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School Mental Health in Rural Communities Getting to Wide Scale Adoption of Comprehensive School Mental Health Resource List May 17, 2018

Carson, J.A. Mattingly, M. J., Schaefer, A.  Gains in Reducing Child Poverty, but Racial- Ethnic Disparities Persist.  National Issue Brief #118.  Spring 2017.  Carsey Institutes, University of New Hampshire.

This brief uses data from the American Community Survey to investigate patterns of child poverty across race-ethnicities and across regions and place types.


Health Resources and Services Administration (HRSA). Rural Health Information Hub. 

The Rural Health Information Hub is supported by the Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS).  This information hub provides on-line information and resources focused on rural health disparities.


Hamilton, L. C., Hamilton, L.R., Duncan, C.M., and Colocousis, C.R. (2008).  Place Matters: Challenges and Opportunities in Four Rural Americas.  Carsey Institute, University of New Hampshire.

In the fall of 2007, researchers at the Carsey Institute at the University of New Hampshire completed the first stages of the Community and Environment in Rural America (CERA) survey. Nearly 8,000 residents in 19 carefully selected rural counties were interviewed in the comprehensive survey to determine their opinions, experiences, and attitudes about the changes occurring in their lives, the lives of their families, and in their communities. We examined rural life using socioeconomic, cultural, and demographic indicators as guides, rather than outdated notions of what “rural” is.


Hoover, Sharon, Lever, Nancy (2017).  State of School Mental Health, Briefing Document.  Substance Abuse Mental Health Service Administration/DHHS Expert Panel on School Mental Health; September 7, 2017.

Link to presentation: Getting to Wide-Scale Adoption of Quality, Comprehensive School Mental Health in the U.S. – Discussion of the Initial Recommendations of the Expert Panel in School Mental Health.


Johnson, Kenneth, M., (2006), Demographic Trends in Rural and Small Town America, Carsey Institute, University of New Hampshire.

This report summarizes population redistribution trends in the rural and small town communities that are an important part of the social, economic and political fabric of the country.  Nonmetropolitan, or rural, America contains over 75 percent of the land area and 17 percent of the U.S. population. What happens in rural America has important policy implications for the fifty million residents who live there and the nation as a whole.


National Advisory Council on Rural Health and Human Services (July, 2016). Families in Crisis: The Human Service Implications of Rural Opioid Misuse, Policy Brief.

During its spring 2016 meeting in Beaufort, South Carolina, the National Advisory Committee on Rural Health and Human Services discussed the unique rural challenges related to opioid use disorder and the experiences of families in crisis. During its site visit the Committee heard from residents, service providers, and stakeholders about the challenges to providing human services to families struggling with addiction. This brief is informed by those experiences, and conversations.


Schaefer, A., Mattingly, M. J., and Johnson, K.M., (Winter 2016).  Child Poverty Higher and More Persistent in Rural America.  Carsey Research, National Issue Brief #97. Winter 2016. 

This brief looks at both the incidence of high child poverty (20 percent or greater) over the past three decades and at the places where such high child pov­erty has persisted for all of those decades.  Our analysis documents both that the incidence of high child poverty is growing nationwide and that rural America includes a disproportionate share of children living in counties characterized as having persistent high child poverty.


Siceloff E.R., Barnes-Young C., Massey C., Yell M., Weist M.D. (2017) Building Policy Support for School Mental Health in Rural Areas. In: Michael K., Jameson J. (eds) Handbook of Rural School Mental Health. Springer, Cham

In this chapter, we discuss the unique challenges to addressing the mental health needs of children and youth that exist in rural settings. We begin by describing the mental health status of children and adolescents nationwide and then focus our attention on rural settings. As part of our discussion, we review what has been done at the federal level to mitigate rural disparities as well as how one southeastern state is addressing the mental health needs of its rural youth.  Together, this information provides an important backdrop for understanding and overcoming the unique challenges of implementing SMH programs and services in a rural setting, which we discuss in the final section of this chapter.


Wilger, S. Special Considerations for Mental Services in Rural Schools, Issue Brief.  Now is the Time Technical Assistance Center, NITT-TA.

This Issue Brief explores challenges faced by rural schools and innovations used to develop, implement, maintain, and expand mental health services for the students and the families they serve.


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