Resource Library

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The John T. Gorman Foundation strives to be data-driven and results based and seeks to promote information and ideas that advance greater understanding of issues related to our mission and priorities. In our effort to promote these values, we offer these research and best practice resources collected from reputable sources across the country. The library also includes briefs and reports the Foundation has commissioned or supported, a listing of which can be found here.

 

Tribal nations focus on protecting elders to preserve culture after immeasurable losses to COVID-19

January 12, 2021 – SeniorsCOVID-19, Racial Equity, Rural

With COVID-19 killing Native people at nearly twice the rate of white people, the loss of tribal elders has spurred a cultural crisis for many tribes. With many tribal cultures reliant on oral tradition and few remaining speakers of native languages, tribal nations are worried about the cultural annihilation that comes with losing elders to COVID-19. To mitigate this threat, tribal leaders and nonprofits are working to reach and protect those most in need. Strategies have included delivering groceries and hygiene supplies to elders, training young people to monitor their grandparents’ vital signs with tribe-distributed thermometers and oxygen meters, and prioritizing tribal elders at the front of vaccination queues. However, vaccination efforts among this group are complicated by the fact that many tribal elders live in very rural communities without transportation. Importantly, these elders also experience deep mistrust of the government and medical institutions, seeded by long histories of forced assimilation, medical experimentation, and other brutal acts of racism. #covid-19 #racialequity #seniors #rural

Strategies for optimizing COVID-19 vaccine roll-out in rural places

December 28, 2020 – FamiliesCOVID-19, Rural

Rural health care experts describe the challenges of distributing the COVID-19 vaccine to rural residents and some strategies to optimize the process. Key challenges include the temperature requirements for storing and shipping vaccines, which many rural hospitals are unable meet. Vaccines are also often sent in large batches—975 doses in the case of the Pfizer vaccine—which are difficult for small institutions to manage and distribute quickly. The Moderna vaccine offers a more suitable minimum order of 100 doses. Authors suggest several ways to support rural hospitals, including providing smaller batch options, making sure rural counties have specific communication plans to provide information to residents, involving rural nonprofit health organizations in information dissemination, and allowing community pharmacies to also offer the vaccine (particularly important given rural hospital closures). #covid-19 #rural

Nutrition risk, not rurality, associated with falls among community-dwelling older adults

December 16, 2020 – SeniorsRural

A study published in Innovation in Aging assessed nutritional status and rural residence as predictors of fall risk among community-dwelling older adults. Using health assessment data collected by a community organization for Medicare beneficiaries in Vermont, the authors found that high nutrition risk was associated with 50 percent greater odds of future falls. In contrast, rural residence was not significantly associated with a higher risk of future falls. These findings suggest that initiatives serving community-dwelling older adults may benefit from including nutrition evaluations in fall risk assessments. #rural

Supports for rural Vermont women experiencing substance use disorder and partner violence are fragmented

July 12, 2005 – FamiliesRural, Substance Abuse

New research in the Journal of Rural Health examines barriers to safety for women experiencing opioid use disorder and partner violence, among a rural Vermont sample. Using one-on-one interview data, the authors’ findings reflect many of the patterns in rural social service literature. Barriers in the form of geographic isolation and transportation challenges render existing services mostly inaccessible, while a lack of integration between substance use and domestic violence systems complicates the delivery of supports. Paired with the feelings of social isolation and stigma expressed by participants, both formal and informal supports were often inadequate. The authors call for better integration across service providers and wider access to care for women struggling in rural places. #families #rural #substanceabuse