Ty Borders, PhD

Director, Rural and Underserved Health Research Center

Phone: 859.218.2041
Fax: 859.257.2821
Email: ty.borders@uky.edu

College of Nursing
University of Kentucky
Healthy Kentucky Research Building
760 Press Avenue, Suite 360
Lexington, KY 40536


Current Projects - (3)

  • Longitudinal Trends in Community Mental Health Center and Federally Qualified Health Center Supply in Nonmetropolitan and Metropolitan Counties
    This study will describe how the supply of community mental health centers and Federally Qualified Health Centers has changed over time in nonmetropolitan and metropolitan counties nationally.
    Research center: Rural and Underserved Health Research Center
    Topics: Health disparities and health equity, Health promotion and disease prevention, Hospitals and clinics, Mental and behavioral health, Rural Health Clinics (RHCs), Substance use and treatment
  • Rural and Urban Primary Care Physicians' Colorectal Screening Performance
    The objectives of this project are to profile, compare, and further understand rural versus urban differences in colorectal screening performance among primary care physicians nationally.
    Research center: Rural and Underserved Health Research Center
    Topics: Cancer, Chronic diseases and conditions, Health care access, Health promotion and disease prevention, Physicians
  • Serious Mental Illness and Access to Care Among Rural and Urban Adults
    Very little research has examined the prevalence of serious mental illness and access to mental health treatment among rural relative to urban adults in the U.S. Using nationally representative data, this project will shed new light on the prevalence and correlates of serious mental illness and related access to mental health services.
    Research center: Rural and Underserved Health Research Center
    Topics: Health care access, Health disparities and health equity, Hospitals and clinics, Mental and behavioral health, Substance use and treatment

Completed Projects - (4)

  • Mental Health Treatment Access: How Do Mental Health Treatment Use and Unmet Treatment Need Vary Among Rural and Urban Adults Nationally?
    This project will estimate the prevalence and policy-modifiable correlates of unmet mental health treatment need and utilization among metropolitan, micropolitan, and other non-metropolitan adults nationally who have a mental health condition. Additionally, the study will investigate the same issues among Native Americans/American Indians.
    Research center: Rural and Underserved Health Research Center
    Topics: American Indians and Alaska Natives, Health disparities and health equity, Health services, Mental and behavioral health
  • Risky Substance Use Among Adolescents and Adults in Nonmetropolitan and Metropolitan Counties
    Little research has examined the prevalence of risky substance use (alcohol and drugs) among nonmetropolitan adolescents and adults relative to their metropolitan counterparts. Using nationally representative data, this project shed new light on the prevalence and correlates of risky substance use that could inform prevention strategies.
    Research center: Rural and Underserved Health Research Center
    Topics: American Indians and Alaska Natives, Health disparities and health equity, Health promotion and disease prevention, Mental and behavioral health, Minority health, Substance use and treatment
  • Rural and Urban Differences in Access to Psychiatric Partial Hospitalization Programs
    The project informed policymakers about the accessibility of psychiatric partial hospitalization programs, which provide moderately intensive and structured psychiatric services in outpatient settings, particularly hospital-based outpatient clinics.
    Research center: Rural and Underserved Health Research Center
    Topics: Health care access, Health services, Hospitals and clinics, Mental and behavioral health
  • Substance Use, Depression, and Suicide: What Are the Individual and Policy-Modifiable Correlates Amongst Metropolitan and Non-metropolitan Adults?
    We estimated the prevalence of depression and suicidal ideation and attempts amongst metropolitan and non-metropolitan adults nationally. We also investigated how demographic, social, economic, and health (including alcohol and drug abuse) as well as healthcare access factors explain depression and suicide indicators amongst residents.
    Research center: Rural and Underserved Health Research Center
    Topics: Health disparities and health equity, Health services, Mental and behavioral health, Substance use and treatment

Publications - (7)

2020

2019

  • Partial Psychiatric Hospitalization Program Availability in Nonmetropolitan and Metropolitan Hospitals Nationally
    Policy Brief
    Rural and Underserved Health Research Center
    Date: 12/2019
    Partial psychiatric hospitalization programs (PPHPs) are intended to reduce or avoid inpatient stays by providing intensive psychiatric services in outpatient settings. We provide national estimates of PPHP availability among nonmetropolitan and metropolitan hospitals and describe the hospital characteristics associated with the provision of PPHPs.
  • Suicidal Thoughts, Plans, and Attempts by Non-Metropolitan and Metropolitan Residence
    Policy Brief
    Rural and Underserved Health Research Center
    Date: 05/2019
    Suicide is among the leading causes of death in the US, and rates in non-metropolitan (rural) counties have historically exceeded those in metropolitan (urban) counties. This study examined the prevalence of suicidal thoughts, plans, and attempts by year (2010-2016) and county type (non-metropolitan, small metropolitan, and large metropolitan).

2018

  • Illicit Drug and Opioid Use Disorders Among Non-Metropolitan Residents
    Policy Brief
    Rural and Underserved Health Research Center
    Date: 01/2018
    We provide estimates of the prevalence of illicit drug and opioid use disorders among non-metropolitan adults ages 18-64. Prevalence rates did not decline from 2011-2013 to 2014-2015 despite the implementation of major substance use treatment policies. Of particular concern, heroin use disorder prevalence increased in recent years.
  • Perceived Treatment Need and Utilization for Illicit Drug and Opioid Use Disorders in Non-Metropolitan Areas
    Policy Brief
    Rural and Underserved Health Research Center
    Date: 01/2018
    The vast majority of non-metropolitan adults 18-64 who satisfy criteria for an illicit drug use or opioid use disorder do not perceive a need for treatment or receive formal substance use treatment. Despite policies to increase treatment access during the 2008-2015 study period, we found few changes in perceived treatment need and utilization.