During the past several decades, a variety of authors has suggested that rural mental health practice differs significantly from that of urban practice. Several studies have examined rural mental health service delivery issues. Frequently, couple and family counseling issues have not been addressed in these studies. The purpose of this article is to review the available literature regarding rural couple and family counseling, in conjunction with the findings of research in closely related fields. This review is conducted in an effort to identify unique practice issues facing rural couple and family counselors.
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