Rural Health Research Gateway

Mental health

Completed Projects

Analysis of Substance Abuse and Mental Health Disparities in the Appalachian Region and Access to Treatment Services
Research center: Walsh Center for Rural Health Analysis
Funder: Appalachian Regional Commission (ARC)
Topics: Health disparities, Mental health, Substance abuse
This project used both quantitative and qualitative methods to analyze substance abuse and mental health issues within the Appalachian region, as well as between Appalachia and the broader United States.

Assessing Demand and Capacity for Behavioral Health Services in Northern Minnesota
Research center: Minnesota Rural Health Research Center
Funder: Generations Health Care Initiatives
Topics: Health services, Mental health
This project will assess the demand and capacity and develop policy recommendations for improving the organization of behavioral health services to meet regional needs.

Community-Level Risk Factors for Depression Hospitalizations
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health
In this exploratory analysis, we examined the association between depression hospitalization rates and community-level socio-demographic, economic, and health care system characteristics.

Depression and Generalized Anxiety Disorder across Rural Populations
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Mental health, Minority health

Differential Effectiveness of Enhanced Depression Treatment for Rural and Urban Primary Care Patients
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health
This project will explore whether rural populations achieve outcomes with depression treatment quality intervention comparable to their urban counterparts, and whether any outcome differences are explained by treatment mediators (e.g., evidence-based care) or psychosocial mediators (e.g., stressful life events and social support). Findings from this study can be used to refine interventions before they are disseminated to rural delivery systems.

Distance Learning in Depression for Rural Primary Care Providers
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topics: Mental health, Technology
This project will develop effective distance learning methods to train rural PCPs in integrated care models for depression using computer based training as an approach to improving mental health outcomes in rural areas.

Effects of Scope of Service and Reimbursement on Access to Mental Health Services in Rural Areas
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health services, Health services, Mental health

Estimated Mental Health Care Utilization and Costs in Rural Areas
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health

Identifying At-Risk Rural Areas for Targeting Enhanced Depression Treatment
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health
This project will identify characteristics of rural areas that are associated with increased risk of depression-related hospitalizations, and will identify high risk rural areas within the U.S. that should be targeted for early adoption of enhanced depression treatment models based on patient need.

Identifying At-Risk Rural Areas for Targeting Enhanced Schizophrenia Treatment
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health
The goal of this project is to identify rural areas that should be targeted for early adoption of evidence-based schizophrenia treatment. This project proposes a scientifically-based method to identify counties in greatest need for quality improvement to inform national, regional, and local decision-makers about distributing scarce resources to areas which would most benefit from improved schizophrenia treatment.

Identifying Stakeholders to Pay for Enhanced Depression Treatment in Rural Populations
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topics: Health care financing, Mental health
The goal of this project is to identify stakeholders who economically benefit when rural patients receive enhanced depression treatment, which will, in turn, encourage health plans to provide enhanced depression treatment to their rural enrollees without raising premiums.

Impact of Bioterrorism on Rural Mental Health Needs
Research center: ORHP-funded Individual Grantees
Funder: Office of Rural Health Policy (ORHP)
Topics: Emergency preparedness, Mental health
This project aims to assess and improve the preparedness of rural primary care professionals to care for mental health conditions in the wake of bioterrorism and infectious disease outbreaks.

Informing Primary Care Depression Intervention: A Comparison of Hospitalization Rates in Depressed Rural and Urban Patients
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topics: Mental health, Physicians
The goal in this research was to examine whether or not there is a differential impact of enhanced depression care on patient outcomes in rural versus urban primary care settings and whether differences are mediated by receiving evidence-based care (pharmacotherapy and specialty care counseling).

Locally Managed Behavioral Health Organizations: How Do They Affect The Capacity of Medicaid Managed Behavioral Health Programs to Serve Rural Populations?
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Medicaid and S-CHIP, Mental health, Networking and collaboration

Maine Mental Health Evidence-Based Practice Planning Initiative
Research center: Maine Rural Health Research Center
Funder: National Institute of Mental Health (NIMH)
Topic: Mental health
This project will develop and conduct a survey of regional and area officials and community providers in Maine to assess the state's need, capacity and readiness for implementing evidence-based practices at the community mental health level.

Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Critical Access Hospitals and Rural Hospital Flexibility Program, Emergency medical services (EMS), Mental health
This project will survey Emergency Room (ER) managers in a nationally representative sample of Critical Access Hospitals (CAHs) to determine the proportion of ER encounters involving mental health pathology, types of mental health problems most commonly seen in these encounters, and resources available to CAHs to address the problems encountered.

Mental Health Risk Factors, Unmet Needs and Provider Availability for Rural Children
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health services, Mental health
The study will examine the prevalence of subclinical problems in rural children, assess risk factors associated with problems in children, and assess the influence of local provider availability on healthcare provider contact.

Mental Health Services: The Effect of Variations in State Policies
Research center: Southwest Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health policy, Health services, Mental health
This study will identify variations in state licensure and payment or coverage polices and examine the effect of these variations on the availability of mental health services in rural areas.

Preventing Hospitalization in Depressed Rural Patients
Research center: WICHE Center for Rural Mental Health Research
Funder: Office of Rural Health Policy (ORHP)
Topic: Mental health
This project will explore whether depressed rural patients are more likely than their urban counterparts to be hospitalized for depression and other health reasons over the course of two years; explore whether any current rural-urban hospitalization differences are reduced in models which control for previous intensive outpatient specialty care utilization; and explore rural-urban differences in the prevalence and consequences of administrative constraints on intensive outpatient specialty care use.

Role of Advanced Practice Registered Nurses in Addressing Mental Health Workforce Shortages
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Mental health, Nurses, Workforce

Role of Community Mental Health Centers as Rural Safety Net Providers
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Federally Qualified Health Centers (FQHCs), Mental health

Role of Inpatient Psychiatric Units in Small Rural Hospitals and Rural Mental Health Systems
Research center: Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health services, Hospitals and clinics, Mental health
This is a descriptive, exploratory study which will investigate the role of the small rural hospital IPU from the perspectives of both the rural hospital, in terms of scope of services and revenue enhancement, and the regional mental health system, meeting the needs of outpatient mental health and primary care providers, law enforcement, and human services.

Rural-Urban Comparison of Mental Health Care Treatment and Costs
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health care financing, Mental health

Teen Violence
Research center: South Carolina Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Mental health, Physical abuse and domestic violence
This study will use national data to assess the prevalence of violence among rural youth, define risk factors for violence exposure among rural youth, and assess the current ability of rural school systems to provide appropriate mental health care and/or referrals for youth exposed to violence.

White Paper: Models for Meeting the Mental Health Needs of People Living in Rural Areas (Rural Mental Health)
Research center: Southwest Rural Health Research Center
Funder: Substance Abuse and Mental Health Services Administration's Center for Mental Health Services
Topics: Health services, Mental health


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