Rural Health
Resources by Topic: Stigma
Healthcare Professionals' Mental Health Needs: Where Can They Go?
Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the mental health needs of healthcare providers and the barriers to accessing care. Features the work of physician health programs, professional societies, state licensure boards, and other groups to help ensure providers' mental health needs are addressed. Discusses the impact of provider wellness on patient safety and healthcare quality.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the unique challenges rural communities face serving parents with substance abuse issues, including provider shortages, limited access to health insurance, transportation and technological barriers, and lack of routine cross-systems collaboration with the child welfare system. Offers strategies to overcome these challenges in rural communities.
Author(s): Elizabeth Clary, Christina Ribar, Elizabeth Weigensberg
Date: 01/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Recognition and Stigma of Prescription Drug Abuse Disorder: Personal and Community Determinants
Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, race, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
Type: Document
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Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, race, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
Type: Document
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Access to Specialty Healthcare in Urban Versus Rural US Populations: A Systematic Literature Review
Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
Type: Document
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Surveys research between January 2013 – August 2018 on healthcare access, seeking clear definition and understanding of barriers to specialty care. Draws data from 67 peer-reviewed articles, presenting a conceptual framework based on common themes. Discusses issues of availability, perception, policy, stigma, and other access factors.
Author(s): Melissa E. Cyr, Anna G. Etchin, Barbara J. Guthrie, James C. Benneyan
Citation: BMC Health Services Research, 19, 974
Date: 12/2019
Type: Document
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Community-Driven Strategies to Address Stigma and Build Healthier Communities in Maine
Describes 3 communities working to reduce stigma in order to create equitable systems that enhance the health and well-being of Maine residents. Presents community responses to reducing stigma, common themes, and implications for complex system change initiatives in health.
Author(s): Susan Foster, Teresa Doksum
Date: 11/2019
Type: Document
Sponsoring organization: Maine Health Access Foundation
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Describes 3 communities working to reduce stigma in order to create equitable systems that enhance the health and well-being of Maine residents. Presents community responses to reducing stigma, common themes, and implications for complex system change initiatives in health.
Author(s): Susan Foster, Teresa Doksum
Date: 11/2019
Type: Document
Sponsoring organization: Maine Health Access Foundation
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Rural Primary Care Providers' Attitudes Towards Sexual and Gender Minorities in a Midwestern State in the USA
Discusses current attitudes of primary care providers practicing in rural Michigan toward lesbian, gay, bisexual, and transgender (LGBT) individuals, and identifies any correlation of attitudes that may influence the quality of healthcare.
Author(s): Akshay Sharma, John C. Shaver, Rob B. Stephenson
Citation: Rural and Remote Health,19(4), 5476
Date: 11/2019
Type: Document
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Discusses current attitudes of primary care providers practicing in rural Michigan toward lesbian, gay, bisexual, and transgender (LGBT) individuals, and identifies any correlation of attitudes that may influence the quality of healthcare.
Author(s): Akshay Sharma, John C. Shaver, Rob B. Stephenson
Citation: Rural and Remote Health,19(4), 5476
Date: 11/2019
Type: Document
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Factors that Influence Access to Medication-Assisted Treatment
Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Results of a study examining factors that influence access to medication-assisted treatment and substance use disorder treatment, including rural location, stigma, shortage of providers, and insurance coverage. Uses data from an electronic survey distributed to 59 State Opioid Treatment Authorities or Single State Authorities in the spring of 2019.
Additional links: Policy Brief
Author(s): Dana Foney, Shannon Mace
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Psychosocial Supports in Medication-Assisted Treatment: Site Visit Findings and Conclusions
Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Profiles 5 programs that offer medication-assisted treatment (MAT) for opioid use disorder (OUD), including several with rural components. Covers psychosocial support offered, staffing and staff training, collaboration and coordination, financing, data collection and quality improvement, lessons learned, and next steps for each program. Discusses the aspects of psychosocial support that are most important for positive outcomes, types of psychosocial support being used, and factors helping or impeding psychosocial support implementation, including stigma and workforce challenges. Appendix B reviews the literature on psychosocial support in MAT.
Additional links: Appendix B: Psychosocial Supports in Medication-Assisted Treatment: Recent Evidence and Current Practice
Author(s): Garrett Moran, Hannah Knudsen, Caroline Snyder
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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