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,…

Findings from recent epidemiological investigations indicate that substance use in rural America has increased to the point where it nearly equals, if not exceeds, the rates found in suburban and urban areas. Although previous research has examined factors that have influenced use patterns, little attention has been devoted to the social and…

Schools, families, communities, and students must come together and share in the responsibilities of implementing effective policies and programs that address the unique needs of rural youth. A recent survey of 152 rural school principals in a northwestern state examined how they defined at-risk and how they, in turn, identified at-risk students…