Purpose: Historical trauma has been widely applied to American Indian/Alaska Native and other Indigenous populations and includes dimensions of language, sociocultural, and land losses and associated physical and mental disorders, as well as economic hardships. Insufficient evidence remains on the experiences of historical trauma due to waves of…

A large, Midwestern county implemented a four-tiered public health model of children's mental health with an interconnected systems approach involving education, health care, juvenile justice and community mental health sectors. The community sought to promote protective factors in the lives of all youth, while improving the capacity,…

Signal detection analysis was used to evaluate a combination of sociodemographic, acculturation, mental health, health care, and chronic disease risk factors potentially associated with diabetes in a sample of 4,505 semirural Mexican American adults. Overall, 8.9% of adults had been diagnosed with diabetes. The analysis resulted in 12 mutually…

Over the past decade, the National Advisory Committee on Rural Health and Human Services (hereinafter referred to as "the Committee") has examined a number of rural issues that touch upon the social determinants of health. The Committee's past work has focused on understanding how conditions and outcomes such as homelessness, childhood…

This article investigates the association between sense of community belonging and health among settlements of different size and across the urban to rural continuum in Canada. Using data from the recent 2007/08 Canadian Community Health Survey (CCHS), the objective is to identify the major health, social and geographic determinants of sense of…

This project provides a comprehensive overview of the research literature on problem gambling in adults and includes a detailed mindfulness-based psychoeducational group manual for problem gambling, complete with an extensive group counselling consent form, assessment and screening protocols, 10 user-friendly lesson plans, templates for a…

Purpose: Postpartum depression (PPD) is a significant public health problem, with significant consequences for the mother, infant, and family. Available research has not adequately examined the potential impact of sociodemographic characteristics, such as place of residence, on risk for PPD. Therefore, this systematic review and meta-analysis…

Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…

Context: Recent bioterrorist attacks have highlighted the critical need for health care organizations to prepare for future threats. Yet, relatively little attention has been paid to the mental health needs of rural communities in the wake of such events. A critical aspect of bioterrorism is emphasis on generating fear and uncertainty, thereby…

After a review of the literature suggested that public health services are generally less prevalent among rural than among urban residents, the following null hypothesis was developed: There is no significant difference in the specified health and welfare services between certain predetermined rural and urban areas. The geographical areas selected…

Health problems among the American Indians have been of major concern to the U.S. Public Health Service for some time. As major inroads are now being made into infectious diseases, maternal and child health, and many chronic illnesses, the problems of the mental health of Indians come into a more central focus. Within the framework of mental…

Two large-scale studies assessed the nature and correlates of young Jamaicans' attitudes toward mental illness. In study 1, students viewed a videotaped job interview for a teacher whose history was manipulated to include a history of mental illness, or not. Students desired significantly less social distance (i.e., more contact) with the…

Violence exposure among rural youths is a significant public health problem, yet little research has been conducted on violence in this setting. This study explored rural youths' direct and indirect experience of violence in the neighborhood, school, and home. The author used hierarchical regression analyses to explore youth violence exposure,…

This document provides a comprehensive overview and annotated bibliography, and is focused upon the period of 1994-2005. Beyond the challenges, the opportunities captured and unique solutions are also reported. This third edition of "Mental Health and Rural America: 1994-2005" seeks to concisely present a comprehensive summary of the…

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…