Workforce capacity for reducing rural disparities in public mental health services for adults with severe mental illness.

Hough, Richard L.; Willging, Cathleen E.; Altschul, Deborah; Adelsheim, Steven

doi:10.1037/h0094772

Cited by 12 publications

(11 citation statements)

References 36 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The current study is part of a larger 5-year, mixed-methods assessment of the impact of system reform on access and quality of care for low-income adults with serious mental illness (Kano, Willging, & Rylko-Bauer, 2009; Hough, Willging, Altschul, & Adelsheim, 2010; Semansky, Altschul, Sommerfeld, Hough, & Willging, 2009; Willging et al, 2009; Willging & Semansky, 2010). The study took place in three rural counties and three counties with metropolitan areas, each chosen for geographic and ethnic diversity.…”

Section: Methodsmentioning

confidence: 99%

The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform.

Aarons¹,

Sommerfeld²,

Willging³

2011

Psychological Services

Self Cite

View full text Add to dashboard Cite

This study examined leadership, organizational climate, staff turnover intentions, and voluntary turnover during a large-scale statewide behavioral health system reform. The initial data collection occurred nine months after initiation of the reform with a follow-up round of data collected 18 months later. A self-administered structured assessment was completed by 190 participants (administrators, support staff, providers) employed by 14 agencies. Key variables included leadership, organizational climate, turnover intentions, turnover, and reform-related financial stress ("low" versus "high") experienced by the agencies. Analyses revealed that positive leadership was related to a stronger empowering climate in both high and low stress agencies. However, the association between more positive leadership and lower demoralizing climate was evident only in high stress agencies. For both types of agencies empowering climate was negatively associated with turnover intentions, and demoralizing climate was associated with stronger turnover intentions. Turnover intentions were positively associated with voluntary turnover. Results suggest that strong leadership is particularly important in times of system and organizational change and may reduce poor climate associated with turnover intentions and turnover. Leadership and organizational context should be addressed to retain staff during these periods of systemic change.

show abstract

Section: Methodsmentioning

confidence: 99%

The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform.

Aarons¹,

Sommerfeld²,

Willging³

2011

Psychological Services

Self Cite

View full text Add to dashboard Cite

show abstract

“…Wraparound services provided during the early transition period that emphasize harm reduction and treatment engagement may reduce these risks. Although the reentry needs of our participants closely resemble those of urban inmates (4, 5), the needs of rural women often remain unmet because of insufficient mental health care and social service delivery in rural areas (3). …”

Section: Discussionmentioning

confidence: 95%

“…Eligible for inclusion were women in the general prisoner population who were scheduled for release within six months to micropolitan counties (<50,000 residents) and noncore counties (<10,000 residents). Both types of counties are regarded as rural (3). Inmates were selected consecutively from lists generated by prison officials until we achieved approximately equal numbers of Hispanic, Native American, and White women.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Behavioral Health and Social Correlates of Reincarceration Among Hispanic, Native American, and White Rural Women

Willging

Malcoe²,

Cyr³

et al. 2013

View full text Add to dashboard Cite

Objective To identify community reentry needs, this study examined mental illness, substance dependence, and other correlates of reincarceration in an ethnically diverse, rural population of women prisoners. Methods A purposive, cross-sectional sample of 98 women in a New Mexico state prison completed structured interviews. Analyses examined associations of substance dependence, mental illness, lifetime trauma, and sociodemographic variables with previous incarceration. Results Eighty-five percent screened positive for substance dependence, 50% for current mental disorders, and 46% for both. Exposure to trauma was pervasive (100%), especially physical or sexual trauma (83%). In adjusted analyses, previous incarceration was associated with precarious housing before imprisonment (odds ratio [OR]=2.19, p=.038) and with having co-occurring mental illness and substance dependence (OR=2.68, p=.019). Conclusions Findings support those of similar studies in urban areas and with other ethnic groups. Wraparound programs focusing on harm reduction, housing, and treatment and support services are needed for successful reentry of these underserved women.

show abstract

“…Eligible for the purposive cross-sectional inmate sample were women in the general population scheduled for release within 6 months to micropolitan counties having no urbanized areas and 10,000–50,000 persons, and “non-core” counties with fewer than 10,000 persons. Both types of counties are regarded as rural (Hough, Willging, Altschul, & Adelsheim, 2011). The 99 inmates were selected consecutively from lists generated by prison officials until we achieved approximately equal numbers of Hispanic, Native American, and White women.…”

Section: Methodsmentioning

confidence: 99%

Structural Inequality and Social Support for Women Prisoners Released to Rural Communities

Willging

Nicdao

Trott

et al. 2015

Women & Criminal Justice

Self Cite

View full text Add to dashboard Cite

Incarceration and community reentry for rural women reflect gendered processes. We draw upon in-depth semi-structured interviews and focus groups to examine the return of women prisoners to underserved rural communities, while attending to the perspectives of their closest social supporters. Our findings underscore the complexity of the reentry process for rural women and its particular impact on their families. We challenge dominant discourses of personal responsibility that detract from the structura violence and injustice shaping reentry experiences for women and their social supporters. We also consider the policy implications of discharge and reentry planning for rural women and their families, as well as strategies to reduce recidivism.

show abstract

Workforce capacity for reducing rural disparities in public mental health services for adults with severe mental illness.

Cited by 12 publications

References 36 publications

The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform.

The soft underbelly of system change: The role of leadership and organizational climate in turnover during statewide behavioral health reform.

Behavioral Health and Social Correlates of Reincarceration Among Hispanic, Native American, and White Rural Women

Structural Inequality and Social Support for Women Prisoners Released to Rural Communities

Contact Info

Product

Resources

About