Mental Health Outreach: Promising Practice in Rural Areas

Lambert, David L.; Donahue, Ann; Mitchell, Mark A.; Strauss, Roger

doi:10.1037/e545992013-001

Cited by 7 publications

(8 citation statements)

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“…The level of need and lack of available resources in the present study is consistent with the few studies documenting rural nurse or paraprofessional home visitation (Campbell et al, ; Lambert et al, ; Moules et al, ; Nievar et al, ; Silovsky et al, ; Spielberger & Lyons, ). The relationship between differing levels of need and resources, however, varied by county.…”

Section: Discussionsupporting

confidence: 90%

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Nurse home visitation with vulnerable families in rural areas: A qualitative case file review

Wideman

Dunnigan

Jonson‐Reid

et al. 2019

Public Health Nursing

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Objective Nurse home visiting may address challenges and resource disparities that threaten maternal and infant well‐being in rural areas, but little is known about United States' program implementation. This qualitative study explored how family and community characteristics affected rural nurse home visiting. Sample The sample for content analysis included families beginning services in 2010–2011 living in the rural counties with the highest caseloads (433 families). Design Electronic nurse home visiting case files from three rural counties were analyzed using a content analysis approach. The partner agency provided input on key constructs of interest but independent coding was also done to capture additional themes. Quantitative county level data and comments from member checking informed interpretation. Member checking included individual nurses serving the selected counties (n = 3) and input from an agency level supervisory meeting for validation. Results Concerns of families served (e.g., mental health) may not be unique to rural areas, but challenges to accessing resources and constellation of needs were. Nurses adapted engagement and service strategies to meet these needs. Conclusion Agencies serving rural areas should allocate resources and adapt training to support nurses based on unique community profiles. More research on rural nurse home visiting practice and outcomes is needed.

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Section: Discussionsupporting

confidence: 90%

“…Families living in rural communities may benefit from close-knit community support and the local expertise of community service providers (Lambert, Donahue, Mitchell, & Strauss, 2001;Silovsky et al, 2011). Yet, rural areas also have significant health and resource disparities.…”

Section: Maternal and Child Health In Rural Communitiesmentioning

confidence: 99%

Nurse home visitation with vulnerable families in rural areas: A qualitative case file review

Wideman

Dunnigan

Jonson‐Reid

et al. 2019

Public Health Nursing

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“…Studies from the Department of Health and Human Services, American Psychological Association, National Association for Rural Mental Health, and other sources have indicated that rural communities generally have fewer MH services and professionals than their urban counterparts [12][13][14][15] . A national study of workforce issues regarding rural health professionals indicates major gaps and shortages exist in the rural healthcare workforce 16 .…”

Section: Introductionmentioning

confidence: 99%

Rural Mental Health Workforce Needs Assessment - a national survey

Thomas¹,

MacDowell²,

Glasser³

2012

RRH

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Introduction: A variety of studies have indicated that rural communities have fewer mental health services and professionals than their urban counterparts. This study will examine the shortages of mental health professionals in rural communities as well as the impact of inadequate mental health services access on rural hospitals. Methods: A sample frame of 1162 rural hospitals was compiled, and a two-page survey was mailed to each hospital Chief Executive Officer (CEO). Results: Of the 1162 surveys mailed, 228 were returned. The majority of CEOs agreed that there was a shortage of mental health professionals, that referral centers were too distant, and that there were many barriers to care including infrastructure, poverty, and substance abuse. Solutions offered by CEOs included telemedicine and residency training programs. Conclusions: This study shows that many rural areas have great need for more mental health professional recruitment and retention.

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“…9,10 Such integration, however, requires the cooperation, availability, and motivation of both PCPs and mental health providers; when such ingredients are lacking, as they often are, coordination breaks down. 11 Furthermore, the relationship between mental health providers, patients, and their parents, if applicable, may be more tenuous in rural areas for several reasons. Stigma surrounding mental illness is heightened in rural areas, with many parents reporting distrust of mental health professionals and concern about what others would think if their child sought mental health care.…”

mentioning

confidence: 99%

“…Although “traditional” continuing care telepsychiatry is useful in providing care to patients in rural areas, there are still obstacles such as long waiting lists and stigmatization of using psychiatric services that prevent some people from gaining access to care. 11,13 Therefore, other models must be explored to help alleviate some of these barriers to care. As alluded to earlier, one possibility is to use psychiatrists as medical consultants to PCPs using telehealth services.…”

mentioning

confidence: 99%