Skip to main content

Advertisement

Log in

The Alabama Coalition for a Healthier Black Belt: A Proof of Concept Project

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

The Alabama Coalition for a Healthier Black was a demonstration of concept project. This paper is a descriptive and qualitative overview of this 2.5 year project. Limited key project results are reported here. Located in the rural Black Belt region of Alabama this coalition had several key aims: to develop a collaboration between primary care and mental health care through co-location of services; use of video-conferencing capability to provide mental health services more efficiently; enhanced training in rural healthcare; and development of stigma reduction campaigns along with other coalition partner specific initiatives. Co-location and telepsychiatry implementation produced the major challenges and resulting adaptations to original aims. Despite many challenges these new service patterns were put into place and appear to be sustainable.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Alabama Medicaid. (2002). Eligibility data by county. Retrieved from www.Medicaid.alabama.gov.

  • Allison, D. B., Mentore, J. L., Heo, M., et al. (1999). Antipsychotic-induced weight gain: a comprehensive research synthesis. American Journal of Psychiatry, 156, 1686–1696.

    PubMed  CAS  Google Scholar 

  • Black Belt Commission. (2007). Selected Health Status Indicators. The Office of Primary Care and Rural Health, Alabama Department of Public Health and the Alabama Rural Health Association http://www.adph.org/ruralhealth/assets/BBACData.pdf.

  • Colton, C. W., & Manderscheid, R. W. (2006). Prevention of Chronic Disease, Apr, 2006. Available from: URL: http://www.cdc.gov/pcd/issues/2006/apr/05_0180.htm.

  • Cushman, M., Cantrell, R. A., McClure, L. A., Howard, G., Prineas, R. J., Moy, C. S., et al. (2008). Estimated 10-year stroke risk by region and race in the United States: Geographic and racial differences in stroke risk. Annals of Neurology, 64, 507–513.

    Article  PubMed  Google Scholar 

  • Hebert, M., Savage, R., Dillon, J., & Lewis, T. (in preparation). Reducing stigma of mental illness in the African–American Community.

  • Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S., Rosenheck, R. A., Perkins, D. O., et al. (2005). Clinical Antipsychotic Trials of Intervention Effectiveness [CATIE] Investigators): Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. New England Journal of Medicine, 353, 1209–1223.

    Article  PubMed  CAS  Google Scholar 

  • National Association of State Mental Health Program Directors (NASMHPD Medical Directors Council). (2006). Morbidity and mortality in people with serious mental illness. Retrieved from http://www.nasmhpd.org/general_files/publications/med_directors_pubs/Mortality%20and%20Morbidity%20Final%20Report%208.18.08.pdf.

  • Pathways to Promise. (1999). http://www.pathways2promise.org/.

  • Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable Telehealth Initiative: a public health case study. Health Services Research, 45(4), 985–1004.

    Article  PubMed  Google Scholar 

  • Stachura, M. E. (2001). The Georgia state-wide telemedicine network: some lessons learned. Journal of Telemedicine and Telehealth,, Supplement 2:62.

  • The World Health Report. (2001). Mental health: New Understanding, New Hope. Geneva: World Health Organization.

    Google Scholar 

  • United States Department of Agriculture, Economics, Research Service, the Economics of Food, Farming, Natural Resources, and Rural America. (2008). 2007 County level poverty rates for Alabama. Retrieved from http://www.ers.usda.gov/Data/PovertyRates/PovListpct.asp?ST=AL&view=Percent.

  • United States Department of Health and Human Resources, Health Resources and Service Administration. (2006). http://bhpr.hrsa.gov/shortage.

  • Walter, D. A., de Groot, C. M., Ulzen, T. P., et al. (2000). A new teaching program. Telemedicine, psychiatric residents and issues germane to managed care. Academy of Psychiatry, 24, 209–213.

    Article  Google Scholar 

  • Washington, B. T. (1901). Up from slavery: An autobiography. Garden City, NY: Doubleday, Page & Company.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robert M. Savage.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Savage, R.M., Dillon, J.M., Hammel, J.C. et al. The Alabama Coalition for a Healthier Black Belt: A Proof of Concept Project. Community Ment Health J 49, 79–85 (2013). https://doi.org/10.1007/s10597-012-9488-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-012-9488-z

Keywords

Navigation