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Journal articles on the topic 'Rural mental health services'

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Published: 4 June 2021
Last updated: 27 January 2023

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1

Colon-Rivera, Hector, and Lisa B. Dixon. "Mental Health Services in Rural Areas." Psychiatric Services 71, no. 9 (September 1, 2020): 984–85. http://dx.doi.org/10.1176/appi.ps.71903.

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2

Kumar, Anant. "Mental health services in rural India: challenges and prospects." Health 03, no. 12 (2011): 757–61. http://dx.doi.org/10.4236/health.2011.312126.

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3

Chalifoux, Zona, Jane B. Neese, Kathleen C. Buckwalter, Eugene Litwak, and Ivo L. Abraham. "Mental health services for rural elderly: Innovative service strategies." Community Mental Health Journal 32, no. 5 (October 1996): 463–80. http://dx.doi.org/10.1007/bf02251046.

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4

Nicholson, Laura Anne. "Rural mental health." Advances in Psychiatric Treatment 14, no. 4 (July 2008): 302–11. http://dx.doi.org/10.1192/apt.bp.107.005009.

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A significant proportion of people live and work in rural areas, and rural mental health is important wherever psychiatry is practised. There are inherent difficulties in conducting rural research, due in part to the lack of an agreed definition of rurality. Mental health is probably better in rural areas, with the exception of suicide, which remains highest in male rural residents. A number of aspects of rural life (such as the rural community, social networks, problems with access, and social exclusion) may all have particular implications for people with mental health problems. Further issues such as the effect of rural culture on help-seeking for mental illness, anonymity in small rural communities and stigma may further affect the recognition, treatment and maintenance of mental health problems for people in rural areas. Providing mental health services to remote and rural locations may be challenging.
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5

Tobin, Margaret J. "Rural Psychiatric Services." Australian & New Zealand Journal of Psychiatry 30, no. 1 (February 1996): 114–23. http://dx.doi.org/10.3109/00048679609076079.

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Objective: The objective was to describe and evaluate a community mental health service developed during 1991–1992 in an attempt to meet the mental illness needs of an isolated rural community. The setting was the Grampians health region in Western Victoria: this region has an area of 45,000 square kilo-metres and a population of 182,000. Method: The method involved firstly describing the evolution of the service delivery model. This comprised a team of travelling psychiatrists and community psychiatric nurses which succeeded in providing a combined inpatient and outpatient service which was integrated with general practitioners. Secondly, diagnostic and case load descriptions of patients receiving service were compared for both the inpatient and outpatient settings. Results: The results were that reduced reliance on inpatient beds and increased consumer satisfaction were achieved. Conclusion: It was concluded that on initial evaluation of the service it was seen to be meeting its objective of treating the seriously mentally ill in an isolated rural community based setting.
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6

Rohland, Barbara M., and Douglas R. Langbehn. "Use of Mental Health Services in Rural Areas." Psychiatric Services 49, no. 1 (January 1998): 107—a—108. http://dx.doi.org/10.1176/ps.49.1.107-a.

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7

Fortney, John C. "A Commentary on Rural Mental Health Services Research." Journal of Rural Health 26, no. 3 (April 29, 2010): 203–4. http://dx.doi.org/10.1111/j.1748-0361.2010.00296.x.

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8

Neese, Jane B., Ivo L. Abraham, and Kathleen C. Buckwalter. "Utilization of mental health services among rural elderly." Archives of Psychiatric Nursing 13, no. 1 (February 1999): 30–40. http://dx.doi.org/10.1016/s0883-9417(99)80015-6.

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9

Ide, Bette. "Rural Practice Forum: Mental Health Services for Adolescents." Online Journal of Rural Nursing and Health Care 1, no. 3 (December 2000): 6–7. http://dx.doi.org/10.14574/ojrnhc.v1i3.481.

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10

Sawyer, Donald A., and Susan F. Moreines. "A model for rural children's mental health services." Administration and Policy in Mental Health 22, no. 6 (July 1995): 597–605. http://dx.doi.org/10.1007/bf02254823.

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11

Kelleher, Kelly J., J. Lynn Taylor, and Vaughn I. Rickert. "Mental health services for rural children and adolescents." Clinical Psychology Review 12, no. 8 (1992): 841–52. http://dx.doi.org/10.1016/0272-7358(92)90005-s.

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12

Matsea, Thabisa, Elma Ryke, and Mike Weyers. "Assessing mental health services in a rural setting: Service providers’ perspective." International Journal of Mental Health 47, no. 1 (October 13, 2017): 26–49. http://dx.doi.org/10.1080/00207411.2017.1377805.

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13

Lee, Steven W., Jill H. Lohmeier, Chris Niileksela, and Jessica Oeth. "Rural schools' mental health needs: Educators' perceptions of mental health needs and services in rural schools." Journal of Rural Mental Health 33, no. 1 (2009): 26–31. http://dx.doi.org/10.1037/h0095970.

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14

Latypov, Alisher, Vladimir Magkoev, Mutabara Vohidova, and Zulfia Nisanbaeva. "Mental health services in Tajikistan." International Psychiatry 4, no. 3 (July 2007): 66–69. http://dx.doi.org/10.1192/s1749367600001946.

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Tajikistan, in Central Asia, gained its independence in 1991, with the break-up of the Soviet Union. There followed a period of civil war, 1992–97. In 2003, 64% of Tajikistan's population was poor, which was defined as living on less than US$2.15 per day at purchasing power parity by the UN Appeal for Tajikistan (2006). The Tajik healthcare budget appropriations decreased from 4.5% of gross domestic product in 1991 to 1.3% in 2005. The average annual rate of population growth is 2.19%. The estimated 7 320815 population of the country is mainly rural (73.5%) and about 38% of the country's population is under the age of 14. Life expectancy at birth is 62 years for males and 68 years for females. The infant mortality rate is 106.49 deaths per 1000 live births.
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15

Shelton, Deborah A., Elizabeth Merwin, and Jeanne Fox. "Implications of health care reform for rural mental health services." Administration and Policy in Mental Health 23, no. 1 (September 1995): 59–69. http://dx.doi.org/10.1007/bf02106862.

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16

Voss, Steven L. "The Church as an Agent in Rural Mental Health." Journal of Psychology and Theology 24, no. 2 (June 1996): 114–23. http://dx.doi.org/10.1177/009164719602400204.

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Many rural communities lack adequate mental health services. Additionally, there are specific problems associated with the delivery of services to rural citizens. A recent surge of interest in addressing rural concerns is prompting much needed research. This article suggests that the church can be an active agent in the delivery of services to rural populations. Ideas presented include: (a) identification and referral, (b) counseling networks utilizing local churches, (c) Christian counseling centers, (d) education and enrichment activities, (e) support groups, (f) lay counseling, (g) volunteer workers with the chronically mentally ill, and (h) clergy collaboration with local mental health practitioners.
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17

Jianlin, Ji. "Suicide Rates and Mental Health Services in Modern China." Crisis 21, no. 3 (May 2000): 118–21. http://dx.doi.org/10.1027//0227-5910.21.3.118.

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Suicide rates in China have in the past been reported to be very low for a variety of historical and political reasons. In recent years, however, the reported suicide rates in China have increased alarmingly among certain age groups. This article reviews reports of the national rural suicide rates in China for 1992, gathered from the Annal of Chinese Public Health, which has previously never been reported publicly. The highest suicide rates occur in the rural areas and among young women and men over 60 years. These data reveal that suicide in China may have some unique characteristic associated with a variety of socio-cultural variables, such as traditional culture, social class, economic status, health care levels, and interpersonal problems. The author shows that lack of mental health services in rural areas in China may be considered one of associated reasons to the high rural suicide rate in China.
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18

Merwin, Elizabeth I., Harold F. Goldsmith, and Ronald W. Manderscheid. "Human resource issues in rural mental healt services." Community Mental Health Journal 31, no. 6 (December 1995): 525–37. http://dx.doi.org/10.1007/bf02189437.

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19

Forchuk, Cheryl, Elsabeth Jensen, Mary-Lou Martin, Rick Csiernik, and Heather Atyeo. "Psychiatric Crisis Services in Three Communities." Canadian Journal of Community Mental Health 29, S5 (January 1, 2010): 73–86. http://dx.doi.org/10.7870/cjcmh-2010-0035.

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This study compared communities with three models of crisis service: (a) police as part of a specialized mental health team, (b) mental health worker as part of a specialized police team, and (c) informal relationship between police and mental health crisis service. Rural and urban areas were examined and compared. Data included focus groups and participant observation. Analysis revealed that while all communities valued their crisis services, all identified limitations in responsiveness, access, and systems-related issues. Quick access to psychiatric beds was important to services. Rural communities had no public transportation, and an important police role was safe transportation. In rural communities, mental health workers were generalists because they had to be able to address situations on their own. In urban areas, transportation was more readily available, and more specialization developed among mental health team members.
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20

Cosgrave, Catherine, Rafat Hussain, and Myfanwy Maple. "Retention challenge facing Australia's rural community mental health services: Service managers' perspectives." Australian Journal of Rural Health 23, no. 5 (June 12, 2015): 272–76. http://dx.doi.org/10.1111/ajr.12205.

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21

Fox, Jeanne, Elizabeth Merwin, and Michael Blank. "De Facto Mental Health Services in the Rural South." Journal of Health Care for the Poor and Underserved 6, no. 4 (1995): 434–68. http://dx.doi.org/10.1353/hpu.2010.0003.

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22

Buckwalter, K. C., M. Smith, P. Zevenbergen, and D. Russell. "Mental Health Services of the Rural Elderly Outreach Program." Gerontologist 31, no. 3 (June 1, 1991): 408–12. http://dx.doi.org/10.1093/geront/31.3.408.

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23

Gamm, Larry D. "Mental Health and Substance Abuse Services Among Rural Minorities." Journal of Rural Health 20, no. 3 (July 2004): 206–9. http://dx.doi.org/10.1111/j.1748-0361.2004.tb00030.x.

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24

Aguillard, Kimberly, Rosemary B. Hughes, Vanessa R. Schick, Sheryl A. McCurdy, and Gretchen L. Gemeinhardt. "Mental Healthcare." Violence and Victims 37, no. 1 (February 1, 2022): 26–43. http://dx.doi.org/10.1891/vv-d-21-00045.

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Women with disabilities are at increased risk of interpersonal violence compared to women without disabilities. Little is known, however, about women with disabilities’ experience accessing and participating in counseling and other mental health services during and following their victimization, particularly when living in a rural setting. This study involved qualitative interviews with 33 women with diverse disabilities who experienced interpersonal violence in rural communities. Researchers used thematic content analysis to identify three key themes from the findings: (a) experiences learning about mental health service options, (b) challenges to finding an appropriate “fit” and therapy approach, and (c) access barriers to mental health services. Participants emphasized the need for provider training specific to disability, the inclusion of people with disabilities more prominently in the mental health workforce, and the importance of advancements in accessible telemental health. We discuss implications for improving mental health services.
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25

van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.

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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.
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26

Coduti, Wendy A., and Melissa Manninen Luse. "Rural Ethics and Mental Health: An Overview for Rehabilitation Counselors." Journal of Applied Rehabilitation Counseling 46, no. 1 (March 1, 2015): 40–47. http://dx.doi.org/10.1891/0047-2220.46.1.40.

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Individuals living in rural areas have similar prevalence rates of mental health conditions as individuals living in urban areas, yet face a number of challenges in accessing and receiving proper mental health services. For mental health service providers there are unique ethical challenges when working in rural areas. This paper will examine aspects of rural living, and ethical issues surrounding provision of mental health services. Implications for practice and research are assessed for rehabilitation counselors working in these settings.
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27

Heath, Olga J., Peter A. Cornish, Terrence Callanan, Kate Flynn, Elizabeth Church, Vernon Curran, and Cheri Bethune. "Building Interprofessional Primary Care Capacity in Mental Health Services in Rural Communities in Newfoundland and Labrador: An Innovative Training Model." Canadian Journal of Community Mental Health 27, no. 2 (September 1, 2008): 165–78. http://dx.doi.org/10.7870/cjcmh-2008-0026.

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The benefits of interprofessional care in providing mental health services have been recognized, particularly in rural communities where health services are limited. In addition, there is a need for more continuing professional education in mental health intervention in rural areas. Although interprofessional collaboration and continuing education have both been proposed to address the paucity of mental health services available in rural areas, there have been no programs developed in which the two components have been combined. This paper describes the development, implementation, and evaluation of an interprofessional continuing education program specifically designed to enhance rural mental health capacity.
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28

Peck, David F. "Foot and mouth outbreak: lessons for mental health services." Advances in Psychiatric Treatment 11, no. 4 (July 2005): 270–76. http://dx.doi.org/10.1192/apt.11.4.270.

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The 2001 foot and mouth disease outbreak in the UK was widespread and devastating. Some areas (e.g. Cumbria) were very badly hit, but all farmers were affected to some degree. Huge numbers of animals, infected and healthy, were slaughtered. Tourism was badly affected. Data from three systematic studies found elevated levels of psychological morbidity among farmers and other rural workers, especially those directly affected. Most farmers turned to family and friends (and veterinary surgeons) for support; relatively few approached health or social services, mainly because they did not see their reactions as illness. Many farmers and other rural workers prefer to use supports within their own community, or anonymous supports such as self-help materials or computer-based treatments. Mental health services should take account of these preferences by adopting an educational and consultative role in any similar outbreak.
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Bambling, Matthew, David Kavanagh, Gisela Lewis, Robert King, David King, Heidi Sturk, Merrill Turpin, Cindy Gallois, and Helen Bartlett. "Challenges faced by general practitioners and allied mental health services in providing mental health services in rural Queensland." Australian Journal of Rural Health 15, no. 2 (April 2007): 126–30. http://dx.doi.org/10.1111/j.1440-1584.2007.00866.x.

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30

Lessing, Kate, and Ilse Blignault. "Mental health telemedicine programmes in Australia." Journal of Telemedicine and Telecare 7, no. 6 (December 1, 2001): 317–23. http://dx.doi.org/10.1258/1357633011936949.

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A national survey of mental health telemedicine programmes was conducted and data collected on their catchment areas, organizational structure, equipment, clinical and non-clinical activity, and use by populations who traditionally have been poorly served by mental health services in Australia. Of 25 programmes surveyed, information was obtained for 23. Sixteen programmes had dealt with a total of 526 clients during the preceding three months. Of these, 397 (75%) were resident in rural or remote locations at the time of consultation. Thirty-seven (7%) were Aboriginals or Torres Strait Islanders. Only 19 (4%) were migrants from non-English-speaking backgrounds. The programmes provided both direct clinical and secondary support services. Overall, the number of videoconferencing sessions devoted to clinical activity was low, the average being 123 sessions of direct clinical care per programme per year. Videoconferencing was also used for professional education, peer support, professional supervision, administration and linking families. The results of the study suggest that telehealth can increase access to mental health services for people in rural and remote areas, particularly those who have hitherto been poorly served by mental health services in Australia.
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31

Collins, Joanne E., Helen Winefield, Lynn Ward, and Deborah Turnbull. "Understanding help seeking for mental health in rural South Australia: thematic analytical study." Australian Journal of Primary Health 15, no. 2 (2009): 159. http://dx.doi.org/10.1071/py09019.

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This study investigated barriers to help seeking for mental health concerns and explored the role of psychological mindedness using semistructured interviews with sixteen adults in a South Australian rural centre. Prior research-driven thematic analysis identified themes of stigma, self-reliance and lack of services. Additional emergent themes were awareness of mental illness and mental health services, the role of general practitioners and the need for change. Lack of psychological mindedness was related to reluctance to seek help. Campaigns, interventions and services promoting mental health in rural communities need to be compatible with rural cultural context, and presented in a way that is congruent with rural values.
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32

Sullivan, William Patrick, M. Diane Hosier, and Alisha G. Otis. "Rural Mental Health Practice: Voices from the Field." Families in Society: The Journal of Contemporary Social Services 74, no. 8 (October 1993): 493–502. http://dx.doi.org/10.1177/104438949307400805.

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A commonly reported feature of rural mental health services is the ongoing difficulty agencies experience in the recruitment and retention of professional staff. The problem is compounded by negative portrayals of rural service by practitioners gleaned from the literature. The authors describe an exploratory study of the perceptions of 84 rural mental health professionals about their jobs. The professionals surveyed reported generally high levels of satisfaction with their jobs and rural life. Implications for rural mental health administrators and professional educators are offered.
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Kadar, Kusrini Semarwati, Andriani Andriani, and Darmita Noria Tandi. "Exploring mental health nursing practice in Indonesian rural area." Journal of Public Mental Health 19, no. 2 (September 25, 2019): 119–26. http://dx.doi.org/10.1108/jpmh-11-2018-0078.

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Purpose Mental health should be getting more attention, as mental health problems are increasing and they pose a significant health burden. Government plays an important role in supporting the implementation of mental health program. The purpose of this paper is to overview the implementation of mental health programs in North Toraja Regency, South Sulawesi Province, Indonesia. Design/methodology/approach This paper presents an audit conducted to examine the practice of mental health staff delivering mental health programs in community centers in one sub-district area in Indonesia and describes key areas of work, including promotive, preventative, curative and rehabilitation intervention. Responds from the respondents then was compared to guidelines for mental health practice in community based on Mental Health Law No. 18 (2014). The respondents were all mental health program staff (26 staff) from all community health centers (26 Puskesmas) in the North Toraja region, South Sulawesi (each Puskesmas has one staff responsible for mental health program). Findings This study explored programs and services provided for community mental health programs and roles of health staff in implementing programs and delivering services in one rural area. Although most health staff had provided mental health services according to the government guidelines, this study did not identify what the staff actually did in performing this work. Health staff cannot work alone in providing healthcare services, thus support from other sectors and from government is needed to deliver more effective healthcare to people with mental health disorders in the community. For further study, qualitative design is needed to explore more about the actual practice of the mental health staff in Puskesmas. Originality/value There is no published information regarding this topic in Indonesia to date. This information is really important for the government to evaluate the implementation of mental health program in Indonesia. However, these findings may only apply in this area, thus cannot be generalized for other regions in Indonesia, even if similar condition occurs in other areas.
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Van, Nguyen Hang Nguyet, Nguyen Thi Khanh Huyen, Mai Thi Hue, Nguyen Thanh Luong, Pham Quoc Thanh, Duong Minh Duc, Vu Thi Thanh Mai, and Tran Thi Hong. "Perceived Barriers to Mental Health Services among the Elderly in the Rural of Vietnam: A Cross Sectional Survey in 2019." Health Services Insights 14 (January 2021): 117863292110260. http://dx.doi.org/10.1177/11786329211026035.

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While the burden of neurological and mental disorders has been drastically increased in Vietnam, the current mental healthcare services do not meet the public demand. In order to determine perceived barriers to the use of mental health services, we conducted a cross-sectional study on 376 elderly people from a rural district in Hanoi, Vietnam. We found that depression may be an important indicator of the need for formal and informal community and home care mental health services. Barriers to mental healthcare access were categorized into 7 groups namely stigma, emotional concerns, participation restrictions, service satisfaction, time constraints, geographic and financial conditions, and availability of services. The most significant barriers are the limited availability of and accessibility to health professionals and services in rural areas. Our study highlights the urgent efforts that need to be made in order to enhance availability of mental healthcare services in rural areas of Vietnam.
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Burke, David, Ayse Burke, and Jacqueline Huber. "Psychogeriatric SOS (services-on-screen) – a unique e-health model of psychogeriatric rural and remote outreach." International Psychogeriatrics 27, no. 11 (July 29, 2015): 1751–54. http://dx.doi.org/10.1017/s1041610215001131.

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Mental health service delivery to rural and remote communities can be significantly impeded by the tyranny of distance. In Australia, rural and remote mental health services are characterized by limited resources stretched across geographically large and socio-economically disadvantaged regions (Inderet al., 2012; Thomaset al., 2012). Internationally, rural and remote area mental health workforce shortages are common, especially in relation to specialist mental health services for older people (McCarthyet al., 2012; Bascuet al., 2012).
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36

Peritogiannis, Vaios, and Charalampos Lixouriotis. "Mental Health Care Delivery for Older Adults in Rural Greece: Unmet Needs." Journal of Neurosciences in Rural Practice 10, no. 04 (October 2019): 721–24. http://dx.doi.org/10.1055/s-0039-3399603.

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AbstractMental disorders may go unrecognized and undertreated in older adults. This is the rationale for the launch of specialized mental health services for the elderly in high resourced settings. Rural areas, however, do not receive adequate mental health care owing to socioeconomic and geographical reasons, and this is the case of rural Greece, where research on mental health of the elderly is scarce. This article discusses the challenges of providing mental health care for older adults in rural Greece and the available options. Care can be delivered through the existing rural mental health services that are the mobile mental health units and through the primary care physicians. Training in psychogeriatrics for the personnel of the former and in mental health for the latter is warranted.
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Maiden, Robert J., Danielle Gagne, Daniel l. Segal, and Bert Hayslip Jr. "IDENTIFYING BARRIERS TO MENTAL HEALTH SERVICES IN A RURAL COMMUNITY." Innovation in Aging 3, Supplement_1 (November 2019): S553. http://dx.doi.org/10.1093/geroni/igz038.2037.

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Abstract Unmet mental health care needs of older people living in rural areas have been identified as a fundamental problem. This project engaged a rural consortium of service agencies to support recruitment through advertising, word of mouth, social media. So far, 100 rural participants aged 50 and older have completed our survey which includes the revised Barriers to Mental Health Services Scale, (BMHSS-R) which measures intrinsic barriers attributed to internal characteristics and beliefs, e.g. stigma, and extrinsic barriers, e.g. insurance costs, and lack of transportation. Preliminary results revealed increased services utilization compared to past research. However, several serious barriers remained, e.g. as lack of insurance/costs, distance/location, stigma, and lack of knowledge. The BMHSS-R results e demonstrate how the two types of barriers are related and interact within individuals. Implications are that internal barriers (e.g., stigma) and external ones (location, costs) can be reduced or eliminated through integrated medical/behavioral services.
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38

Ziller, Erika C., Nathaniel J. Anderson, and Andrew F. Coburn. "Access to Rural Mental Health Services: Service Use and Out-of-Pocket Costs." Journal of Rural Health 26, no. 3 (May 11, 2010): 214–24. http://dx.doi.org/10.1111/j.1748-0361.2010.00291.x.

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39

Hauenstein, Emily J. "Building the Rural Mental Health System: From De Facto System to Quality Care." Annual Review of Nursing Research 26, no. 1 (January 2008): 143–73. http://dx.doi.org/10.1891/0739-6686.26.1.143.

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About 20% of Americans live in rural America, yet the rural mental health infrastructure has yet to be firmly established. This is due in part to a pervasive belief about the tranquility of rural places and the relatively stress-free environment that they produce. In this chapter an adaptation of the Rural De Facto Mental Health Systems Model produced by Fox and her associates at the Southeastern Rural Mental Health Research Center is presented and used to organize the scientific state of the field of rural mental health services research. As many nurses have stood at the forefront of that research, the research of several prominent rural mental health nurse researchers and the innovative research they have produced are reviewed. The chapter concludes with a discussion of research that is needed to move the science of rural mental health services research forward, as well as a discussion of policy initiatives that may be necessary to foster the development and implementation of that research agenda.
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40

Petti, Theodore A., and Laura C. Leviton. "Re-Thinking Rural Mental Health Services for Children and Adolescents." Journal of Public Health Policy 7, no. 1 (1986): 58. http://dx.doi.org/10.2307/3342125.

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41

McKinstry, Carol, and Anne Cusick. "Australia needs more occupational therapists in rural mental health services." Australian Occupational Therapy Journal 62, no. 5 (October 2015): 275–76. http://dx.doi.org/10.1111/1440-1630.12229.

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42

Atkinson, V. L., and B. M. Stuck. "Mental Health Services for the Rural Elderly: The SAGE Experience." Gerontologist 31, no. 4 (August 1, 1991): 548–51. http://dx.doi.org/10.1093/geront/31.4.548.

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43

Rohland, Barbara M., and James E. Rohrer. "County Funding of Mental Health Services in a Rural State." Psychiatric Services 49, no. 5 (May 1998): 691–93. http://dx.doi.org/10.1176/ps.49.5.691.

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44

Cruser, des Anges, Kathy Sperry, and Scott Harper. "Delivering Mental Health Services in Rural Prisons: Technology Meets Tradition." Journal of Correctional Health Care 7, no. 2 (October 1, 2000): 209–36. http://dx.doi.org/10.1177/107834580000700203.

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45

Ingelse, Kathy, and Deborah Messecar. "Rural Women Veterans' Use and Perception of Mental Health Services." Archives of Psychiatric Nursing 30, no. 2 (April 2016): 244–48. http://dx.doi.org/10.1016/j.apnu.2015.11.008.

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46

Leagjeld, Lisbeth A., Phillip L. Waalkes, and Maribeth F. Jorgensen. "Mental Health Counselors’ Perceptions of Rural Women Clients." Professional Counselor 11, no. 1 (March 2021): 86–101. http://dx.doi.org/10.15241/lal.11.1.86.

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Researchers have frequently described rural women as invisible, yet at 28 million, they represent over half of the rural population in the United States. We conducted a transcendental phenomenological study using semi-structured interviews and artifacts to explore 12 Midwestern rural-based mental health counselors’ experiences counseling rural women through a feminist lens. Overall, we found eight themes organized under two main categories: (a) perceptions of work with rural women (e.g., counselors’ sense of purpose, a rural heritage, a lack of training for work with rural women, and the need for additional research); and (b) perceptions of rural women and mental health (e.g., challenges, resiliency, protective factors, and barriers to mental health services for rural women). We offer specific implications for counselors to address the unique mental health needs of rural women, including hearing their stories through their personal lenses and offering them opportunities for empowerment at their own pace.
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47

Kaufman, Allan V., Forrest R. Scogin, Eileen E. MaloneBeach, Lorin A. Baumhover, and Nancy McKendree-Smith. "Home-Delivered Mental Health Services for Aged Rural Home Health Care Recipients." Journal of Applied Gerontology 19, no. 4 (December 2000): 460–75. http://dx.doi.org/10.1177/073346480001900406.

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48

Ng, ShuYing, Robert Buckner Jones, Laura Schwartzwald, Meena Murugappan, Amy Pittenger, Kevin Edwards, and Randall Seifert. "Innovative Partnership Between a Rural Mental Health Center and Community Pharmacy: Integration of a Mental Health Pharmacist." INNOVATIONS in pharmacy 10, no. 2 (June 14, 2019): 17. http://dx.doi.org/10.24926/iip.v10i2.1377.

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Purpose: The purpose of this article is to describe how an innovative partnership between a rural community mental health center, community independent pharmacy and College of Pharmacy and integration of a mental health pharmacist lead to identification of medication therapy problems (MTP’s) and interprofessional team partnerships with center mental health professionals. Methods: A contractual arrangement was initiated between Northern Pines Mental Health Center (NPMHC), GuidePoint Pharmacy Services GPS) and the University of Minnesota College of Pharmacy (UMN CoP) to place a PGY1 resident at NPMHC. The resident was assigned to work closely with the Chief Medical Officer and provide initial comprehensive medication management (CMM) services to individuals who were enrolled in Assertive Community Treatment (ACT). A retrospective chart review was conducted to evaluate the impact of services provided. Patient inclusion criteria included ACT enrollees 18 years or older, a diagnosis of SPMI, taking at least one psychotropic medication, and participation in at least one resident-led CMM visit. Additional findings included the relationship between the pharmacist, the psychiatric physician, and other members of the ACT team. Descriptive statistics were used to document the findings. Findings: N = 30 met the inclusion criteria: 18 males and 12 females, age ranged from 24 - 69 with average of 44 years old. 110 MTPs were identified ranging from no MTPs to 10 MTPs per patient, with a mean of 4 MTPs/patient. There was an uneven distribution of MTPs between psychiatric and medical conditions, with a disproportionately high occurrence of “Needs Additional Drug Therapy” in medical conditions and “Adverse Drug Reaction” in psychiatric conditions. In addition, the services were valued by members on the ACT team. Conclusion: Rural residents with SPMI in intensive community treatment have complex medication needs that require the training and skills of a clinical pharmacist. Despite the inclusion of a medication list as part of the ACT fidelity standards MTPs may go unrecognized and unresolved without the services of a clinical pharmacist conducting CMM. The pharmacist and psychiatric physician formed a collaborative partnership to address medication issues. We conclude that there is a need for integrating clinical pharmacist services into rural mental health centers. Article Type: Original Research
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Logan, TK, Erin Stevenson, Lucy Evans, and Carl Leukefeld. "Rural and Urban Women’s Perceptions of Barriers to Health, Mental Health, and Criminal Justice Services: Implications for Victim Services." Violence and Victims 19, no. 1 (February 2004): 37–62. http://dx.doi.org/10.1891/vivi.19.1.37.33234.

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The purpose of this study was to examine rural and urban women’s perceptions of barriers to health and mental health services as well as barriers to criminal justice system services. Eight focus groups were conducted, two in a selected urban county (n= 30 women) and two in each of three selected rural counties (n= 98 women). Results were classified into a barrier framework developed in the health service utilization literature which suggests there are four main dimensions of barriers: affordability, availability, accessibility, and acceptability. Results indicate that: (1) women face many barriers to service use including affordability, availability, accessibility, and acceptability barriers; (2) it takes an inordinate level of effort to obtain all kinds of services; however, women with victimization histories may face additional barriers over and above women without victimization histories; (3) barriers to health and mental health service utilization overlap with barriers to utilizing the criminal justice system; and (4) there are many similarities in barriers to service use among rural and urban women; however, there are some important differences suggesting barriers are contextual. Future research is needed to further clarify barriers to service use for women with victimization histories in general, and specifically for rural and urban women. In addition, future research is needed to better understand how women cope with victimization in the context of the specific barriers they face in their communities.
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Deen, Tisha L., Ana J. Bridges, Tara C. McGahan, and Arthur R. Andrews III. "Cognitive Appraisals of Specialty Mental Health Services and Their Relation to Mental Health Service Utilization in the Rural Population." Journal of Rural Health 28, no. 2 (April 19, 2011): 142–51. http://dx.doi.org/10.1111/j.1748-0361.2011.00375.x.

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