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References

APAL is committed to sharing accurate, evidence-informed information. Explore the sources used in APAL materials.

  1. Arizona Statistics: Ramirez, GM, Davidson, S, Perez, A, Glidden, M, Rubio, V, Rouamba, A, Celaya, M. Maternal Mortality in Arizona, 2018-2019. Phoenix, AZ: Arizona Department of Health Services; 2024 
  2. Nationwide Statistics: Maternal Mental Health Leadership Alliance (2023). Key Facts: Maternal Mental Health (MMH) Conditions [Fact Sheet]. https://www.mmhla.org/articles/maternal-mentalhealth-conditions-and-statistics

  1. Mental Health America. (2022). Ranking the states. https://mhanational.org/the-state-of-mental-health-in-america/data-rankings/ranking-the-states/
  2. Maternal Mental Health Leadership Alliance. (2023, November). Maternal mental health overview [Fact sheet]. https://22542548.fs1.hubspotusercontent-na1.net/hubfs/22542548/Maternal%20Mental%20Health%20Overview%20Fact%20Sheet%20-%20MMHLA%20-%20Nov%202023.pdf
  3. Ramirez, G. M., Davidson, S., Perez, A., Glidden, M., Rubio, V., Rouamba, A., & Celaya, M. (2024). Maternal mortality in Arizona, 2018–2019. Arizona Department of Health Services. https://www.azdhs.gov/documents/prevention/womens-childrens-health/reports-fact-sheets/mm-2018-2019.pdf
  4. University of Arizona Center for Rural Health. (2023, August 21). Quantifying Arizona's mental health workforce shortage using Health Professional Shortage Area (HPSA) data. https://crh.arizona.edu/sites/default/files/2023-09/230821_MH_HPSA.pdf
  5. Ramirez, G. M., Davidson, S., Perez, A., Glidden, M., Rubio, V., Rouamba, A., & Celaya, M. (2024). Maternal mortality in Arizona, 2018–2019. Arizona Department of Health Services. https://www.azdhs.gov/documents/prevention/womens-childrens-health/reports-fact-sheets/mm-2018-2019.pdf
  6. Rourke, J. T., Incitti, F., Rourke, L. L., & Kennard, M. (2003). Keeping family physicians in rural practice: Solutions favoured by rural physicians and family medicine residents. Canadian Family Physician, 49, 1142–1149. https://pubmed.ncbi.nlm.nih.gov/14526866/
  7. Kajaria-Montag, H., Freeman, M., & Scholtes, S. (2024). Continuity of care increases physician productivity in primary care. Management Science, 70(11), 7943–7960. https://doi.org/10.1287/mnsc.2021.02015

  1. Mental Health America. (2022). Ranking the states. https://mhanational.org/the-state-of-mental-health-in-america/data-rankings/ranking-the-states/
  2. American Foundation for Suicide Prevention. (n.d.). Suicide statistics. https://afsp.org/suicide-statistics/
  3. American Academy of Child and Adolescent Psychiatry. (2019, September). Improving access to mental health: Reducing mental health stigma. https://www.aacap.org/App_Themes/AACAP/docs/Advocacy/policy_resources/Improving-Access-Stigma.pdf
  4. Centers for Disease Control and Prevention. (n.d.). 1991–2023 high school Youth Risk Behavior Survey data. https://yrbs-explorer.services.cdc.gov/
  5. Arizona Department of Health Services. (2024, October). Adolescent mental health report: Trends in mental health.

  1. Mental Health America. (2022). Ranking the states. https://mhanational.org/the-state-of-mental-health-in-america/data-rankings/ranking-the-states/
  2. American Foundation for Suicide Prevention. (n.d.). State fact sheets. https://afsp.org/state-facts/
  3. American Academy of Child and Adolescent Psychiatry. (2019, September). Improving access to mental health: Reducing mental health stigma. https://www.aacap.org/App_Themes/AACAP/docs/Advocacy/policy_resources/Improving-Access-Stigma.pdf
  4. Centers for Disease Control and Prevention. (n.d.). 1991–2023 high school Youth Risk Behavior Survey data. https://yrbs-explorer.services.cdc.gov/
  5. Arizona Department of Health Services. (2024, October). Adolescent mental health report: Trends in mental health.
  6. Children's Action Alliance. (2025). 2024 Arizona KIDS COUNT data book. https://azchildren.org/wp-content/uploads/2025/02/Childrens-Action-Alliance_Kids-Count-Book_02-25-25-1.pdf
  7. Loo, T. M., Altman, M., Bravata, D. M., & Whaley, C. (2024). Medical spending among US households with children with a mental health condition between 2017 and 2021. JAMA Network Open, 7(3), e241860. https://doi.org/10.1001/jamanetworkopen.2024.1860

  1. American Academy of Child and Adolescent Psychiatry. (n.d.). Workforce maps by state. https://www.aacap.org/aacap/Advocacy/Federal_and_State_Initiatives/Workforce_Maps/Home.aspx
  2. Arizona Advisory Council on Indian Health Care. (2021). Arizona Indian health system primary care workforce assessment. https://aacihc.az.gov/sites/default/files/2022-03/Az%20Indian%20Health%20System%20Workforce%20Assessment%20FINAL2%20%281%29.pdf
  3. Arizona Health Care Cost Containment System. (n.d.). ITUs list: Indian Health Service (IHS), tribally-operated 638 programs, and urban Indian health programs in Arizona. https://www.azahcccs.gov/AmericanIndians/AmericanIndianHealthFacilities/ITUsList.html
  4. Murphy, B. S., Rooney, B., Koch, B., Garn, A., & Derksen, D. (2025). 2025 rural Arizona opioid morbidity & mortality, prevention & treatment services. Arizona Center for Rural Health. https://crh.arizona.edu/sites/default/files/2025-10/251017RHTP-AZ-Opioid.pdf
  5. Reamer, M., Dixon, G., & Stegemeyer, J. (2024). Suicide surveillance report, Arizona, 2022. Arizona Department of Health Services. https://sprc.org/wp-content/uploads/Arizona-Suicide-Surveillance-Report-2012%E2%80%932022.pdf
  6. University of Arizona Center for Rural Health. (n.d.). Workforce reports & briefs. https://crh.arizona.edu/publications/workforce-reports-briefs