South Carolina Models and Innovations

Evidence-Based Examples

Telepsychology-Service Delivery for Depressed Elderly Veterans

Updated/reviewed April 2024

• Need: To provide evidence-based psychotherapy for depression in elderly veterans who are unable to seek mental health treatment due to distance or stigma.
• Intervention: Telepsychology-Service Delivery for Depressed Elderly Veterans compared providing behavioral activation therapy via home-based telehealth and the same treatment delivered in a traditional office-based format.
• Results: A 2015 study and two 2016 studies show that providing treatment via home-based telehealth to elderly veterans in South Carolina resulted in the same improved health outcomes, quality of life, satisfaction with care, and cost of healthcare compared to those receiving face-to-face treatment.

Effective Examples

Salud es Vida Cervical Cancer Education

Updated/reviewed January 2024

• Need: To deliver information about cervical cancer to rural Hispanic women in the United States.
• Intervention: The development of a lay health worker (promotora) curriculum that provided information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia and South Carolina.
• Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.

Health Coaches for Hypertension Control

Updated/reviewed September 2023

• Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
• Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
• Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.

Promising Examples

Faith, Activity, and Nutrition

Updated/reviewed August 2023

• Need: To increase healthy eating and physical activity levels in Fairfield County, South Carolina.
• Intervention: Community health advisors trained church committees and delivered telephone-based technical assistance to improve opportunities, guidelines, messages, and pastor support for physical activity and healthy eating.
• Results: In a 2018 study, churchgoers reported seeing more opportunities for physical activity as well as more messages and pastor support for physical activity and healthy eating. Intervention churches also had fewer inactive churchgoers, compared to control churches.

Other Project Examples

SCDMH Emergency Department and Community Telepsychiatry Programs

Updated/reviewed March 2024

• Need: To expand access to psychiatric services throughout South Carolina, with a focus on underserved and rural communities.
• Intervention: South Carolina Department of Mental Health (SCDMH) created the SCDMH Emergency Department and Community Telepsychiatry programs to expand telepsychiatry access for patients in emergency departments and in various settings across the state.
• Results: The program has improved access, affordability, and provided quality care for patients with mental illness living in rural and underserved areas of South Carolina.

Mother's Milk Bank of South Carolina

Updated/reviewed January 2024

• Need: Neonatal Intensive Care Units (NICUs) across the state of South Carolina were purchasing breast milk from out-of-state milk banks for preterm infants.
• Intervention: The Mother's Milk Bank of South Carolina (MMBSC) opened 26 sites in South Carolina for breast milk to be donated, safely pasteurized, and delivered to NICUs across the state.
• Results: Over 19,178,739 ounces of milk have been donated to MMBSC depot sites and over 13,830,600 ounces of milk have been delivered to South Carolina NICUs.

Tea Time with Teens

Updated/reviewed December 2023

• Need: To develop teen leaders, build self-confidence, and lower teen pregnancy rates in Marlboro County, South Carolina.
• Intervention: Tea Time with Teens brings together community leaders, mothers, and daughters to build life skills and make healthy decisions. In addition, the program sponsors a middle school club and has an extension program for young women.
• Results: Since 2009, the program has been educating teens on making healthy choices and adults on having meaningful conversations with teens.

Rural Libraries and Health Cooperative Agreement

Updated/reviewed July 2023

• Need: To increase access to healthcare and social services in rural South Carolina via library systems.
• Intervention: Pilot sites are hiring social workers and community health workers to provide consultations, case management, and referrals.
• Results: One library screens an average of 215 residents a month, and another library's programming reached over 800 female patrons.

Together for Beaufort County

Updated/reviewed October 2022

• Need: A community-wide collaborative process to identify and address specific quality-of-life challenges confronting the citizens of Beaufort County, South Carolina.
• Intervention: Together for Beaufort County facilitates the coordination of local and regional coalitions that address economic, social, health, educational, and environmental factors through shared collective impact process.
• Results: Out of 46 counties in South Carolina, Beaufort County has reached the top ranking in health outcomes.