Integrating Behavioral Health Services in Rural Primary Care Settings

Hester, Ronald D.

doi:10.1300/j465v25n01_10

Cited by 8 publications

(9 citation statements)

References 2 publications

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“…In rural and resource-poor settings, this lack of specialized services is exacerbated. Generally, substance abuse and mental health programs are very limited in rural areas and (Hester, 2004). Geographic proximity to services and lack of transportation or resources to obtain transportation to reach these limited services are commonly cited in the literature as a barrier to treatment access (Adler, Pritchett, Kauth, & Mott, 2014; Godley et al, 2000; Rosen et al, 2004).…”

Section: Resultsmentioning

confidence: 99%

Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review

Priester

Browne

Iachini

et al. 2016

Journal of Substance Abuse Treatment

387

245

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The purpose of this integrative review is to examine and synthesize extant literature pertaining to barriers to substance abuse and mental health treatment for persons with co-occurring substance use and mental health disorders (COD). Electronic searches were conducted using ten scholarly databases. Thirty-six articles met inclusion criteria and were examined for this review. Narrative review of these articles resulted in the identification of two primary barriers to treatment access for individuals with COD: personal characteristics barriers and structural barriers. Clinical implications and directions for future research are discussed. In particular, additional studies on marginalized sub-populations are needed, specifically those that examine barriers to treatment access among older, non-white, non-heterosexual populations.

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Section: Resultsmentioning

confidence: 99%

Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review

Priester

Browne

Iachini

et al. 2016

Journal of Substance Abuse Treatment

387

245

View full text Add to dashboard Cite

show abstract

“…While the benefits of integrating care have been well recognized, it will require physical health professionals to become more familiar with methods to screen, diagnose, and treat depression and substance abuse (Hester, 2004) and a higher level of connection between physical and mental health professionals. This places additional responsibility upon rural mental health practitioners to serve as ambassadors of sorts, reaching out to physicians and other physical health professionals to foster referral networks, inform them of the burden of mental health in rural areas, and increase awareness of the importance of detecting depression and substance abuse during routine medical care.…”

Section: Integrating Primary Care and Mental Health Carementioning

confidence: 99%

Rural mental health and psychological treatment: a review for practitioners

et al. 2010

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Practitioners in rural areas face particular challenges in providing psychological services, ranging from disparate rates of mental disorders to unique circumstances in treating special populations. In this article, we discuss the burden of mental disorders in rural areas, current trends in integration of mental health care and primary care, and unique concerns practitioners face in treating two special populations in rural areas (children and families, and older adults and their caregivers). Implications for practice are also discussed.

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“…The most widely covered issues include barriers to service use (Badger, Robinson, & Farley, 1999;Hartley, Britain, & Sulzbacher, 2002;Hoyt et al, 1997;McCabe & Macnee, 2002;Rost, Fortney, Fischer, & Smith, 2002;Rost, Smith, & Taylor, 1993), modes of service delivery (Badger et al, 1999;Bischoff, Hollist, Smith, & Flack, 2004;Hester, 2004;McCabe & Macnee, 2002), ethical issues related to providing mental health services in small communities (Roberts, Battaglia, & Epstein, 1999;Warner et al, 2005), and characteristics of effective rural mental health service providers (Hovestadt, Fenell, & Canfield, 2002). However, studies of rural mental health have not provided data about the actual rates of service use among young adults with psychiatric disorders who live in rural communities.…”

Section: Introductionmentioning

confidence: 99%

Mental Health of Rural Young Adults: Prevalence of Psychiatric Disorders, Comorbidity, and Service Utilization

Rueter

Holm

Burzette

et al. 2007

Community Ment Health J

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Few studies estimate rural psychiatric disorder rates. No study has reported either DSM-III-R or DSM IV disorder prevalence and mental health service use among US rural young adults. This paper reports psychiatric disorder prevalence, comorbidity, service utilization, and disorder correlates in a community sample of 536 young adults, aged 19 to 23 years, living in the rural Midwestern US. More than 60% of the sample met criteria for a lifetime disorder. Substance use disorders were most prevalent. Results indicate that young adults living in the rural Midwest demonstrate substantial rates of psychiatric disorder that are comparable to other population groups.

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Integrating Behavioral Health Services in Rural Primary Care Settings

Cited by 8 publications

References 2 publications

Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review

Treatment Access Barriers and Disparities Among Individuals with Co-Occurring Mental Health and Substance Use Disorders: An Integrative Literature Review

Rural mental health and psychological treatment: a review for practitioners

Mental Health of Rural Young Adults: Prevalence of Psychiatric Disorders, Comorbidity, and Service Utilization

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