Peters DJ, Monnat SM, Hochstetler AL, et al. The opioid hydra: Understanding overdose mortality epidemics and syndemics across the rural-urban continuum. Rural Sociology. 2020;85(3):589-622. https://doi.org/10.1111/ruso.12307

Article  Google Scholar 

Holden C, Mueller C, Popat S, et al. Rural and urban differences in factors associated with inpatient hospital stays for substance use disorder. Rural Health Equity Research Center; 2023. Available online at https://www.etsu.edu/cph/rural-health-equity/documents/isp_brief_1.pdf. Accessed January 16, 2024.

Andrilla CHA, Garberson LA, Patterson DG, et al. Comparing the health workforce provider mix and the distance travelled for mental health services by rural and urban Medicare beneficiaries. The Journal of Rural Health. 2021;37(4):692-699. https://doi.org/10.1111/jrh.12504.

Article  PubMed  Google Scholar 

Jones EB. Medication-assisted opioid treatment prescribers in federally qualified health centers: Capacity lags in rural areas. The Journal of Rural Health. 2018;34(1):14-22. https://doi.org/10.1111/jrh.12260.

Article  PubMed  Google Scholar 

Amiri S, McDonell MG, Denney JT, et al. Disparities in access to opioid treatment programs and office-based buprenorphine treatment across the rural-urban and area deprivation continua: A US nationwide small area analysis. Value Health. 2021;24(2):188-195. https://doi.org/10.1016/j.jval.2020.08.2098.

Article  PubMed  Google Scholar 

Morales DA, Barksdale CL, Beckel-Mitchener AC. A call to action to address rural mental health disparities. Journal of Clinical and Translational Science. 2020;4(5):463-467. https://doi.org/10.1017/cts.2020.42.

Article  PubMed  PubMed Central  Google Scholar 

Heitkamp TL, Fox LF. Addressing disparities for persons with substance use disorders in rural communities. Journal of Addictions Nursing. 2022;33(3):191. https://doi.org/10.1097/JAN.0000000000000483.

Article  PubMed  Google Scholar 

Mack B, Whetsell H, Graves J. Mental health in rural areas. National Rural Health Association; 2022. Available online at https://www.ruralhealth.us/NRHA/media/Emerge_NRHA/Advocacy/Policy%20documents/NRHA-Mental-health-in-rural-areas-policy-brief-2022.pdf. Accessed January 16, 2024.

Turrini G, Branham DK, Chen L, et al. Access to affordable care in rural America: Current trends and key challenges. Assistant Secretary for Planning and Evaluation Office of Health Policy; 2021. Available online at https://aspe.hhs.gov/sites/default/files/2021-07/rural-health-rr.pdf. Accessed January 16, 2024.

Osorio A, Alker J, Park E. Medicaid’s coverage role in small towns and rural areas. Center for Children & Families, Georgetown University Health Policy Institute; 2023. Available online at https://ccf.georgetown.edu/2023/08/17/medicaids-coverage-role-in-small-towns-and-rural-areas/. Accessed January 16, 2024.

Improving rural health: State policy options for increasing access to care. National Conference for State Legislatures; 2020. Available online at https://www.ncsl.org/health/improving-rural-health. Accessed January 16, 2024.

Meit M, Beatty K, Mathis S, et al. Examining the burden of public stigma associated with mental illness in the rural United States. Rural Health Equity Research Center; 2022. Available online at https://www.etsu.edu/cph/rural-health-equity/documents/rherc_092622.pdf. Accessed January 16, 2024.

Gale J, Janis J, Coburn A, et al. Behavioral health in rural America: Challenges and opportunities. Rural Policy Research Institute; 2019. Available online at https://rupri.org/wp-content/uploads/Behavioral-Health-in-Rural-America-Challenges-and-Opportunities.pdf. Accessed January 16, 2024.

Mack K, Jones CM, Bellesteros ME. Illicit drug use, illicit drug use disorders, and drug overdose deaths in metropolitan and nonmetropolitan areas - United States. Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention; 2017. Available online at https://www.cdc.gov/mmwr/volumes/66/ss/pdfs/ss6619.pdf. Accessed January 16, 2024.

Johnson K, Lichter D. Growing racial diversity in rural America: Results from the 2020 Census. Carsey School of Public Policy. https://scholars.unh.edu/carsey/449/

Henning-Smith C, Gonzales G, Ott A, et al. Rural LGBTQ+ Americans face health disparities, but communities revealed strengths. Health Affairs. https://doi.org/10.1377/forefront.20221021.273708.

Howren MB, Kazmerzak D, Pruin S, et al. Behavioral health screening and care coordination for rural veterans in a federally qualified health center. Journal of Behavioral Health Services & Research. 2022;49(1):50-60. https://doi.org/10.1007/s11414-021-09758-0.

Article  Google Scholar 

Bommersbach T, Stefanovics E, Rosenheck R. Mental health service utilization in rural areas nationally in the Veterans Health Administration. Journal of Rural Mental Health. 2021;45(3):229-242. https://doi.org/10.1037/rmh0000182.

Article  Google Scholar 

Falgas-Bague I, Wang Y, Banerjee S, et al. Predictors of adherence to treatment in behavioral health therapy for Latino immigrants: The importance of trust. Frontiers in Psychiatry. 2019;10. https://doi.org/10.3389/fpsyt.2019.00817.

Best AL, Fletcher FE, Kadono M, et al. Institutional distrust among African Americans and building trustworthiness in the COVID-19 response: Implications for ethical public health practice. Journal of Health Care for the Poor and Underserved. 2021;32(1):90-98. https://doi.org/10.1353/hpu.2021.0010.

Article  PubMed  PubMed Central  Google Scholar 

Boysen GA, Axtell EL, Kishimoto AG, et al. The racial stereotype about mental illness. The Journal of Social Psychology. 2023;163(4):501-514. https://doi.org/10.1080/00224545.2021.2023086.

Article  PubMed  Google Scholar 

National Council for Mental Wellbeing. What is a CCBHC? National Council for Mental Wellbeing. Available online at https://www.thenationalcouncil.org/program/ccbhc-success-center/ccbhc-overview/. Accessed January 16, 2024.

Substance Abuse and Mental Health Services Administration. Criteria for the demonstration program to improve community mental health centers and to establish certified community behavioral health clinics. Available online at https://www.samhsa.gov/sites/default/files/programs_campaigns/ccbhc-criteria-2022.pdf. Accessed July 18, 2022.

Substance Abuse and Mental Health Services Administration. Certified community behavioral health clinics. U.S. Department of Health and Human Services. Available online at https://www.samhsa.gov/certified-community-behavioral-health-clinics. Accessed July 18, 2022.

Oregon Health Authority. Certified community behavioral health clinics. Oregon Health Authority. Available online at https://www.oregon.gov/oha/HSD/BHP/Pages/Community-BH-Clinics.aspx. Accessed October 2, 2022.

Oregon Health Authority [OHA]. Health equity committee (HEC). Available online at https://www.oregon.gov/oha/EI/Pages/Health-Equity-Committee.aspx. Accessed April 11, 2023.

Oregon Health Authority [OHA]. Oregon standards for certified community behavioral health clinics (CCBHCs). Available online at https://www.oregon.gov/oha/HSD/BHP/CCBHC%20Documents/Oregon-Standards-for-CCBHCs.pdf. Accessed October 2, 2022.

Heath B, Romero P, Reynolds K. A standard framework for levels of integrated healthcare. SAMHSA-HRSA Center for Integrated Health Solutions; 2013. Available online at https://thepcc.org/sites/default/files/resources/SAMHSA-HRSA%202013%20Framework%20for%20Levels%20of%20Integrated%20Healthcare.pdf. Accessed January 16, 2024.

Gelmon S, Bouranis N, Sandberg B, et al. Strategies for addressing the challenges of patient-centered medical home implementation: Lessons from Oregon. The Journal of the American Board of Family Medicine. 2018;31(3):334-341. https://doi.org/10.3122/jabfm.2018.03.170265.

Article  PubMed  Google Scholar 

Ward MC, Druss BG. Reverse integration initiatives for individuals with serious mental illness. FOCUS. 2017;15(3):271-278. https://doi.org/10.1176/appi.focus.20170011.

Article  PubMed  PubMed Central  Google Scholar 

Wallace N, Gelmon S, Baker R, et al. Evaluation of the Oregon certified community behavioral health clinic (CCBHC) program. OHSU-PSU School of Public Health and Oregon Health Authority [OHA]; 2023. Available online at https://olis.oregonlegislature.gov/liz/2023r1/Downloads/CommitteeMeetingDocument/261633. Accessed January 16, 2024.

Oregon Office of Rural Health, Oregon Health & Science University [OHSU]. About rural and frontier data. Oregon Office of Rural Health. Available online at https://www.ohsu.edu/oregon-office-of-rural-health/about-rural-and-frontier-data. Accessed February 19, 2024.

Rev.com. Rev human transcription service. Available online at https://www.rev.com. Accessed October 18, 2022.

Krenn H, Community Science. Using evaluation in service of racial equity: Diagnosing biases and systems. Available online at https://everychildthrives.com/ng-evaluation-in-service-of-racial-equity/. Accessed October 18, 2022.

Equitable Evaluation Initiative (EEI). Equitable evaluation. Available online at https://www.equitableeval.org. Accessed October 18, 2022.

Pauly BM, Shahram SZ, Dang PTH, et al. Health equity talk: Understandings of health equity among health leaders. AIMS Public Health. 2017;4(5):490-512. https://doi.org/10.3934/publichealth.2017.5.490.

Article  PubMed  PubMed Central  Google Scholar 

Ware C. Diversifying the behavioral health workforce: The need to promote equity in recruitment and retention strategies. African American Behavioral Health Center of Excellence; 2021. Available online at https://africanamericanbehavioralhealth.org/documents/AABH-COE-DiversifyingWF.pdf. Accessed January 16, 2024.

Parsons A, Unaka NI, Stewart C, et al. Seven practices for pursuing equity through learning health systems: Notes from the field. Learning Health Systems. 2021;5(3):e10279. https://doi.org/10.1002/lrh2.10279.

Article  PubMed  PubMed Central  Google Scholar 

Multnomah County, Office of Diversity and Equity. Equity and empowerment lens. Multnomah County. Available online https://www.multco.us/diversity-equity/equity-and-empowerment-lens. Accessed October 18, 2022.

Braveman P, Arkin E, Orleans T, et al. What is health equity? A definition and discussion guide. Robert Wood Johnson Foundation. Available online at https://www.rwjf.org/en/library/research/2017/01/what-is-health-equity-.html. Accessed February 19, 2024.

Munoz-Vincent A, Munoz M. A framework for understanding rural health disparities. Journal of Rural Health. 2020;35(4):467-474. https://doi.org/10.1111/jrh.12421.

Article  Google Scholar 

Oregon Office of Rural Health. Rural Health Action Plan: Workforce, technology, and care. Oregon Office of Rural Health. Available online at https://www.oregon.gov/oha/HSD/CCO/Pages/Workforce.aspx. Accessed February 19, 2024.

National Alliance on Mental Illness [NAMI]. Confronting Mental Health Challenges in Rural America. NAMI. Available online at https://www.nami.org/advocate/confronting-mental-health-challenges-in-rural-america/. Accessed January 16, 2024.

Henry M, Eagle J, Holland L. The homeless response system and its impact on health disparities. The Journal of Community Psychology. 2019;47(2):268-287. https://doi.org/10.1002/jcop.22123.

Article  Google Scholar 

Jenkins KR, Canning A, Meiser M. Factors influencing mental health service use in rural communities: A qualitative study. Rural and Remote Health. 2020;20(1):3023. https://doi.org/10.22605/RRH3023.

Article  Google Scholar 

National Rural Health Association. National Rural Health Day: Resources for improving rural health. National Rural Health Association. Available online at https://www.ruralhealth.us. Accessed January 16, 2024.