Tag Archives: rural disability

RTC:Rural fact sheet explores insurance coverage rates before and after ACA and Medicaid expansion

Screenshot of the first page of the ACA and Medicaid Expansion Associated with Increased Insurance Coverage for Rural Americans with Disabilities fact sheet.

The passage of the Patient Protection and Affordable Care Act (ACA) and adoption of Medicaid expansion was associated with substantial increases in insurance coverage across the United States (see Changes in coverage and access, MACPAC 2019). However, RTC:Rural researchers wanted to know how ACA policy changes and Medicaid expansion impacted people with disabilities, particularly those who live in rural areas.

To explore this question, RTC:Rural researchers analyzed microdata from the 2008-2013 American Community Survey from IPUMS-USA. Using these data, they were able to compare how insurance coverage has changed over time for people with and without disabilities in rural and urban places, and in expansion and non-expansion states.

Graphic sharing stats from analysis, which are in previous paragraphs.
[text description] The number of rural people with disabilities with health insurance in expansion states increased by 10.7%. The number of rural people with disabilities with health insurance in non-expansion states increased by 5.3%. Difference = 5.4%.
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International knowledge sharing: Egyptian education professionals travel to Missoula to learn about providing disability services

Rural Institute, University of Colorado Boulder Disability Services, and Disability Services for Students University of Montana logos

This September, nineteen higher education professionals from five different Egyptian public universities and officials from the Egyptian Ministry of Education will travel to Missoula to learn about how to ensure equal access to higher education for students with disabilities. The study tour is being hosted by the University of Montana’s Dr. Kaitlin Fertaly, RTC:Rural Research Associate, Dr. Anna-Margaret Goldman, Director of MonTECH, Amy Capolupo, Disability Services for Students Director, and the University of Colorado Boulder (CU).

Participants start their tour at the University of Montana in Missoula, MT, and then will travel to the University of Colorado, Boulder. They will also visit two community colleges, Flathead Valley Community College in Kalispell, MT and Aims Community College in Greeley, CO.

“During their 10 days in the U.S., Egyptian university staff and leaders will learn how the University of Montana and the University of Colorado structure and administer their Disability Support Services program,” said Fertaly. “The goal is for participants to be better equipped with knowledge about university policies that promote inclusion and strategies for overcoming barriers to access.”

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Research Snapshot: PAS in Rural America

Rayna Sage at a rodeo with mountains in the background
Dr. Rayna Sage.

Approximately 10 million people with disabilities receive paid personal assistance services (PAS) in the United States. For many, these services are critical for social and community participation. However, little is known about rural-urban differences in PAS delivery and consumption, and how these services influence community participation and health.

To address this lack of understanding, RTC:Rural is conducting research on PAS in rural America.

Dr. Rayna Sage, RTC:Rural Project Director, explains the project and its goals, and gives a quick progress update.

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More to discover in the Rural Disability Resource Library

Looking for information on accessible transportation or housing? Or for strategies to help you talk about your disability in a job interview? Need some tips on how to find a personal care assistant, or on how to do your taxes?

For all those and more, check out the Rural Disability Resource Library. It contains fact sheets, how-to guides, information for conducting workshops, web resources, and much more!

Watch our video to learn more:

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The Return of Map Monday

#MapMonday over a background of colorful maps.Your favorite disability map series has returned!

RTC:Rural is excited to share that we’re relaunching #MapMonday, our weekly map series. Every Monday, we’ll share a new map on our social media channels. Follow RTC:Rural on Facebook, Twitter, or LinkedIn so you don’t miss a map! (But don’t worry if you do miss one—they’re all available on our website).

In the coming weeks, we’ll share maps with overall disability rates, disability rates by difficulty and functional limitation (such as vision, hearing, mobility, and self-care difficulty), veterans, poverty, and employment rates. Continue reading

RTC:Rural produces fact sheet on employment disparity for rural people with disabilities

screen shot of the first page of the fact sheet. In December 2018 the U.S. Census Bureau released the 2013-2017 American Community Survey summary data. In the recently released fact sheet “Employment disparity grows for rural Americans with disability,” RTC:Rural researchers used this data to begin exploring how employment rates have changed for people with disabilities in the context of changing economic conditions. They found increasing disparities between people with and without disabilities across the country as well as across the rural-urban continuum.

Click the links below to download the fact sheet from the RTC:Rural and Rural Institute ScholarWorks collection:

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RTC:Rural researchers publish article on disability rates in Journal of Rural Health

Screenshot of the cover of the manuscript.

First page of the article “Transitory and Enduring Disability Among Urban and Rural People” in the Journal of Rural Health.

RTC:Rural researchers Dr. Rayna Sage, Dr. Bryce Ward, Andrew Myers, and Dr. Craig Ravesloot recently published an article in the Journal of Rural Health titled “Transitory and Enduring Disability Among Urban and Rural People.” Dr. Sage and Myers are RTC:Rural Project Directors, Dr. Ward is the RTC:Rural Statistician, and Dr. Ravesloot is RTC:Rural Director and Research Advisor.

Part of RTC:Rural’s continued research on the geography and ecology of rural disability (see Ecology of Rural Disability and Geography and Rural Disability), this article examines how disability rates vary by age, gender, and race between rural and urban places. While there has been some recent research on the intersection of disability and rurality, there is a lack of research on disability across the life span in rural places, and few studies include a measure of how people move in and out of disability over time. Continue reading

Rural Institute researchers awarded 5-year grant to continue research and training

The University of Montana Rural Institute for Inclusive Communities (RIIC) is pleased to announce that it has been awarded a five-year, $4.3 million grant to support its Research and Training Center on Disability in Rural Communities (RTC:Rural). The grant was awarded by the National Institute on Disability Independent Living and Rehabilitation Research, and will be led by Dr. Catherine Ipsen, the project’s principal investigator. The award continues 30 years of RTC:Rural research and training to improve the lives of rural people with disabilities.

RTC:Rural staff photo. See caption for list of names.

RTC:Rural staff pose for a picture at UM. Front row (left to right): Tannis Hargrove, Lillie Greiman, Justice Ender. Back row (left to right): Dr. Catherine Ipsen, Andrew Myers, Lauren Smith, Maggie Lawrence, Tracy Boehm Barrett. Not pictured: Dr. Craig Ravesloot, Dr. Meg Traci, Dr. Rayna Sage, and Dr. Bryce Ward.

“The opportunity to build on our past work and continue to conduct applied research with our stakeholders from the disability community is a great honor,” said Ipsen.

RTC:Rural research will address barriers identified by rural people with disabilities in the areas of health, community living, and employment. These barriers are often related to the limited resources available in rural environments. “Our team of researchers and knowledge translation staff have put together a portfolio of projects and activities that are responsive to, and inclusive of, people with disabilities and those who serve them,” said Tracy Boehm Barrett, RTC:Rural Director of Knowledge Translation. Continue reading

“Inclusion is important, no matter what.” Graduate Seminar on Rural Disability and Health

Dr. Rayna Sage presenting at a conference in May 2017.

Dr. Rayna Sage presenting at a rural-focused workshop in May 2017.

In the Spring 2018 semester, RTC:Rural Research Associate Dr. Rayna Sage, who is also an adjunct instructor in the Sociology department at the University of Montana (UM), taught a graduate-level seminar called “Special Topics in Rural Disability and Health.”

The main course objectives were for students to build important writing skills they can take into their academic and professional lives, primarily through learning how to conduct rapid literature reviews. This involves identifying key pieces of literature related to a specific topic, and then quickly reviewing and organizing the literature for summary. Continue reading

RTC:Rural researchers author blog post for National Disability Institute

RTC:Rural Research Associates Dr. Rayna Sage and Lillie Greiman recently co-authored a post on the National Disability Institute Blog.

On the left, Dr. Rayna Sage stands in front of a rodeo enclosure; on the right, Lillie Greiman points at a map on a poster and discusses the map with a woman standing in front of her.

Dr. Raya Sage (left) at a rodeo in Ronan, Montana; and Lillie Greiman (right) sharing RTC:Rural research at a recent conference.

In their post, they explore relationships between disability, poverty, the labor market, healthcare costs, and housing influences. The following is an excerpt from the beginning of their post:

“There is a well-established and stubborn correlation between disability and poverty. The link between these two social phenomena creates challenges for people with disabilities, service providers, researchers, and advocates across the United States.

At the Research and Training Center on Disabilities in Rural Communities (RTC: Rural), we see this relationship as dynamic, contextual, and rooted in environmental conditions. In fact, looking at a map of poverty and disability across counties in the United States, it is clear that where you live matters for how you may experience both disability and poverty.”

Follow the link below to read the full post on the National Disability Institute blog:

Poverty and Disability: At the Intersection of Place and Policy

A wheelchair in the snow.