Call to Action: Family Therapy and Rural Mental Health

Jensen, Emily Jordan; Mendenhall, Tai J.

doi:10.1007/s10591-018-9460-3

Cited by 15 publications

(5 citation statements)

References 55 publications

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“…Videoconferencing was viewed as a viable and effective tool to conduct therapeutic sessions in specific circumstances, e.g. in order to overcome geographical distance (Jensen and Mendenhall, 2018; McCoy et al ., 2013), or recommended for transnational and refugees’ families (Bacigalupe and Lambe, 2011; Mucic et al ., 2016). However, videoconferencing was preferred mainly after one or more face‐to‐face sessions.…”

Section: Ict Use Among Systemic Therapistsmentioning

confidence: 99%

Digital systemic practices in Europe: a survey before the Covid‐19 pandemic

Borcsa

Pomini

Saint-Mont

2020

Journal of Family Therapy

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Knowledge regarding digital practices in the field of systemic therapy is poor. A few surveys have been conducted in non‐European countries investigating the provision of digitally based therapy, counselling, training, and supervision by systemic family and couple therapists (SCFTs). Thus, a survey aiming to investigate the use of information and communication technology (ICT) among European SCFTs was launched in 2017. A sample of 220 SCFTs was included in the survey. The majority were residents in Greece, France and Italy. Descriptive analysis compared SCFTs’ digital practices and concerns from the above three countries with those from the rest of Europe. Results showed that 81.4 per cent of European SCFTs used ICT for clinical purposes and 47.7 per cent in training and supervision. Main concerns among European SCFTs related to the quality of therapeutic relationship, ethical and legal issues, and a lack of national and transnational regulation. Practitioner points ICT use and e‐therapy increase access to mental health services and maintain therapeutic contact Systemic individual therapy, supervision and training are workable online settings Legislation regulating ICT use in therapy, supervision and training (e.g. General Data Protection Regulation) has to be respected Training and continuous education in online practices enhance therapists’ and clients’ options, and ensure digital safeness and effective treatment

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Section: Ict Use Among Systemic Therapistsmentioning

confidence: 99%

Digital systemic practices in Europe: a survey before the Covid‐19 pandemic

Borcsa

Pomini

Saint-Mont

2020

Journal of Family Therapy

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“…It has been suggested that, because of differences in contextual factors between rural and urban communities, interventions aimed at improving mental health may not translate between urban and rural environments (Peterson, Tsai, Petterson, & Litaker, 2009). It has also been suggested that gaining a better understanding of how barriers to mental health care function in rural areas is a necessary step in creating needed interventions (Jensen & Mendenhall, 2018).…”

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confidence: 99%

A phenomenological study of clinicians’ perspectives on barriers to rural mental health care.

Jensen

Wieling

Mendenhall

2020

Journal of Rural Mental Health

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The goal of this investigation was to increase understanding of barriers to mental health care for individuals who live in rural areas. The study followed a phenomenological qualitative design. Semistructured interviews were conducted with 8 mental health professionals who practice with rural populations in 2 upper-midwestern states. Interviews were recorded, transcribed, and coded following a hermeneutic coding protocol. Measures were taken to enhance trustworthiness of findings throughout the analytic process. Analyses revealed a range of findings that yielded these 4 overarching themes: rural communities have a distinct culture, rural mental health professionals face unique challenges, rural communities experience barriers to mental health care, and innovative ideas are needed for overcoming barriers to mental health care. Several categories and subcategories of findings within each theme also emerged. Data related to the nature and function of barriers to mental health care in rural areas largely support findings from existing literature. Data related to ideas for overcoming barriers represent novel concepts that should be explored in more detail in future research. These ideas have significant implications for policy, clinical work, and health care practices in rural communities.

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“…Likewise, other research has indicated significant variability in how rurality is measured across social and health sciences [20]. Over time, several calls have been made to better understand how rurality is measured and to move towards standardization in measures of rurality in health services research (HSR) [12,15,[20][21][22][23][24][25]. Although the selection of a rural definition might be a function of data availability, this creates challenges in generalizability and comparability across studies, making policy development difficult [24].…”

Section: Open Accessmentioning

confidence: 99%

Measuring rurality in health services research: a scoping review

Danek

Blackburn

Greene

et al. 2022

BMC Health Serv Res

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Purpose This study is a scoping review of the different methods used to measure rurality in the health services research (HSR) literature. Methods We identified peer-reviewed empirical studies from 2010–2020 from seven leading HSR journals, including the Journal of Rural Health, that used any definition to measure rurality as a part of their analysis. From each study, we identified the geographic unit (e.g., county, zip code) and definition (e.g., Rural Urban Continuum Codes, Rural Urban Commuting Areas) used to classify categories of rurality. We analyzed whether geographic units and definitions used to classify rurality differed by focus area of studies, including costs, quality, and access to care. Lastly, we examined the number of rural categories used by authors to assess rural areas. Findings In 103 included studies, five different geographic units and 11 definitions were used to measure rurality. The most common geographic units used to measure rurality were county (n = 59, 57%), which was used most frequently in studies examining cost (n = 12, 75%) and access (n = 33, 57.9%). Rural Urban Commuting Area codes were the most common definition used to measure rurality for studies examining access (n = 13, 22.8%) and quality (n = 10, 44%). The majority of included studies made rural versus urban comparisons (n = 82, 80%) as opposed to focusing on rural populations only (n = 21, 20%). Among studies that compared rural and urban populations, most studies used only one category to identify rural locations (n = 49 of 82 studies, 60%). Conclusion Geographic units and definitions to determine rurality were used inconsistently within and across studies with an HSR focus. This finding may affect how health disparities by rural location are determined and thus how resources and federal funds are allocated. Future research should focus on developing a standardized system to determine under what circumstances researchers should use different geographic units and methods to determine rurality by HSR focus area.

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Call to Action: Family Therapy and Rural Mental Health

Cited by 15 publications

References 55 publications

Digital systemic practices in Europe: a survey before the Covid‐19 pandemic

Digital systemic practices in Europe: a survey before the Covid‐19 pandemic

A phenomenological study of clinicians’ perspectives on barriers to rural mental health care.

Measuring rurality in health services research: a scoping review

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