Rural and Frontier CSC Considerations to Address Trauma and Race-Presentation and Q&A

Video Transcription

Video Summary

The video transcript discusses the challenges and considerations in implementing coordinated specialty care (CSC) programs in rural and frontier communities, specifically in Oregon, Appalachia, and Ohio. The speakers highlight the unique characteristics and strengths of these regions, such as strong community ties, resourcefulness, and efforts to improve educational outcomes. However, they also mention the challenges faced, including limited access to mental health services, higher rates of substance abuse and mental health concerns, financial constraints, lack of healthcare resources, transportation barriers, and cultural values that may influence help-seeking behavior. The speakers emphasize the importance of adapting CSC approaches to fit the needs and resources of these rural communities. They discuss strategies and modifications made to overcome these challenges, such as creating benchmark fidelity tools, providing remote technical assistance and training, organizing rural and frontier learning collaboratives, addressing equity issues, and working closely with community stakeholders. The speakers also highlight the impact of COVID-19 on delivering mental health care in these regions and the need for creative solutions, including telemedicine and in-person services. The presentation concludes with data showing positive outcomes of CSC programs in rural settings, demonstrating that these interventions can be effective in improving quality of life, role functioning, and reducing symptom severity in these communities. Overall, the transcript highlights the efforts made to address the unique needs of rural and frontier communities in implementing CSC programs and the importance of adapting approaches to fit local contexts.

Keywords

Coordinated Specialty Care programs

Rural communities

Frontier communities

Oregon

Appalachia

Ohio

Mental health services

Substance abuse

Transportation barriers

Telemedicine