Assessing Depression in Rural Communities

Brossart, Daniel F.; Wendel, Monica L.; Elliott, Timothy R.; Cook, Helene; Castillo, Linda G.; Burdine, James N.

doi:10.1002/jclp.21949

Cited by 29 publications

(36 citation statements)

References 55 publications

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“…The client sample was disproportionately more female compared to the community population (74% vs. 49%) and disproportionately more black compared with the community population (22% vs. 12%). This is consistent with a recent survey of the community which determined women and black residents of the Brazos Valley reported disproportionately high rates of depression (Brossart et al, ). Clients were referred to the clinic from several community partners, including community resource centers and state‐administered local mental health authorities.…”

Section: Methodssupporting

confidence: 91%

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Rural mental health service utilization in a Texas telepsychology clinic

Tarlow

McCord

et al. 2019

J Clin Psychol

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Objective: To determine if service utilization behaviors varied with the remoteness of clients served by a telepsychology clinic in a predominantly rural health professional shortage area (HPSA) in Texas. Methods: Archival data from 290 low-income clients wereanalyzed to test associations between service utilization behaviors and clients' distance from the nearby access points where they traveled to receive counseling services from remotely located counselors.Results: Distance to access points did not predict differences in service utilization behaviors. However, clients in rural counties traveled farther to receive services than clients in metropolitan areas. Some utilization behaviors varied by demographic variables and depressive symptom severity. Conclusions:A "hub and spoke" model of telehealth service delivery is an acceptable model for improving access to mental health care services in rural and underserved communities, even for clients who live relatively far from access points. Telehealth providers should consider geographic, socioeconomic, transportation, and health-related barriers to care experienced by clients when implementing services and policies. K E Y W O R D S dropout, rural mental health, telehealth, telepsychology, utilization ORCID Kevin R. Tarlow

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Section: Methodssupporting

confidence: 91%

“…Five of the seven counties in the Brazos Valley are rural, and all seven Brazos Valley counties were federally designated mental HPSAs at the time of the study. A community health survey of the Brazos Valley found the rate of probable depression exceeded 10%, higher than rates reported in other similar community surveys (Brossart et al, ).…”

Section: Methodsmentioning

confidence: 60%

Rural mental health service utilization in a Texas telepsychology clinic

Tarlow

McCord

et al. 2019

J Clin Psychol

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“…Rural settings are characterized by geographic isolation, low SES, poverty, and limited access to resources and services (e.g., Brossart et al, 2013). These factors likely exert their effects on children's cognitive and language development via multiple distal and proximal mediational pathways that range from metabolic and neuroendocrine imbalances to lack of medical/educational services to cognitive understimulation related to low-quality parenting practices.…”

Section: Introductionmentioning

confidence: 99%

Language development in rural and urban Russian-speaking children with and without developmental language disorder

Kornilov

Lebedeva²,

Zhukova

et al. 2016

Learning and Individual Differences

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Using a newly developed Assessment of the Development of Russian Language (ORRIA), we investigated differences in language development between rural vs. urban Russian-speaking children (n = 100 with a mean age of 6.75) subdivided into groups with and without developmental language disorders. Using classical test theory and item response theory approaches, we found that while ORRIA displayed overall satisfactory psychometric properties, several of its items showed differential item functioning favoring rural children, and several others favoring urban children. After the removal of these items, rural children significantly underperformed on ORRIA compared to urban children. The urbanization factor did not significantly interact with language group. We discuss the latter finding in the context of the multiple additive risk factors for language development and emphasize the need for future studies of the mechanisms that underlie these influences and the implications of these findings for our understanding of the etiological architecture of children's language development.

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“…We often relied on published public health and community‐based research (in addition to ongoing relationships with community stakeholders) to contextualize their strengths and needs. For example, a large community health survey of the region served by the telepsychology clinic found that untreated depression was highly prevalent and frequently severe, as were complex co‐occurring medical conditions, often untreated due to lack of accessible care (Brossart et al, ). Therefore, it was important that our clinic research strategy reflected the needs documented by existing research.…”

Section: Researchmentioning

confidence: 99%

Telepsychology: Training perspectives

et al. 2019

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Telepsychology has developed rapidly in recent years as a response to growth in telecommunication technologies which provide greater access to mental health care services. Studies have repeatedly demonstrated the efficacy of telepsychology interventions while also highlighting unique challenges faced by telemental health practitioners, including confidentiality, record keeping, liability, and ethics issues. However, few studies have addressed trainee perspectives on graduate training in telepsychology. Current and former trainees from a telepsychology training clinic discuss perspectives and experiences on telepsychology as they relate to the American Psychological Association graduate training competencies (APA, 2017a). The authors also discuss the unique challenges posed in serving a diverse clientele in an underserved region during the time of their graduate telepsychology training.

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Assessing Depression in Rural Communities

Abstract: Implications for research, assessment, program planning, and policy are discussed.

Cited by 29 publications

References 55 publications

Rural mental health service utilization in a Texas telepsychology clinic

Rural mental health service utilization in a Texas telepsychology clinic

Language development in rural and urban Russian-speaking children with and without developmental language disorder

Telepsychology: Training perspectives

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