Rural Health
Resources by Topic: Stigma
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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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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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
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
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance use, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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American Farm Bureau Federation Rural Stress Polling Presentation
Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Date: 04/2019
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
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Summarizes the results of a survey of rural adults, farmers, and farmworkers regarding mental health. Includes statistics and data describing access to mental health resources, mental health concerns for farmers, ways to reduce stigma, general impressions of mental health, and more.
Date: 04/2019
Sponsoring organizations: American Farm Bureau Federation, Morning Consult
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Wild . . . But Not So Wonderful - Responding to Injection Drug Use in West Virginia
Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
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Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
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Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care — Medical Monitoring Project, United States, 2011–2015
Reports on sociodemographic, behavioral, and clinical characteristics of American Indian/Alaska Native (AI/AN) patients in HIV care. Includes information on stigma, healthcare discrimination, social supports, depression, substance use, sex without a condom, antiretroviral therapy adherence, and viral suppression.
Author(s): Amy R. Baugher, Linda Beer, Heather M. Bradley, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1405-1409
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on sociodemographic, behavioral, and clinical characteristics of American Indian/Alaska Native (AI/AN) patients in HIV care. Includes information on stigma, healthcare discrimination, social supports, depression, substance use, sex without a condom, antiretroviral therapy adherence, and viral suppression.
Author(s): Amy R. Baugher, Linda Beer, Heather M. Bradley, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1405-1409
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Depression in a Depressed Area: Deservingness, Mental Illness, and Treatment in the Contemporary Rural U.S.
Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Examines the concepts of health-related deservingness and local moral economics to understand the diversity of moral responses to depression for rural women living in Appalachian Kentucky, where economic distress has contributed to poor mental health. Women from a variety of ages, treatment encounters, work experiences, and family sizes, along with healthcare professionals from a variety of backgrounds and settings, participated in semi-structured interviews and focus groups.
Author(s): Claire Snell-Rood, Elizabeth Carpenter-Song
Citation: Social Science & Medicine, 219: 78-86
Date: 12/2018
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Developing FAITHH: Methods to Develop a Faith-Based HIV Stigma-Reduction Intervention in the Rural South
Provides an overview of a pilot test of a faith-based intervention to address HIV-related stigma in rural Alabama. Discusses the factors that contribute to HIV stigma among African-Americans in the South.
Author(s): Erin L.P. Bradley, Madeline Y. Sutton, Eric Cooks, et al.
Citation: Health Promotion Practice, 19(5), 730-740
Date: 09/2018
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Provides an overview of a pilot test of a faith-based intervention to address HIV-related stigma in rural Alabama. Discusses the factors that contribute to HIV stigma among African-Americans in the South.
Author(s): Erin L.P. Bradley, Madeline Y. Sutton, Eric Cooks, et al.
Citation: Health Promotion Practice, 19(5), 730-740
Date: 09/2018
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Sponsoring organization: Rural Health Information Hub
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Adult Experts' Perceptions of Telemental Health for Youth: A Delphi Study
Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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