“…Research shows that smaller, less population-dense communities tend to have fewer mental health resources relative to larger cities, if any at all. More specifically, smaller communities tend to have fewer psychiatric beds and psychiatric facilities, understaffed hospitals, and a lack of specialized mental health staff (Canadian Institute for Health Information, 2019;Forchuck et al, 2010;Skubby et al, 2013;Yang et al, 2018). Beyond mental health, smaller communities also tend to have fewer resources for other services, such as social services, employment, and housing (Beimers & Gatlin, 2011;Belanger & Stone, 2008;Waegemakers Schiff et al, 2015), some of which are perceived as addressing foundational issues that certain PwPMI may need to resolve before being able to focus on their mental health (Koziarski et al, 2020) 2 .…”