Rural America: Unique opportunities for health care delivery and health services research.

The authors examined racial matching between case manager and client for 677 seriously mentally ill consumers served through a rural community mental health center in the southeastern United States. Nonparametric statistics indicated that client-case manager dyads were more likely to be of the same race than of different races. Same-race dyads tended to have greater service utilization as indicated by a greater number of made appointments over the study period. An interaction was found for failed appointments where African Americans in same-race dyads were more likely to fail appointments, while caucasian consumers in same-race dyads were less likely to fail appointments.

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Racial matching and service utilization among seriously mentally Ill consumers in the rural south

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Tetrick

Brinkley

et al. 1994

Community Ment Health J

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Critical issues in reforming rural mental health service delivery

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Fox

Hargrove

et al. 1995

Community Ment Health J

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Critical issues in reforming rural mental health service delivery systems under health care reform are outlined. It is argued that the exclusive focus on health care financing reform fails to include obstacles to effective mental health service delivery in rural area, which should focus on issues of availability, accessibility, and acceptability, as well as financing and accountability. Characteristics of rural areas are delineated and three assumptions about the structure of rural communities which are shaping the dialogue on rural health and mental health service delivery are examined. These assumptions include the notion that rural communities are more closely knit than urban ones, that rural services can be effectively delivered through urban hubs, and that rural dwellers represent a low risk population which can be effectively served through existing facilities and by extending existing services.

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Rural mental health coverage under health care reform

Shelton

Frank

1995

Community Ment Health J

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Efforts to integrate services and financing under health care reform hold benefits for provision of services to rural mentally ill persons. Remote areas pose a particular challenge as the unique characteristics of rural America are even more evident. The model for managed care in remote rural areas will differ from those used in urban and their adjacent rural areas. Universal coverage would remove the barriers to accessing care for this population, but does not assure availability of adequate mental health services are or providers in rural areas. Characteristics of currently available rural mental health services are presented and obstacles to expanded delivery under health care reform are outlined.

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Rural America: Unique opportunities for health care delivery and health services research.

Cited by 19 publications

References 11 publications

Racial matching and service utilization among seriously mentally Ill consumers in the rural south

Racial matching and service utilization among seriously mentally Ill consumers in the rural south

Critical issues in reforming rural mental health service delivery

Rural mental health coverage under health care reform

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