Mental Health Care by Video Fills Gaps in Rural Nursing Homes

Almost a quarter of rural Americans surveyed by NPR had used a telehealth service in the past few years. While new technologies are allowing remote patients to gain new access to healthcare, lack of broadband service and outdated insurance policies are making it hard for more widespread adoption.

Dementia units and long-term care homes for the elderly are often desolate and lonely places, with harried workers attempting to meet the needs of their patients while also meeting government-set metrics of success. For families and individuals, it can be difficult to imagine a better way. However, a pilot program in Canada called the Butterfly room is showing that dedicated efforts to making long-term care homes a vibrant and loving place for someone's last days has positive impacts for everyone - and is worth a government investment do right across the country.

A mobile "strike team" comprised of workers from Contra Costa County, local home health agencies, advocates, and nonprofit groups is helping seniors living in assisted-living facilities to get access to the Covid-19 vaccine. Although the team is small, they have been able to help more than 800 seniors across 50 facilities get their first shot.

The solar-powered freezer donated by Green Life Energy allows vaccines to be stored at the appropriate temperature, providing more access to necessary immunizations, specifically for those in rural communities. Nurses say the freezer box has the capacity to hold up to 500 doses of different vaccines, including polio, measles, tuberculosis, and the COVID-19 vaccine.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.

Priya Living is an elder-living community focused on Indian culture. Priya Living has four locations throughout the state and is planning to expand in Michigan and Texas. Rent in the condo-style units ranges from $2,000 to $3,000 a month and currently serves over 530 people. This culture-focused community helps the aging population fight loneliness and find a sense of community with people they can relate to through activities and programming like yoga, movie screenings and down time to chat.

To increase awareness of cervical cancer and the cancer-preventing HPV vaccine, Al-Ansar radio shares information about the disease, the vaccine and works to dispel speculation and misinformation about vaccines in general to those in underserved and hard-to-reach areas, as they’re often hardest to get vaccinated.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.