How Colorado training programs aim to cut mental health care stigma among farmers and ranchers

A policy adopted in Eugene’s 4J School District has been creating safe spaces for transgender students from kindergarten through high school. Gender-inclusive programs at the University of Oregon have marked the school as a national leader in LGBTQ acceptance.

Firefighters working the frontlines of California fires now have emotional supports at their base camps to help them process the toll of their work. Supports include chaplains, peer-to-peer interaction, and therapy dogs.

Connecting LGTBQ+ teens with peers and adults for support can help reduce depression and the risk of suicide. Organizations like the Four Corners Rainbow Youth Center in Durango, Colorado, and the Gender and Sexuality Resource Center at Fort Lewis College provide safe spaces where youth feel welcome and supported by a network of peers and adults. The centers also act as social spaces where youth, parents, and their communities can come together.

Medical professionals throughout the United States are starting to implement mental health screenings during routine care in order to better assess those at risk of suicide. Using a combination of health records and questionnaires to flag which patients should have continued follow-ups, clinics and primary care specialists prioritization of suicide intervention is already showing significant results.

The Save the Boys Initiative provides counseling, group and family therapy, programming around mentorship and leadership, and other forms of assistance for boys who have experienced sexual abuse.

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.

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.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Anambra State’s telemedicine program is closing the healthcare access gap in rural communities, making universal health coverage more possible. The program began in 2022 and has since hired and trained 42 doctors in providing remote healthcare. As more people use the telemedicine program, public trust in primary healthcare across the region is increasing.