The purpose of this qualitative study was to identify and prioritize the mental health needs of rural communities in Texas Public Health Region 11 utilizing the Delphi method. Rural individuals face unique challenges when attempting to receive treatment for serious mental illness and mental health care. Stigma, a lack of privacy when seeking…

Community colleges across the country are plagued with tight budgets--caused in part by state disinvestment and chronic federal underfunding. For rural community colleges, these challenges are even more acute, as their needs are greater and the costs of providing services higher. The COVID-19 pandemic has only deepened the prosperity gap between…

Purpose: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. Methods: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use…

Purpose: Many veterans who face mental illness and live in rural areas never obtain the mental health care they need. To address these needs, it is important to reach out to community stakeholders who are likely to have frequent interactions with veterans, particularly those returning from Operations Enduring and Iraqi Freedom (OEF/OIF). Methods:…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Children, like adults, may have mental health problems, including depression and anxiety. They may also have behavioral conditions, such as conduct disorders; cognitive disorders, such as autism spectrum disorder; or neurological conditions, such as Tourette Syndrome. Children may also be affected by delays in their physical, cognitive, or…

Context: Identifying ways to meet the health care needs of older adults is important because their numbers are increasing and they often have more health care issues. High resilience level may be one factor that helps older adults adjust to the hardships associated with aging. Rural community-dwelling older adults often face unique challenges such…

Objective: Evidence indicates disparities in the number of psychiatrists practicing in rural America compared to urban areas suggesting the need for a greater emphasis on rural psychiatry in residency training programs. The authors offer suggestions for integrating a rural focus in psychiatry residency training to foster greater competency and…

Summarizes findings of December 1987 hearings in Des Moines and Nashville on the dimensions of mental health problems in rural America. Outlines 18 Commission recommendations to Congress and state legislatures covering mental health service delivery, funding, public education, professional education, and research. (SV)

Objective: This case-based, mixed-methods study was undertaken to understand the perspectives and mental health needs of rural children exposed to parental methamphetamine abuse. Method: Participants were 23 children involved with a state child protective agency because of parental methamphetamine abuse. A semistructured interview provided…

The State of the Science conference was held in May, 2007 as part of the ongoing series of national conferences, "Building on Family Strengths," conducted by the Research and Training Center on Family Support and Children's Mental Health at Portland State University. The theme of this State-of-the Science conference was "Effective…

The document is one in a series devoted to current research in the social sciences, exploring the problems of social and economic development in rural Africa south of the Sahara. Each issue focuses on a specific problem. This document covers rural health in Africa. The 13 papers are divided into 4 sections: (1) cultural, economic, and political…

Problems of access to health care facing Appalachia mountain communities are confounded by unemployment, poverty, low education, and local religious beliefs that barrier people from receiving medical care. This proceedings addresses the issues related to health access and health needs. It contains 20 papers and 12 synopses of presentation. The…

Objective: The national shortage of child and adolescent psychiatrists has prompted efforts to improve recruitment. It is uncertain whether these efforts will be sufficient to address this shortage and its impact on youth mental health services. Method: Data were compared from 1990 to 2001 by state, county characteristics, number of youths, and…

Provides an overview of the current state of health services in rural America and examines policy changes being made through Congressional action. Presents suggestions for further research and legislative actions. Discusses the role that individual psychologists can play in improving mental health services in rural areas. (MW)