The Handbook of Rural Aging goes beyond the perspective of a narrow range of health professions, disciplines, and community services that serve older adults in rural America to encompass the full range of perspectives and issues impacting the communities in which rural older adults live. Touching on such topics as work and voluntarism, technology, transportation, housing, the environment, social participation, and the delivery of health and community services, this reference work addresses the full breadth and scope of factors impacting the lives of rural elders with contributions from recognized scholars, administrators, and researchers. This Handbook buttresses a widespread movement to garner more attention for rural America in policy matters and decisions, while also elevating awareness of the critical circumstances facing rural elders and those who serve them. Merging demographic, economic, social, cultural, health, environmental, and political perspectives, it will be an essential reference source for library professionals, researchers, educators, students, program and community administrators, and practitioners with a combined interest in rural issues and aging.

In Downeast, Gigi Georges follows five girls as they come of age in one of the most challenging and geographically isolated regions on the Eastern seaboard. Their stories reveal surprising truths about rural America and offer hope for its future. “It’s almost impossible not to care about these fierce young women and cheer for their hard-won successes” (Kirkus) in this “heartfelt portrait” and “worthy tribute” (Publishers Weekly). Nestled in Maine’s far northeast corner, Washington County sits an hour’s drive from the heart of famed and bustling Acadia National Park. Yet it’s a world away. For Willow, Vivian, Mckenna, Audrey, and Josie—five teenage girls caught between tradition and transformation in this remote region—it is home. Downeast follows their journeys of heartbreak and hope in uncertain times, creating a nuanced and unique portrait of rural America with women at its center. Willow lives in the shadow of an abusive, drug-addicted father and searches for stability through photography and love. Vivian, a gifted writer, feels stifled by her church and town, and struggles to break free without severing family ties. Mckenna is a softball pitching phenom whose passion is the lobster-fishing she learned at her father’s knee. Audrey is a beloved high school basketball star who earns a coveted college scholarship but questions her chosen path. Josie, a Yale-bound valedictorian, is determined to take the world by storm. All five girls know the pain and joy of life in a region whose rugged beauty and stoicism mask dwindling populations, vanishing job opportunities, and pervasive opioid addiction. As the girls reach adulthood, they discover that despite significant challenges, there is much to celebrate in “the valley of the overlooked.” Their stories remind us of the value of timeless ideals: strength of family and community, reverence for nature’s rule, dignity in cracked hands and muddied shoes, and the enduring power of home. Revealed through the eyes of Willow, Vivian, Mckenna, Audrey, and Josie, Downeast is based on four years of intimate reporting. The result is a beautifully rendered, emotionally startling, and vital book. Downeast will break readers’ hearts yet offer them hope, providing answers to what the future may hold for rural America.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Heirs of General Practice is a frieze of glimpses of young doctors with patients of every age—about a dozen physicians in all, who belong to the new medical specialty called family practice. They are people who have addressed themselves to a need for a unifying generalism in a world that has become greatly subdivided by specialization, physicians who work with the "unquantifiable idea that a doctor who treats your grandmother, your father, your niece, and your daughter will be more adroit in treating you." These young men and women are seen in their examining rooms in various rural communities in Maine, but Maine is only the example. Their medical objectives, their successes, the professional obstacles they do and do not overcome are representative of any place family practitioners are working. While essential medical background is provided, McPhee's masterful approach to a trend significant to all of us is replete with affecting, and often amusing, stories about both doctors and their charges.

Jeremiah Barker practiced medicine in rural Maine up until his retirement in 1818. Throughout his practice of fifty years, he documented his constant efforts to keep up with and contribute to the medical literature in a changing medical landscape, as practice and authority shifted from historical to scientific methods. He performed experiments and autopsies, became interested in the new chemistry of Lavoisier, risked scorn in his use of alkaline remedies, studied epidemic fever and approaches to bloodletting, and struggled to understand epidemic fever, childbed fever, cancer, public health, consumption, mental illness, and the "dangers of spirituous liquors." Dr. Barker intended to publish his Diseases in the District of Maine 1772-1820 by subscription - advance pledges to purchase the published volume - but for reasons that remain uncertain, that never happened. For the first time, Barker's never before published work has been transcribed and presented in its entirety with extensive annotations, a five-chapter introduction to contextualize the work, and a glossary to make it accessible to 21st century general readers, genealogists, students, and historians. This engaging and insightful new publication allows modern readers to reimagine medicine as practiced by a rural physician in New England. We know much about how elite physicians practiced 200 years ago, but very little about the daily practice of an ordinary rural doctor, attending the ordinary rural patient. Barker's manuscript is written in a clear and engaging style, easily enjoyed by general readers as well as historians, with extensive footnotes and a glossary of terms. Barker himself intended his book to be "understood by those destitute of medical science."

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.