Muskie School of Public Service

David Hartley

Professor Emeritus

David HartleyProfessor Hartley taught Health Information Management in the Master of Public Health (MPH) degree program. Dr. Hartley directed the development of such tools as the Rural Active Living Assessment (RALA) tools with funding from the Robert Wood Johnson Foundation, and continues to monitor and advise on their use as they are implemented in numerous rural states and provinces in North America. He previously served as President of the Maine Rural Health Association and on the National Rural Health Association's Rural Health Policy Board for 6 years. In 2004, he served on the National Academy of Science, Institute of Medicine Committee on the Future of Rural Health, which published "Quality through Collaboration: The Future of Rural Health" in 2005. Some of David’s most recent publications include “Built Environments and Active Living in Rural and Remote Areas: A Review of the Literature”, “Promoting Active Living in Rural Communities” both from 2015 and “Pilot Testing a Rural health Clinic Quality Measurement Reporting System” in 2016.



  • University of Minnesota, BA 1967; BS, 1972; MHA, 1986; PhD, 1993.


Rural mental health services and substance abuse, rural obesity, rural health clinics.


"Active Living for Rural Youth", Research and Policy Brief, 2008

"Active Living for Rural Youth: Addressing Physical Inactivity in Rural Communities", Journal Article, 2009

"Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences?", Working Paper, 2012

"Are Advanced Practice Psychiatric Nurses a Solution to Rural Mental Health Workforce Shortages?", Report, 2004

"Built Environments and Active Living in Rural and Remote Areas: A Review of the Literature", Journal Article, 2015

"Characteristics of Inpatient Psychiatric Units in Small Rural Hospitals", Journal Article, 2010

"Development of the Rural Activing Living Assessment Tools: Measuring Rural Environments", Journal Article, 2010

"Employment of Advanced-Practice Psychiatric Nurses to Stem Rural Mental Health Workforce Shortages", Journal Article, 2008

"Encouraging Rural Health Clinics to Provide Mental Health Services", Research and Policy Brief, 2010

"How Does The Rural Food Environment Affect Rural Childhood Obesity?", Journal Article, 2011

"Maine's Rural Health Challenges", Report, 2007

"Medicaid Managed Behavioral Health in Rural Areas", Report, 2001

"Mental Health Services in Rural Jails", Research and Policy Brief, 2009

"Mental Health Services in Rural Jails", Working Paper, 2010

"Patterns of Care for Rural and Urban Children with Mental Health Problems", Research and Policy Brief, 2013

"Pilot Testing a Rural Health Clinic Quality Measurement Reporting System", Research and Policy Brief, 2016

"Promoting Active Living in Rural Communities", Research and Policy Brief, 2015

"Provision of Mental Health Services by Rural Health Clinics", Working Paper, 2010

"Rural Active Living Assessment (RALA) Toolkit: Codebook and Assessment Tools", Web Page, 2010

"Rural and Remote Food Environments and Obesity", Journal Article, 2015

"Rural Health Clinic Readiness for PCMH Recognition", Working Paper, 2015

"Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier", Report, 2007

"Rural-Urban Differences in Work Patterns Among Adults with Depressive Symptoms", Working Paper, 2008

"Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey", Report, 2006

"Smallest Rural Hospitals Treat Mental Health Emergencies (Research & Policy Brief)", Research and Policy Brief, 2006

"State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce. Executive Summary", Report, 2002

"Substance Abuse Among Rural Youth: A Little Meth and a Lot of Booze [Research & Policy Brief]", Research and Policy Brief, 2007

"Substance abuse and use in rural America", Book Chapter, 2012

"Substance Abuse by Youth and Young Adults in Rural America", Journal Article, 2008

"Substance Use and Abuse in Rural Areas", Book Chapter, 2014

"Understanding the Business Case for Telemental Health in Rural Communities", Journal Article, 2015

"Understanding the Rural Food Environment--Perspectives of Low-Income Parents", Journal Article, 2011

"Use of Critical Access Hospital Emergency Rooms by Patients with Mental Health Symptoms", Journal Article, 2005

"Use of Critical Access Hospital Emergency Rooms by Patients with Mental Health Symptoms", Journal Article, 2007