Janessa M Graves
Biographic Data
| ID | 4220101 |
|---|---|
| NAME | Janessa M Graves |
| GIVEN NAMES | Janessa M |
| FAMILY NAME | Graves |
| SIGNATURE | GRAVES J M |
| AFFILIATIONS | Washington State University Spokane |
| ORCID | 0000-0002-7659-2634 |
| VERIFIED | Yes |
| TOTAL WORKS | 29 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 29 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Early Evidence of Geographic Variation in Medicare Participation Among Newly Eligible Mental Health Providers Following the 2024 Coverage Expansion
How Do Changes in Medicare Reimbursement for Mental Health Services Impact Access for Rural Older Adults
PURPOSE: In January 2024, new reimbursement policies took effect, allowing marriage and family therapists (MFTs) and mental health counselors (MHCs) to independently bill Medicare for diagnostic and mental health treatment services. We sought to understand how and whether these policy changes have impacted access to mental health services among rural Medicare beneficiaries. METHODS: We conducted interviews with leaders of rural health systems and…
Pediatric severe TBI in South America
Traumatic brain injury (TBI) is a leading cause of pediatric morbidity and mortality worldwide. Understanding healthcare utilization during hospitalization for severe TBI across varied resource settings is crucial for informing improvements in clinical practice, patient outcomes, and for reducing TBI burden. We examined hospital services utilization among children with severe TBI in South America. This secondary analysis of data collected during …
Adult perceptions of mental health access barriers facing youth in rural Washington State
PURPOSE: To explore adult community members' perspectives concerning barriers to mental health care that confront rural-dwelling youth. METHODS: Group concept mapping, a participatory community-engaged research method, was used. Adult community members brainstormed and sorted statements describing barriers rural youth encounter in accessing mental health services. Point and cluster maps were created to visualize conceptual similarities between st…
Differences in the travel burden for care between rural and urban patients with opioid use disorder by insurance type
PURPOSE: To compare the time and distance travel burden to access care for rural and urban Medicaid and commercially insured patients with opioid use disorder (OUD), and to understand where they travel for care. METHODS: We used Medicaid and the Health Care Cost Institute commercial insurance administrative claims data from 2019 to examine the travel burden to health care for adults ages 18 years and older with OUD. We calculated the one-way driv…
Weight status underestimation and weight management goals among adults in the rural South of the United States
PURPOSE: To examine factors associated with weight status underestimation and the relationship between weight status underestimation and weight loss as a weight management goal among adults living in the rural South. METHODS: An anonymous survey was distributed at six primary care clinics and two churches in rural, South Carolina counties. Weight status underestimation was determined based on the difference between perceived weight status using s…
Suicide Prevention Training Among Occupational Groups
We systematically assessed the presence and distribution of state-level policies, specifically statutes and regulations that were in effect as of July 1, 2022, related to training any occupational groups in suicide prevention. Utilizing legal epidemiology methods, we conducted a cross-sectional assessment of all 50 states and the District of Columbia. We identified 824 policies in our initial search and retained 477 in our final policy database. …
Charting Community Voices
Rural Americans experience health disparities compared to those in urban areas, including higher incidence of disease, disability, and injury; higher mortality rates; and lower life expectancies. These disparities are driven, in part, by factors such as geographic isolation, transportation challenges, limited access to specialist healthcare providers, and socioeconomic disparities that impede equitable access to healthcare. These contextual facto…
Mental health services utilization by rurality
Identifying Common Data Elements to Achieve Injury-related Health Equity Across the Lifespan
Background: Limited availability and poor quality of data in medical records and trauma registries impede progress to achieve injury-related health equity across the lifespan. Methods: We used a Nominal Group Technique (NGT) in-person workgroup and a national web-based Delphi process to identify common data elements (CDE) that should be collected. Results: The 12 participants in the NGT workgroup and 23 participants in the national Delphi process…
How rural is All of Us ? Comparing characteristics of rural participants in the National Institute of Health's All of Us Research Program to other national data sources
PURPOSE: The National Institute of Health's All of Us Research Program represents a national effort to develop a database to advance health research, especially among individuals historically underrepresented in research, including rural populations. The purpose of this study was to describe the rural populations identified in the All of Us Research Program using the only proxy measure currently available in the dataset. METHODS: Currently, the A…
Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women
The lived experiences of homeless and unstably housed women, including their health-related priorities, are understudied in smaller metropolitan and rural communities. In this study, we partnered with a day center for women who experience homelessness in Spokane, Washington. We used Photovoice, a community-based participatory action research method, to explore the health-related concerns, needs, and behavior of women who are homeless or unstably …
Identifying Challenges and Solutions for Improving Access to Mental Health Services for Rural Youth
Improving access to mental healthcare for rural youth will require building a strong mental health workforce and championing efforts to reduce stigma associated with help-seeking
Assessing Learning and Training Needs for Social Workers to Serve Clients With Traumatic Brain Injury
Traumatic brain injury (TBI) disproportionately affects marginalized populations social workers serve. Current practices and training needs of social workers who serve clients with TBI are not well-understood. An online survey was administered to all licensed social workers in Washington (N=5,032) to assess the following for clients with TBI: interactions, challenges, knowledge, beliefs, confidence, and training recommendations. Analyses involved…
Language Assistance Services in Nonfederally Funded Safety-Net Medical Clinics in the United States
Background: In the United States, nonfederally funded safety-net clinics provide health care services to underserved populations, including patients with limited English proficiency. Unlike clinics that receive federal funding, which requires provision of qualified interpreters, these clinics are not required to provide such services. Objective: The aim of this study was to describe the types of language assistance services used by safety-net cli…
Differences in Loneliness Across the Rural‐Urban Continuum Among Adults Living in Washington State
PURPOSE: Rural residents may be at higher risk for loneliness than urban residents due to factors such as social isolation, poorer health, and socioeconomic disadvantage. To date, there have been few studies examining rural-urban differences in loneliness among adults in the United States. We examined differences in loneliness across the rural-urban continuum among adult residents living in Washington State. METHODS: Stratified random sampling wa…
Barriers to Telemedicine Implementation in Southwest Tribal Communities During Covid‐19
Tribal communities across the United States face significant health and mental health disparities, including rates of suicide that far exceed those of nontribal communities.1 Timely access to health care is limited across most rural areas in the United States, particularly in remote tribal communities.2, 3 It is likely that the COVID-19 pandemic will exacerbate disparities among American Indian tribes, particularly when coupled with existing barr…
Stair-Related Injuries Among Pregnant Women Treated in United States Emergency Departments
Disparities in Technology and Broadband Internet Access Across Rurality
Amidst the COVID-19 pandemic, interest in using telehealth to increase access to health and mental health care has grown, and school transitions to remote learning have heightened awareness of broadband inequities. The purpose of this study was to examine access and barriers to technology and broadband Internet service ("broadband") among rural and urban youth. Washington State public school districts were surveyed about youth's access to technol…
Too Little Information
Research on Injury Disparities
Background: Research on disparities in traumatic injury has not been well characterized, limiting understanding of gaps in research and development of successful interventions. We conducted a scoping review to identify and synthesize research on disparities in intentional and unintentional traumatic injuries. Methods: The review was guided by PRISMA Extension for Scoping Reviews. PubMed, PsycINFO, Web of Science, and CINAHL and systematic reviews…
Impact of an Advanced Imaging Utilization Review Program on Downstream Health Care Utilization and Costs for Low Back Pain
BACKGROUND: Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES: To assess the impact of a state policy implemented in June 2010 that required prospective utilization review (UR) for early MRI among workers' compensation claimants with LBP. RESEARCH DESIGN: Interrupted time serie…
Suicide Prevention Training
Objectives. To identify and compare state policies for suicide prevention training among health care professionals across the United States and benchmark state plan updates against national recommendations set by the surgeon general and the National Action Alliance for Suicide Prevention in 2012. Methods. We searched state legislation databases to identify policies, which we described and characterized by date of adoption, target audience, and du…
The Scope of Inclusion of Academic Conflict of Interest Policies
Quality of life among working and non-working adolescents
Public Bicycle Share Programs and Head Injuries
Objectives. We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. Methods. We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We used logistic regression models to compare the odds that admission for a bicycle-related injury would involve a head injury 24 month…
Health Care Costs 1 Year After Pediatric Traumatic Brain Injury
Objectives. This study sought to estimate total health care costs for mild, moderate, and severe pediatric traumatic brain injury (TBI) and to compare individual- and population-level costs across levels of TBI severity. Methods. Using 2007 to 2010 MarketScan Commercial Claims and Encounters data, we estimated total quarterly health care costs 1 year after TBI among enrollees (aged Results. Mild TBI accounted for 96.6% of the 319 103 enrollees wi…
Suicide Prevention Training
Objectives. To identify and compare state policies for suicide prevention training among health care professionals across the United States and benchmark state plan updates against national recommendations set by the surgeon general and the National Action Alliance for Suicide Prevention in 2012. Methods. We searched state legislation databases to identify policies, which we described and characterized by date of adoption, target audience, and du…
The Scope of Inclusion of Academic Conflict of Interest Policies
Empowering Head Start to Improve Access to Good Oral Health for Children from Low Income Families
Public Bicycle Share Programs and Head Injuries
Objectives. We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. Methods. We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We used logistic regression models to compare the odds that admission for a bicycle-related injury would involve a head injury 24 month…
Graves et al. Respond
Graves et al. Respond Affiliation Janessa M. Graves PhD, MPH, I. Barry Pless MD, and Frederick P. Rivara MD, MPHJanessa M. Graves is with the College of Nursing, Washington State University, and the Harborview Injury Prevention and Research Center (HIPRC), Spokane, WA. I. Barry Pless is with McGill University, and the Injury Prevention Program, Montreal Children’s Hospital, Montreal, Québec. Frederick P. Rivara is with Seattle Children’s Hospital…
Health Care Costs 1 Year After Pediatric Traumatic Brain Injury
Objectives. This study sought to estimate total health care costs for mild, moderate, and severe pediatric traumatic brain injury (TBI) and to compare individual- and population-level costs across levels of TBI severity. Methods. Using 2007 to 2010 MarketScan Commercial Claims and Encounters data, we estimated total quarterly health care costs 1 year after TBI among enrollees (aged Results. Mild TBI accounted for 96.6% of the 319 103 enrollees wi…
Quality of life among working and non-working adolescents
The Scope of Inclusion of Academic Conflict of Interest Policies
Impact of an Advanced Imaging Utilization Review Program on Downstream Health Care Utilization and Costs for Low Back Pain
BACKGROUND: Early magnetic resonance imaging (MRI) for acute low back pain (LBP) has been associated with increased costs, greater health care utilization, and longer disability duration in workers' compensation claimants. OBJECTIVES: To assess the impact of a state policy implemented in June 2010 that required prospective utilization review (UR) for early MRI among workers' compensation claimants with LBP. RESEARCH DESIGN: Interrupted time serie…
Suicide Prevention Training
Objectives. To identify and compare state policies for suicide prevention training among health care professionals across the United States and benchmark state plan updates against national recommendations set by the surgeon general and the National Action Alliance for Suicide Prevention in 2012. Methods. We searched state legislation databases to identify policies, which we described and characterized by date of adoption, target audience, and du…
Research on Injury Disparities
Background: Research on disparities in traumatic injury has not been well characterized, limiting understanding of gaps in research and development of successful interventions. We conducted a scoping review to identify and synthesize research on disparities in intentional and unintentional traumatic injuries. Methods: The review was guided by PRISMA Extension for Scoping Reviews. PubMed, PsycINFO, Web of Science, and CINAHL and systematic reviews…
Too Little Information
Barriers to Telemedicine Implementation in Southwest Tribal Communities During Covid‐19
Tribal communities across the United States face significant health and mental health disparities, including rates of suicide that far exceed those of nontribal communities.1 Timely access to health care is limited across most rural areas in the United States, particularly in remote tribal communities.2, 3 It is likely that the COVID-19 pandemic will exacerbate disparities among American Indian tribes, particularly when coupled with existing barr…
Stair-Related Injuries Among Pregnant Women Treated in United States Emergency Departments
Disparities in Technology and Broadband Internet Access Across Rurality
Amidst the COVID-19 pandemic, interest in using telehealth to increase access to health and mental health care has grown, and school transitions to remote learning have heightened awareness of broadband inequities. The purpose of this study was to examine access and barriers to technology and broadband Internet service ("broadband") among rural and urban youth. Washington State public school districts were surveyed about youth's access to technol…
Language Assistance Services in Nonfederally Funded Safety-Net Medical Clinics in the United States
Background: In the United States, nonfederally funded safety-net clinics provide health care services to underserved populations, including patients with limited English proficiency. Unlike clinics that receive federal funding, which requires provision of qualified interpreters, these clinics are not required to provide such services. Objective: The aim of this study was to describe the types of language assistance services used by safety-net cli…
Differences in Loneliness Across the Rural‐Urban Continuum Among Adults Living in Washington State
PURPOSE: Rural residents may be at higher risk for loneliness than urban residents due to factors such as social isolation, poorer health, and socioeconomic disadvantage. To date, there have been few studies examining rural-urban differences in loneliness among adults in the United States. We examined differences in loneliness across the rural-urban continuum among adult residents living in Washington State. METHODS: Stratified random sampling wa…
Assessing Learning and Training Needs for Social Workers to Serve Clients With Traumatic Brain Injury
Traumatic brain injury (TBI) disproportionately affects marginalized populations social workers serve. Current practices and training needs of social workers who serve clients with TBI are not well-understood. An online survey was administered to all licensed social workers in Washington (N=5,032) to assess the following for clients with TBI: interactions, challenges, knowledge, beliefs, confidence, and training recommendations. Analyses involved…
Mental health services utilization by rurality
Identifying Common Data Elements to Achieve Injury-related Health Equity Across the Lifespan
Background: Limited availability and poor quality of data in medical records and trauma registries impede progress to achieve injury-related health equity across the lifespan. Methods: We used a Nominal Group Technique (NGT) in-person workgroup and a national web-based Delphi process to identify common data elements (CDE) that should be collected. Results: The 12 participants in the NGT workgroup and 23 participants in the national Delphi process…
How rural is All of Us ? Comparing characteristics of rural participants in the National Institute of Health's All of Us Research Program to other national data sources
PURPOSE: The National Institute of Health's All of Us Research Program represents a national effort to develop a database to advance health research, especially among individuals historically underrepresented in research, including rural populations. The purpose of this study was to describe the rural populations identified in the All of Us Research Program using the only proxy measure currently available in the dataset. METHODS: Currently, the A…
Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women
The lived experiences of homeless and unstably housed women, including their health-related priorities, are understudied in smaller metropolitan and rural communities. In this study, we partnered with a day center for women who experience homelessness in Spokane, Washington. We used Photovoice, a community-based participatory action research method, to explore the health-related concerns, needs, and behavior of women who are homeless or unstably …
Identifying Challenges and Solutions for Improving Access to Mental Health Services for Rural Youth
Improving access to mental healthcare for rural youth will require building a strong mental health workforce and championing efforts to reduce stigma associated with help-seeking
Pediatric severe TBI in South America
Traumatic brain injury (TBI) is a leading cause of pediatric morbidity and mortality worldwide. Understanding healthcare utilization during hospitalization for severe TBI across varied resource settings is crucial for informing improvements in clinical practice, patient outcomes, and for reducing TBI burden. We examined hospital services utilization among children with severe TBI in South America. This secondary analysis of data collected during …
Adult perceptions of mental health access barriers facing youth in rural Washington State
PURPOSE: To explore adult community members' perspectives concerning barriers to mental health care that confront rural-dwelling youth. METHODS: Group concept mapping, a participatory community-engaged research method, was used. Adult community members brainstormed and sorted statements describing barriers rural youth encounter in accessing mental health services. Point and cluster maps were created to visualize conceptual similarities between st…
Differences in the travel burden for care between rural and urban patients with opioid use disorder by insurance type
PURPOSE: To compare the time and distance travel burden to access care for rural and urban Medicaid and commercially insured patients with opioid use disorder (OUD), and to understand where they travel for care. METHODS: We used Medicaid and the Health Care Cost Institute commercial insurance administrative claims data from 2019 to examine the travel burden to health care for adults ages 18 years and older with OUD. We calculated the one-way driv…
Weight status underestimation and weight management goals among adults in the rural South of the United States
PURPOSE: To examine factors associated with weight status underestimation and the relationship between weight status underestimation and weight loss as a weight management goal among adults living in the rural South. METHODS: An anonymous survey was distributed at six primary care clinics and two churches in rural, South Carolina counties. Weight status underestimation was determined based on the difference between perceived weight status using s…
Medicine (25 works) · Health care (14 works) · Political science (14 works) · Environmental health (12 works) · Nursing (9 works) · Family medicine (8 works) · Gerontology (8 works) · Psychology (8 works) · Rural area (8 works) · Population (7 works)