David Hartley, PhD, MHA

Contact information for this researcher is no longer available, but you can still access their previous work.


Completed Projects - (16)

  • Adolescent Alcohol Use in Rural Areas: What Are the Issues?
    This study will use the National Survey on Drug Use and Health (NSDUH) to examine the effect of developmental, individual, and environmental factors on adolescent alcohol use across the urban-rural continuum.
    Research center: Maine Rural Health Research Center
    Topic: Substance abuse
  • Chronic Illness and the Rural Informal Safety Net: The Case of Diabetes
    Research center: Maine Rural Health Research Center
    Topics: Chronic diseases and conditions, Health insurance and the uninsured
  • Database for Rural Health Research in Progress
    This searchable database of current rural health services research and policy analysis includes all ORHP-funded studies as well as research funded by other federal agencies, major private foundations and other sources.
    Research center: Maine Rural Health Research Center
    Topic: Health policy
  • Effects of Scope of Service and Reimbursement on Access to Mental Health Services in Rural Areas
    Research center: Maine Rural Health Research Center
    Topics: Health services, Health services, Mental health
  • Health Reform-Rapid Response
    This project will include several projects as requested by ORHP and DHHS as those agencies prepare for national health reform. Responses are primarily in the areas of health insurance and behavioral health.
    Research center: Maine Rural Health Research Center
    Topics: Health policy, Health services, Healthcare financing, Mental health
  • Implications of Mental Health Comorbidity and Rural Residence for Health Care Use Patterns of Individuals with Chronic Disease
    This study will use the 2005-2010 panels of the Medical Expenditure Panel Survey (MEPS) to compare the prevalence of concurrent mental health and chronic illnesses across rural and urban populations and to describe relationships among comorbidity, residence, and health care use. Findings will inform public and private decisions on how best to allocate new resources available for mental health/primary care integration efforts.
    Research center: Maine Rural Health Research Center
    Topics: Chronic diseases and conditions, Mental health
  • Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey
    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.
    Research center: Maine Rural Health Research Center
    Topics: Critical Access Hospitals and Rural Hospital Flexibility Program, Emergency medical services (EMS), Mental health
  • Mental Health Services in Rural Jails
    This project will investigate how rural jails manage the mental health and substance abuse problems of their inmates. Through analysis of the National Survey of Jails and semi-structured interviews with state-level and county-level/local officials, barriers to providing such services will be assessed and promising practices will be documented.
    Research center: Maine Rural Health Research Center
    Topic: Mental health
  • National Study of Substance Abuse Prevalence and Treatment Services in Rural Areas
    This project will research the prevalence of the abuse of legal and illegal substances across rural populations and geographic areas, including the extent to which rural individuals are receiving treatment for their substance abuse and barriers to the receipt of treatment.
    Research center: Maine Rural Health Research Center
    Topics: Health disparities, Health services, Rural statistics and demographics, Substance abuse
  • Patterns of Care for Rural and Urban Children with Mental Health Problems
    This study will assess whether use of office-based care and psychotropic medicine by children differs between rural and urban areas, as well as the role of insurance coverage and availability of mental health providers on use of these services.
    Research center: Maine Rural Health Research Center
    Topics: Children, Health disparities, Mental health
  • Provision of Specialty Mental Health Services by Rural Health Clinics
    This project will document the extent to which Rural Health Clinics (RHCs) are employing mental health staff nationally, understand why more RHCs are not employing specialty mental health staff, and analyze the barriers to and opportunities for the delivery of mental health services by RHCs. The results will identify opportunities and interventions to encourage RHCs to offer this important service.
    Research center: Maine Rural Health Research Center
    Topics: Health services, Mental health, Rural Health Clinics (RHCs), Substance abuse
  • Role of Advanced Practice Registered Nurses in Addressing Mental Health Workforce Shortages
    Research center: Maine Rural Health Research Center
    Topics: Mental health, Nurses, Workforce
  • Role of Community Mental Health Centers as Rural Safety Net Providers
    Research center: Maine Rural Health Research Center
    Topics: Federally Qualified Health Centers (FQHCs), Mental health
  • Role of Inpatient Psychiatric Units in Small Rural Hospitals and Rural Mental Health Systems
    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.
    Research center: Maine Rural Health Research Center
    Topics: Health services, Hospitals and clinics, Mental health
  • Rural Maternal Smoking Behaviors
    In this project, we will develop a chart book documenting the prevalence of mental health/substance abuse conditions and describing the utilization of mental health services in rural and urban settings.
    Research center: Maine Rural Health Research Center
    Topics: Health disparities, Mental health, Substance abuse
  • Year 2 of the Sentinel Cohort of Rural Health Clinics: Testing, Evaluating and Refining a Set of Rural Health Clinic Quality Measures
    This project implements the set of core consensus quality measures identified during Year One of the Rural Health Clinic (RHC) Sentinel Cohort project among a group of approximately 130 RHCs in 13 states.
    Research center: Maine Rural Health Research Center
    Topics: Quality, Rural Health Clinics (RHCs)

Publications - (29)