barriers and facilitators of the program in rural areas and features the perspectives of providers who participated in the program.
Author(s): Anthony H. Ecker, Traci H. Abraham, Lindsey A. Martin, et al.
Citation: Journal of Rural Health, 37(2), 447-455
Date: 03/2021
Type: Document
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Explores the efficacy of a training program designed to educate rural providers on evidence-based psychotherapies (EBPs) in VHA affiliated clinics. Details the barriers and facilitators of the program in rural areas and features the perspectives of providers who participated in the program.
Author(s): Anthony H. Ecker, Traci H. Abraham, Lindsey A. Martin, et al.
Citation: Journal of Rural Health, 37(2), 447-455
Date: 03/2021
Type: Document
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Family-Centered Prevention Effects on the Association Between Racial Discrimination and Mental Health in Black Adolescents: Secondary Analysis of 2 Randomized Clinical Trials
Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
Type: Document
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Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
Type: Document
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An Analysis of Suicide Risk Factors among Farmers in the Midwestern United States
Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
Type: Document
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Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
Type: Document
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, gender, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RAND Corporation
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Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, gender, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Type: Document
Sponsoring organization: RAND Corporation
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