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Rural Health
Resources by Topic: Mental health conditions

Assessing Fidelity of Cognitive Behavioral Therapy in Rural VA Clinics: Design of a Randomized Implementation Effectiveness (Hybrid Type III) Trial
Reports on a study to redesign the CALM (coordinated anxiety learning and management) tool for cognitive behavioral therapy to meet the needs of mental health clinicians working in Veteran Affairs (VA) community-based outpatient clinics (CBOC) treating rural veterans. Also assesses the best method for future implementation of the CALM tool among mental health providers in rural VA CBOCs.
Author(s): Michael A. Cucciare, Geoffrey M. Curran, Michelle G. Craske, et al.
Citation: Implementation Science, 11(65)
Date: 05/2016
Type: Document
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Connection Between Depression and Inability to Fill Prescriptions in Rural FQHC Patients with Chronic Disease
Examines rates of depression among 438 patients with hypertension or diabetes at Federally Qualified Health Centers (FQHCs) in the rural South. Also explores whether inability to afford prescription medicines within the previous 12 months is a predictor of depression in these patients. Includes statistics with breakdowns by race or ethnicity, gender, education, employment status, income, chronic condition, and history of mental illness.
Author(s): K. Bryant Smalley, Jacob C. Warren, K. Nikki Barefoot
Citation: Rural Mental Health, 40(2), 113-123
Date: 04/2016
Type: Document
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Breaking the Silence: Sexual Harassment of Mexican Women Farmworkers
Study of Mexican women farmworker experiences of workplace sexual harassment in rural Yakima Valley, Washington. Data taken from 2 focus group sessions of 10 participants each, reflecting frequency of sexual harassment and hostile work environment experiences. Discusses negative health effects of workplace and harassment-related stress, barriers to reporting, and prevention strategies.
Author(s): Nicole Jung-Eun Kim, Victoria Breckwich Vásquez, Elizabeth Torres, R. M. Bud Nicola, Catherine Karr
Citation: Journal of Agromedicine, 21(2), 154-162
Date: 03/2016
Type: Document
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Counteracting the Darkness of Physician Burnout
Provides an overview of the problem of physician burnout in rural areas. Features the experience of Dr. Jill Kruse from her work as a young primary care physician in rural South Dakota. Identifies the signs of burnout and discusses methods to build resiliency and provide support.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Intergenerational Trauma: Understanding Natives' Inherited Pain
Discusses the concept of intergenerational (historical) trauma and its influence on the behavior and health conditions of American Indian and Alaska Native (AI/AN) populations. Identifies the connection between excessive amounts of stress and the development of health issues such as addiction, depression, intimate partner violence, suicide, and diabetes. Includes personal stories to demonstrate the intensity of stress experienced by AI/AN children and families through generations.
Author(s): Mary Annette Pember
Date: 2016
Type: Document
Sponsoring organization: Indian Country Today Media Network
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Guideline Concordant Detection and Management of Depression among Alaska Native and American Indian People in Primary Care
Determines the proportion of Alaska Native/American Indians (AN/AIs) screening positive for depression that have been diagnosed or noted for the condition by their primary care provider. Evaluates whether provider management of depression is in accordance with the guidelines. Examines if depression management varied by patient and provider factors, such as gender, age, number of physical conditions, provider tenure, and more.
Author(s): Vanessa Y. Hiratsuka, Julia J. Smith, Sara M. Norman, Spero M. Manson, Denise A. Dillard
Citation: International Journal of Circumpolar Health, 74(1)
Date: 10/2015
Type: Document
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Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder: A Randomized Clinical Trial
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen A. Brenes, Suzanne C. Danhauer, Mary F. Lyles, Patricia E. Hogan, Michael E. Miller
Citation: JAMA Psychiatry, 72(10), 1012-1020
Date: 08/2015
Type: Document
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Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults
Examines two methods of neurocognitive assessments, telepsychiatry and in-person, using the same Spanish-language battery for testing to determine whether they are comparable among Spanish-speaking older adults in a rural setting. Includes telepsychiatry and in-person assessment data by education, acculturation, health literacy, depression, and a mini mental state exam.
Author(s): Ipsit V. Vahia, Bernardo Ng, Alvaro Camacho, et al.
Citation: American Journal of Geriatric Psychiatry, 23(7), 666-670
Date: 07/2015
Type: Document
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Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
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Hospital Readmissions Involving Psychiatric Disorders, 2012
Provides data on 30-day hospital readmissions for mood disorders and for schizophrenia and other psychotic disorders. Figure 1 and Figure 2 include readmission data by location of patient residence, for metropolitan and non-metropolitan areas.
Author(s): Kevin C. Heslin, Audrey J. Weiss
Date: 05/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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