This collection presents creative strategies and programs designed to address needs of families in the context of rural communities. Even before the most recent worldwide economic crisis, many rural families in the United States struggled to meet basic needs. As needs in rural communities have expanded, services have shrunk. This book identifies rural families’ needs, including social supports during pregnancy, identification of adolescent risk behaviours, child safety, and basic services such as food and health care, using techniques such as Geographic Information Systems and needs and asset assessments. Strategies to address those needs include program development, the use of technology, and community partnerships. The book reminds readers of the sense of independence and self-reliance found in many rural communities and the theme of diversity within rural communities runs throughout the book. The chapters are organized by identification of the needs of rural families, addressing disparities in rural areas, practice in rural communities, and human service organizations and professionals. Through research, practice, and creative works, the book contributes to a greater understanding of ways that service providers can advance their work with rural families and broaden their perspectives about realities experienced by families living in rural communities. This book was originally published as a special issue of the Journal of Family Social Work.

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.