兰德-将心理健康支持融入农村图书馆-健康图书馆（L4H）倡议评估（英）

LYNSAY AYER, KAREN CHRISTIANSON, IVY TODD, LOGAN DICK, AMY L. SHEARER, YOSELÍN MAYORAL, ABIGAIL KESSLER, RAJEEV RAMCHANDIntegrating Mental Health Support into Rural LibrariesEvaluation of the Libraries for Health (L4H) InitiativeResearch ReportFor more information on this publication, visit www.rand.org/t/RRA3597-1.About RANDRAND is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest. To learn more about RAND, visit www.rand.org.Research IntegrityOur mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.RAND’s publications do not necessarily reflect the opinions of its research clients and sponsors.Published by the RAND Corporation, Santa Monica, Calif.© 2025 St. David's Foundation is a registered trademark.Cover design by D. Carol PonceCover photos: Svetlana_Isochenko/AdobeStock (bookshelf); Tetiana Garkusha/Getty Images (line drawing)iiiAbout This ReportThis report presents findings from an initiative focused on embedding nonclinical adult mental health sup-ports into rural libraries. The findings derive from RAND researchers’ three-year implementation evaluation of Libraries for Health (L4H), a pilot program funded by St. David’s Foundation (SDF) in which ten libraries in rural Central Texas worked to integrate mental health supports. This report summarizes how libraries implemented L4H, libraries’ primary barriers and facilitators of implementation, and the efforts and adapta-tions they made to build and sustain L4H. The report should be especially relevant to community members and leaders who are interested in incorporating nonclinical mental health supports within libraries or other community spaces with a goal of expanding the mental health workforce. The development of this report and its companion toolkit were sponsored by SDF.Community Health and Environmental Policy ProgramRAND Social and Economic Well-Being is a division of RAND that seeks to actively improve the health and social and economic well-being of populations and commun