Browsing by Subject "Rural"

Now showing 1 - 6 of 6
  • Thumbnail Image
    Item
    Art Therapy Treatment Model for Rural LGBTQ+ Emerging Adults
    (2020) Kimbrough, Libby; Leigh, Heather
    LGBTQ+ individuals living in rural areas who are aging into adulthood face specific challenges, such as isolation, discrimination, bullying, and hate crimes, leading to mental health issues that often go untreated due to lack of services, stigma, fear of being outed, as well as distrust of mental health clinicians. Art therapy is an emerging treatment modality that may help to address these barriers to treatment. An integrative literature-based review was conducted to study the treatment needs of LGBTQ+ rural emerging adults in order to design a model for an art therapy program for queer emerging adults in rural communities. Created from an antioppressive perspective, the model focuses on using art therapy with clients to assist them in building and exploring their identity, empowering them in the face of discrimination, and decreasing isolation through a therapeutic group experience. The model may also serve to train and educate clinicians to treat this population ethically.
  • Thumbnail Image
    Item
    Creative Placemaking: Building Partnerships to Create Change
    (Midwest Public Affairs Conference, 2019) Levine Daniel, Jamie; Kim, Mirae; School of Public and Environmental Affairs
    Arts, artists, and creative strategies can be critical vehicles for planning to achieve social, economic, and community goals. Creative placemaking is one type of arts-led planning that incorporates both stakeholder participation and community goals. Yet, questions exist around who participates in the creative placemaking process and to what end. Our study discusses a case where a state-sponsored workshop brings people from diverse backgrounds together to facilitate community development and engagement through creative placemaking. In particular, the event discussed in this study highlights how a one-shot intervention can reshape perceptions of creative placemaking held by planners, non-planners, artists, and non-artists. Our study also shows that while pre-workshop participants tended to identify resource-based challenges, post-workshop participants focused more on initiating collaborations and being responsive to community needs. The different attitudes before and after the state-sponsored workshop demonstrate the importance of facilitating stakeholder understanding and engagement for successful creative placemaking.
  • Thumbnail Image
    Item
    Political Elements of Recognition for Micropolitan Areas
    (2019-12) Nieto, Suani I.; Blomquist, William A.; Ferguson, Margaret R.; Bandele, Ramla M.
    The U.S. Office of Management and Budget’s designation of Micropolitan Statistical Areas brought to light communities with quasi-rural characteristics that had previously been ignored or hidden between their metro and non-metro category. The present study analyzes three recognition elements: political atmosphere, geography, and population characteristics of the state to analyze their effects on micropolitan areas’ economic strength.
  • Thumbnail Image
    Item
    Program ACTIVE II: Design and Methods for a Multi-Center Community-Based Depression Treatment for Rural and Urban Adults with Type 2 Diabetes
    (Hindawi, 2015-08) de Grogg, Mary; Shubrook, Jay; Schwartz, Frank; Hornsby Jr., W. Guyton; Pillay, Yegan; Saha, Chandan; Department of Medicine, IU School of Medicine
    OBJECTIVE: Depression affects one in four adults with type 2 diabetes (T2DM) and is associated with worsened diabetes complications, increased health care costs and early mortality. Rural and low-income urban areas, including the Appalachian region, represent an epicenter of the T2DM epidemic. Program ACTIVE II is a comparative effectiveness treatment trial designed to test whether a combination of cognitive behavioral therapy (CBT) and community-based exercise (EXER) will offer greater improvements in diabetes and depression outcomes compared to individual treatment approaches and usual care (UC). The secondary aims are to assess changes in cardiovascular risk factors across groups and to conduct a cost-effectiveness analysis of predicted incidence of cardiovascular complications across groups. METHODS: The study is a 2-by-2 factorial randomized controlled trial consisting of 4 treatment groups: CBT alone, EXER alone, combination of CBT and EXER, and UC. Adults with T2DM for > 1 year and who meet DSM-IVTR criteria for Major Depressive Disorder (MDD) are eligible to participate at two rural Appalachian sites (southeastern Ohio and West Virginia) and one urban site (Indianapolis). This type II behavioral translation study uses a community-engaged research (CEnR) approach by incorporating community fitness centers and mental health practices as interventionists. CONCLUSIONS: This is the first study to evaluate the comparative effectiveness of combined CBT and exercise in the treatment of depression using community-based intervention delivery. This approach may serve as a national model for expanding depression treatment for patients with T2DM.
  • Thumbnail Image
    Item
    Substance Abuse in Indiana: An Urban-Rural Perspective
    (The Center for Health Policy, 2017-06-01) Kooreman, Harold E.; Greene, Marion S.
    The use of alcohol and drugs is a significant public health problem in the United States. Indiana, like many other states in the nation, is lacking in substance abuse treatment services and rural areas are particularly underserved. Rural residents may encounter additional barriers to receiving substance abuse treatment, including stigma, fear that they may know their treatment providers, a lack of access to specialized services, inferior quality of care, and having to pay more for treatment.
  • Thumbnail Image
    Item
    Threshing the Grain: Revealing the Lived Experience of a Late Nineteenth Century Hoosier Farm Woman to an Early Twenty First Century Audience
    (2020-06) Wilson, Morgan Lee; Morgan, Anita; Kaufman-McKivigan, John R.; Rowe, Stephanie
    This thesis examines the life of Mary Brown, a farmer’s wife in mid to late nineteenth century Indiana, through a detailed look at primary source materials including the journals of her husband, letters, and occasional journal entries by herself and her daughters. Mary’s story serves as a case study of the lived experiences of Indiana farm women. This research includes pertinent information regarding the farm tasks she took on both in the house and in the fields. Women did what they had to in order to assure the success of their household. This challenges and rejects the narrative of the homebound and devalued wife. In the case of the Browns, they operated as one unit, wholly committed to the success of the family and farm, not dictated by middle class or urban gender norms. Even in the face of illness, childbirth, and death, these women persevered. Women farmers are an underappreciated historical player in the development of Indiana. The comparative paucity of established works which explore the role of Indiana farmer’s wives’ duties and value shows the need for in-depth research of what life really was like for women in rural Indiana. This lack of scholarship has led to the anonymity of generations of women in Indiana. Farm women were foundational to agricultural enterprises and deserve recognition. To make certain that Hoosier farm women did not remain forgotten, an exhibit was created and story of Mary Brown was shared with the public in a way that allowed new perspectives of the past to be cultivated. This thesis will also share the process and final product of the exhibit component.