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Israel and Iran trade strikes as Trump weighs US involvement in conflict; Medicaid cuts risk health-care access for MS military families; NJ Advocate: Shore powered cargo ships help ocean, port community health; CT farmers impacted by USDA defunding climate programs.

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Lawmakers on both sides urge President Trump not to enter the Israel-Iran war. Supreme Court deals the transgender community a major blow by upholding a Tennessee state law.

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Hurricane Helene mobilized the North Carolina community of Marshall in unexpected ways, giant data centers powering AI want cheap rural land but can face community pushback, and ceramics made by Cherokee potters honor multiple generations.

Nurse Practitioners Filling Gap in Access to Rural Mental Health Care

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Tuesday, December 10, 2019   

RALEIGH, N.C. — Access to mental-health care in rural communities continues to shrink, but a team of nurse practitioners aims to change that.

The University of North Carolina-Chapel Hill has received $6 million in federal funding to recruit, train and financially support 70 primary-care nurse practitioners specializing in mental health who will work exclusively in rural areas. Dr. Victoria Soltis-Jarrett, Carol Morde Ross distinguished professor of psychiatric-mental health nursing at the university, is leading the effort and said mental-health needs in the state are outpacing the number of health-care providers.

"The mental-health system in North Carolina is overwhelmed,” Soltis-Jarrett said. “So it's not that it's broken so much as it's just overwhelmed and inundated with referrals because primary care doesn't know necessarily how to manage these individuals."

Suicide is now the second-leading cause of death among the state's young people, and in 2016 more than 1,000 North Carolinians ended their own lives, according to the state Department for Health and Human Services.

Soltis-Jarrett added in the southeastern part of the state, natural disasters have compounded stress from the opioid crisis.

"One in particular is in the southeast of North Carolina where they've had a lot of tragedy with the two hurricanes, flooding, there's a lot of poverty,” she said.

She said allowing nurse practitioners to provide health care without oversight from physicians could allow nurses to expand their services even more.

"I've actually even had physicians say, 'Is there any way we can get rid of this restriction or requirement?' I think is how they put it,” she said.

The SAVE Act, introduced earlier this year by Rep. Josh Dobson and Sen. Ralph Hise from Spruce Pine, both Republicans, would lift state restrictions that now require nurse practitioners to be supervised by a physician.


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