Rural Mental Health – Resources
Selected recent or important resources focusing on Rural Mental Health.
Medicaid Behavioral Health Providers Delivering Most Behavioral Health Services via Telehealth Before and During the COVID-19 Pandemic Issue Brief
Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the extent to which Medicaid behavioral health providers shifted their practices to mostly telebehavioral health services during the COVID-19 pandemic through December 2021. Explores differences between specialty and non-specialty behavioral health providers, providers serving enrollees with mental health conditions versus substance use disorders, and rural and urban providers.
Date: 12/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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2024 National Veteran Suicide Prevention Annual Report
Report highlights the rate of suicide among veterans and the VA's role in suicide prevention. Discusses the causes of veteran suicide and the steps the VA is taking for suicide prevention. Breaks down rates of suicide by sex, contact with the VHA, and rurality, among other factors. The 2024 report is split into two parts. The second part is added as and additional link.
Additional links: Data Appendix, Part 2: Report Findings
Date: 12/2024
Sponsoring organization: U.S. Department of Veterans Affairs
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Report highlights the rate of suicide among veterans and the VA's role in suicide prevention. Discusses the causes of veteran suicide and the steps the VA is taking for suicide prevention. Breaks down rates of suicide by sex, contact with the VHA, and rurality, among other factors. The 2024 report is split into two parts. The second part is added as and additional link.
Additional links: Data Appendix, Part 2: Report Findings
Date: 12/2024
Sponsoring organization: U.S. Department of Veterans Affairs
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Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia
Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Trends in Mental, Behavioral, and Developmental Disorders among Children and Adolescents in the US, 2016–2021
Analyzes mental, behavioral, and developmental disorders (MBDDs) in children and factors that contribute to MBDD outcomes. Utilizes 2016-2021 National Survey of Children's Health data with breakdowns according to prevalence and type of MBDD, receipt of healthcare services, parent and family well-being, community support and safety, and demographic characteristics of children with MBDD, including urban/suburban versus rural location.
Author(s): Rebecca T. Leeb, Melissa L. Danielson, Angelika H. Claussen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Analyzes mental, behavioral, and developmental disorders (MBDDs) in children and factors that contribute to MBDD outcomes. Utilizes 2016-2021 National Survey of Children's Health data with breakdowns according to prevalence and type of MBDD, receipt of healthcare services, parent and family well-being, community support and safety, and demographic characteristics of children with MBDD, including urban/suburban versus rural location.
Author(s): Rebecca T. Leeb, Melissa L. Danielson, Angelika H. Claussen, et al.
Citation: Preventing Chronic Disease, 21
Date: 12/2024
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Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Identifying Factors Associated with Variation in Telemental Health Delivery at Federally Qualified Health Centers
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health
Date: 11/2024
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Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health
Date: 11/2024
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State of the Behavioral Health Workforce, 2024
Offers demographic and occupational data on the behavioral health workforce including current and projected shortages. Data sources include both 2022 and 2023. Offers comparisons of shortages between rural and urban counties. Discusses challenges driving workforce shortages.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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Offers demographic and occupational data on the behavioral health workforce including current and projected shortages. Data sources include both 2022 and 2023. Offers comparisons of shortages between rural and urban counties. Discusses challenges driving workforce shortages.
Date: 11/2024
Sponsoring organizations: Health Resources and Services Administration, National Center for Health Workforce Analysis
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Symptoms of Anxiety and Depression Among Adults: United States, 2019 and 2022
Examine trends related to symptoms of anxiety and depression between 2019 and 2022. Utilizes 2022 National Health Interview Survey data to examine symptoms by severity, age, sex, race/ethnicity, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan.
Author(s): Emily P. Terlizzi, Benjamin Zablotsky
Date: 11/2024
Sponsoring organization: National Center for Health Statistics
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Examine trends related to symptoms of anxiety and depression between 2019 and 2022. Utilizes 2022 National Health Interview Survey data to examine symptoms by severity, age, sex, race/ethnicity, education, income, region, and urbanization level, including large central metropolitan, large fringe metropolitan, medium and small metropolitan, and nonmetropolitan.
Author(s): Emily P. Terlizzi, Benjamin Zablotsky
Date: 11/2024
Sponsoring organization: National Center for Health Statistics
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Behavioral health
- Behavioral health workforce
- Mental health
- Mental health conditions
- Suicide and suicide prevention
Last Updated: 1/3/2025