Rural and Frontier Populations




Providing Services for People with Dementia Who Live Alone: Issue brief 
Source: TAEThe ADSSP National Resource Center reviewed the available literature and conducted interviews with people with Alzheimer’s and other dementias who live alone, caregivers and health care and social service professionals to obtain their views about the needs of people and potentially effective ways to meet those needs. It also describes programs that have been tested by community agencies to reach and help people with Alzheimer’s and other dementias who live alone and discusses related public policy and practice implications.
(PDF) Associated Date: September 2010 Making the Long-Term Services and Supports System Work for People with Dementia and Their Caregivers



Source: TAE
States serve a substantial number of people with dementia and their family caregivers in their Aging Networks and LTSS systems. Serving this population effectively involves accommodating the needs of a population that, in addition to memory loss, experiences a variety of physical, cognitive, and behavioral symptoms resulting from dementia, along with other medical conditions. In model dementia-capable systems, programs are tailored to the unique needs of people with Alzheimer’s disease or other dementias, and their caregivers.
(PDF) Caption: Making the Long-Term Services and Supports System Work for People with Dementia and Their Caregivers
(PDF) Caption: Dementia Capability Toolkit
Associated Date: November 2011
2013 Tribal Initiative for MFP
Source: CMS
This is information on the CMS Money Follows the Person (MFP) Tribal Initiative (TI). The TI will offer existing MFP states and tribes the necessary resources to build sustainable community-based long-term services and supports (LTSS) specifically for Indian country. Through a supplemental budget request, MFP grantees and tribal partners may use the TI to address disparities, improve access, and advance the development of the infrastructure required to implement Medicaid community-based LTSS for American Indians and Alaska Natives (AI/AN).
(PDF)
Associated Date: January 2013
CCTP Rural Challenges White Paper
Source: National Advisory Committee on Rural Health and Human Services (NACRHHS)
This paper from the National Advisory Committee on Rural Health and Human Services (NACRHHS) covers Rural Challenges for HHS in Implementing the Community-Based Care Transitions Program (CCTP). It recommends steps to more effectively and equitably assess those proposals that might be submitted for CCTP funding from rural areas.
(PDF)
Associated Date: March 2011
ADSSP Project Planning Tool North Carolina Project CARE


Source: North Carolina ADSSP Grantee
Report on North Carolina's Project CARE (Caregiver Alternatives to Running on Empty) targeted to serve rural, underserved, minority populations.
(Word) • File type: doc
Updated December 28, 2010
North Carolina ADDGS Grant Project


Source: ADSSP National Resource Center Studies
Report developed by the ADSSP National Resource Center that describes systems and sustained change in North Carolina.
(PDF) • File type: pdf
Associated Date: January 01, 2006
Idaho Real Choices: Rural Hospital Discharge Model

Source: Idaho
This handout from Idaho was provided at the 2010 National Meeting in a session entitled Developing a Care Transitions Program - Two States Discuss Emerging Models and Best Practices.
(Word)
(PDF)
Updated March 2, 2010
"The State of Human Services in Rural America"
Source: Rural Poverty Research Center
This publication provides an overview of the types of human service programs serving rural communities and the challenges they face.
(PDF)
Added April 8, 2009
Rural Issues - Pilot Site Call Notes - March 16, 2006

Source: The Lewin Group, ADRC-TAE
These call notes summarize the March 16, 2006 Pilot Sites Peer Workgroup Call on rural issues.
(Word)
(PDF)
Associated Date: March 16, 2006
Article "Knocking Down Access Barriers" in Rural Areas
Source: Rural Psychologist
This is a newspaper article describing a common scenario of the limited access people living in rural areas have to high-quality care and services, and also what can be done to overcome the access barriers.
(Word)
(PDF)
Associated Date: February 21, 2008
Call Notes from Rural Workgroup on February 28, 2008

Source: ADRC-TAE, The Lewin Group
These call notes summarize discussion from an ad hoc workgroup call for ADRCs that serve rural or frontier populations.
(Word)
(PDF)
Associated Date: February 28, 2008
ADRC Fall 2005 National Meeting - Reaching Rural Elders with Disabilities, Ravesloot Presentation
Source: Craig Ravesloot
The resources from the ADRC National Meeting on November 2-3, 2005 have been posted. The posted materials include the bios, presentations, and other resources from the notebooks, as well as other hand-outs that were distributed in sessions.
(Powerpoint)
(PDF)
Associated Date: November 01, 2005
The Older Population in 21st Century Rural America
Source: Carolyn C. Rogers, Rural America Vol. 17, Issue 3
Rural areas generally have a higher proportion of older persons in their total population than do urban areas. Although poverty rates of older persons have generally declined, a metro-nonmetro gap persists, with the rural elderly more likely to be poor than the urban elderly. Rural areas differ widely in terms of population trends and the socioeconomic mix of their older population, and policies and programs for the older population that recognize these rural differences will be the most effective.
(Word)
(PDF)
Associated Date: February 21, 2008
Frequently Asked Questions About People Living with Disabilities in Rural Areas
Source: Rural Assistance Center
This document provides a series of FAQs and answers on such topics as "What transportation services can rural communities provide for people with disabilities?" and so on.
(Word)
(PDF)
Associated Date: February 21, 2008
AIDTAC Partners: Agencies and Organizations Committed to Improving Employment Opportunities and Vocational Rehabilitation Outcomes for American Indians and Alaska Natives with Disabilities
Source: American Indian Disability Technical Assistance Center, The University of Montana Rural Institute
AIDTAC is committed to helping American Indian Tribes, Alaska Native Villages and urban Indian programs build their infrastructure and capacity to provide services and employment opportunities for their members with disabilities. AIDTAC also strives to help non-tribal programs develop and implement culturally appropriate services for this group. This resource guide is designed to help fulfill these goals.
(Word)
(PDF)
Updated December 12, 2007
Rural Assistance Center Website
Source: Rural Assistance Center
This site provides health and human services information to assist rural Americans. They also operate a call center to provide customized assistance to organizations or individuals seeking to maintain and improve health and human services delivery in rural areas.
(External Link)
Added November 20, 2007
Native American Map for Elder Services: A Long-Term Care Planning Toolkit
Source: National Resource Center on Native American Aging (NRCNAA), Center for Rural Health, University of North Dakota
The purpose of the tool kit is to describe long term care services that will assist American Indian and Alaska Native groups with planning, developing, and implementing long term care services in their communities.
(Word)
(PDF)
Added September 7, 2007
Improving Long-term Care for American Indians: A Workshop for Tribal and State Health Officials
Source: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality
The workshop, which was co-sponsored by the Administration on Aging (AoA), the Centers for Medicare and Medicaid Services (CMS), the Indian Health Service (IHS), and the National Resource Center on Native American Aging at the Center for Rural Health, University of North Dakota School of Medicine and Health Sciences, was designed to help Tribal and State policymakers better understand American Indian long-term care needs and develop policies and programs that meet those needs.
(External Link)
Added September 7, 2007
US Dept of Health and Human Services Office of Minority Health American Indian and Alaska Native Profile
Source: U.S. Department of Health and Human Services, Office of Minority Health
This page provides a map with links to view the Indian Health Service locations across the country. Currently, the IHS funds 34 urban Indian health organizations, which operate at 41 sites located in cites throughout the United States. Approximately 600,000 American Indians and Alaska Natives are eligible to utilize this program.
(External Link)
Added September 7, 2007