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Rural Health
Resources by Topic: Mental health conditions

Inequalities in Elevated Depressive Symptoms in Middle-aged and Older Adults by Rural Childhood Residence: The Important Role of Education
Measures the disparities in the prevalence of elevated depressive symptoms by rural childhood residence and the influence of childhood socioeconomic conditions and educational attainment. Identifies the prevalence of depressive symptoms among U.S.-born adults ages 50 years and older using data from 1998–2014 Health and Retirement Studies – ongoing publicly available datasets of non-institutionalized adults.
Author(s): Audrey R. Murchland, Chloe W. Eng, Joan A. Casey, Jacqueline M. Torres, Elizabeth Rose Mayeda
Citation: International Journal of Geriatric Psychiatry, 34(11), 1633–1641
Date: 11/2019
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Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from 9 studies funded by the Patient Centered Outcomes Research Institute supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities, particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Sponsoring organization: Families USA
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Building Interventions When Distress Is under Debate: A Case Study from Appalachia
Discusses the various forms of distress experienced by women living in Appalachia and the challenges for healthcare professionals seeking to create culturally acceptable methods of identifying distress and developing appropriate resources for recovery. Describes a 3-year program to identify and adapt an evidence-based culturally appropriate intervention for this patient population.
Author(s): Claire Snell-Rood, Ryan Jenkins, Keisha Hudson, et al.
Citation: Transcultural Psychiatry, 56(5), 918-946
Date: 10/2019
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Life Course Patterns of Concurrent Trajectories of BMI and Affective Symptoms of Rural Mothers: Socioeconomic Antecedents and Disease Outcomes in Later Life
Study examining patterns of body mass index (BMI), socioeconomic background, and symptoms of depression and anxiety in rural Midwestern mothers over a 25-year period from 1991-2015. Participants in the study were 552 White families in rural Iowa who were parents of early adolescents in 1991. Discusses health risks, comorbidity, and socioeconomic stresses over time, noting that the rural women in the study experienced the rural farm crisis of the late 1980s.
Author(s): Kandauda Wickrama, Eric T. Klopack, Catherine Walker O'Neal, et al.
Citation: The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 74(7), 1233-1244
Date: 09/2019
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Impact of Rural Address and Distance from Clinic on Depression Outcomes Within a Primary Care Medical Home Practice
Compares rural and urban outcomes and rates of recovery for patients diagnosed with depression, describing mental healthcare disparities. Discusses Collaborative Care Management (CCM), which involves nurse care coordinators, behavioral health practitioners, and physicians working together to treat primary care patients with depression. Studies 3,870 patients in southeast Minnesota, analyzing remission data and patients' distance from their primary care clinic. Discusses the impact of rural residence, distance from providers, accessibility of care, and CCM on recovery rates.
Author(s): Hailon Wong, Kyle Moore, Kurt B. Angstman, Gregory M. Garrison
Citation: BMC Family Practice, 20, 123
Date: 09/2019
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Farm Family Stressors: Private Problems, Public Issue
Outlines the types of stressors farm families experience, the impacts these stressors have, and recommendations for policymakers working to address this issue.
Author(s): Bonnie Braun
Date: 09/2019
Sponsoring organization: National Council on Family Relations
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Utah's Mental Health System - A Collaborative Endeavor of the Kem C. Gardner Policy Institute and the Utah Hospital Association
Report details the mental health status in Utah. Highlights rates of mental health treatment among adults, youth depression and suicide indicators, and total student suicide risk by year. Features county level data and compares rural and urban counties.
Author(s): Laura Summers, Dianne Meppen, Samantha Ball
Date: 08/2019
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The Prevalence of Mental Illness and Substance Abuse Among Rural Latino Adults with Multiple Adverse Childhood Experiences in California
Presents a study on the role of adverse childhood experiences (ACEs) in adult mental health and substance use issues among rural Latinos in California. Breaks down participants by age, sex, income, and education, among other measures.
Author(s): Irán Barrera, Vrinda Sharma, Yumiko Aratani
Citation: Journal of Immigrant and Minority Health, 21, 971-976
Date: 08/2019
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Results from the 2018 National Survey on Drug Use And Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth from age 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: PDF Version
Date: 08/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Veteran Suicide: A Growing Problem in Colorado
A suicide prevention brief demonstrating how rural veterans and active duty service members in Colorado are disproportionally affected by suicide. Discusses the mental health status of veterans and barriers to accessing mental health services. Describes several strategies and prevention programs to help prevent veteran suicide.
Author(s): Karam Ahmad, Jaclyn Zubrzycki, Ashlie Brown, et al.
Date: 07/2019
Sponsoring organization: Colorado Health Institute
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