The prevalence of diabetes mellitus (DM) is higher in American Indians/Alaska Natives (AI/AN) than in any other racial or ethnic group in the United States (U.S. Department of Health and Human Services [USDHHS] Centers for Disease Control and Prevention [CDC], 2018). In response to this escalating health issue, the U.S. government funded a number…

A study was conducted that examined ways to improve awareness of campus counselling services. An Appreciative Action Research Inquiry (AARI) identified strengths and improvements from the perception of key stakeholders. Discussion will focus on findings and recommendations made on ways to increase awareness of college counseling center services.

The single case study presents the story of the implementation of a three year Coordinated School Health Program (CSHP) at a rural North Mississippi school. The school was recognized by the Mississippi Department of Education, Office of Healthy Schools, as one of ten selected model Mississippi healthy schools. An awarded grant of one hundred…

Context: Obesity is a chronic disease of epidemic proportions in the United States. Primary care providers are critical to timely diagnosis and treatment of obesity, and need better tools to deliver effective obesity care. Purpose: To conduct a pilot randomized trial of a chronic care model (CCM) program for obesity care in rural Kansas primary…

Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

A training curriculum on mental health and aging was developed and disseminated to 32 natural caregivers throughout a frontier state using a train-the-trainer model. Those certified as trainers included social workers, religious professionals, volunteers, long-term care employees, nurses, home health workers, and professional and informal…

Two training programs in rural Iowa demonstrated community helpers can be trained to function effectively in rural mental health service delivery. Comparable training programs sponsored by the center are currently in progress. Training these natural helpers in interpersonal skills is an important service of community mental health centers. (Author)

This paper describes the development of a consumer-based program in rural Essex County (New York) for families with children with emotional disorders. Initially, in-depth, in-home interviews were held with 24 families who had children with serious emotional disturbances concerning their service needs and desires. The following needs were expressed…

A pilot system of individualized and rurally compatible community-based alternatives to residential and institutional treatment settings for seriously emotionally disturbed children was evaluated. The results indicate that this intensive, community-based, service-delivery system appears to improve children's behavioral and emotional functioning,…

Various model programs for comprehensive health service delivery to adolescents have been proposed and implemented, but few of these programs have been evaluated systematically. This monograph identifies 664 programs that provide comprehensive or integrated services and reports the results of a survey completed by 435 programs. Two-thirds of all…

After 3 years of operation, the Appalachian Regional Commission presents this report and evaluation of its activities as required by the Appalachian Regional Development Act of 1965. A brief overview is given of the history of the program, the Federal-state relationship, the strategy and method of attacking the regions' rural and urban problems,…

This paper presents an overview of the planning, implementation, and evaluation of a mental health continuing education program in rural Virginia. An initial needs assessment found that professionals, paraprofessionals, and volunteers need further training in innovative treatment approaches, community intervention, and prevention strategies. The…

Health needs and health services in rural America are key issues directly related to education as well as community well-being. This report examines rural America's access to basic health care services and discusses options for congressional consideration. The focus is on trends in availability of primary and acute rural health care and on factors…

Summaries of 89 studies on rural health care (underway or recently completed) in the United States as of December 1976 are reported. Information on each study includes: title; principal researchers' names, addresses, and professions; major objectives of the research; methodology; findings (on completed research); financing organization; current…