Rural Mental Health
Issues, Policies, and Best Practices
Häftad, Engelska, 2012
Av K. Bryant Smalley, Jacob C. Warren, Jackson Rainer, PhD Rainer, Jackson, MBA Smalley, K. Bryant, PhD, PsyD, CRA Warren, Jacob C., PhD, MBA, K. Bryant PsyD MBA Smalley, Jacob C. MBA CRA Warren, Jackson P. Rainer
1 369 kr
Produktinformation
- Utgivningsdatum2012-06-20
- Mått152 x 229 x 21 mm
- Vikt558 g
- FormatHäftad
- SpråkEngelska
- Antal sidor392
- FörlagSpringer Publishing Co Inc
- ISBN9780826107992
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K. Bryant Smalley, PhD, PsyD, MBA, is a licensed clinical psychologist and health equity researcher. He serves as the Associate Vice President for Research, the Wyoming Excellence Chair in Rural Health, and the Co-Executive Director of the Wyoming Rural Health Institute at the University of Wyoming, where he is also a Professor of Public Health.Jacob C. Warren, PhD, MBA, CRA, is a behavioral epidemiologist specializing in health equity research. He serves as the Co-Executive Director of the Wyoming Rural Health Institute and Professor of Public Health at the University of Wyoming.Jackson Rainer, PhD, ABPP, is the Department Head of the Department of Psychology and Counseling at Valdosta State University.
- SECTION ONE – INTRODUCTION AND SPECIAL CONSIDERATIONS1. The Current State of Rural Mental Health (K. Bryant Smalley, Ph.D., Psy.D. & Jacob C. Warren, Ph.D.)a. Introductionb. What is Rural?c. Mental Health in Rural Areasd. Addressing Core Problems in Rural Mental Healthe. Conclusionf. References2. Advancing Federal Policies in Rural Mental Health (Patrick H. DeLeon, Ph.D., J.D., M.P.H., Mary Beth Kenkel, Ph.D. & Diana V. Shaw, Ph.D., M.P.H., M.B.A., F.A.C.M.P.E.)a. Introductionb. Three Historical Views of Rural Mental Health that Shaped Policy Directionsc. The Importance of Personal Involvement in Advocacy and Long Term Vision for Mental Health Providers in Rural Areasi. Opportunities for Involvement in Rural Mental Health Advocacyd. Recruiting and Retaining Rural Mental Health Workerse. The Patient Protection and Affordable Care Act (PPACA)f. Technology Effectively Addressing the Impact of Historical Isolationg. The Advent of Telepsychology and Licensure Mobilityh. Conclusioni. References3. Rurality as a Diversity Issue (K. Bryant Smalley, Ph.D., Psy.D. & Jacob C. Warren, Ph.D.)a. Introduction: The Importance of Culture in Mental Healthb. What about Rural?c. The Culture of Rural Livingi. Remoteness and Isolationii. Agricultureiii. Povertyiv. Religionv. Behavioral Normsvi. Stigmad. Implications for Training Programse. Implications for Practicing Therapistsf. Conclusiong. References4. The Impact of Mental Health Stigma on Clients from Rural Settings (Jonathon E. Larson, Ed.D., M.S., L.C.P.C., C.R.C., Patrick W Corrigan, Psy.D. & Thomas P. Cothran)a. Introductionb. Public Stigmac. Self-Stigmad. Stigma in Rural Settingse. Treatment of Self-Stigma in Rural Settingsi. Case Illustration1. Presenting Problem and Client Description2. Case Formulation3. Course of Treatmentf. Conclusiong. References5. Loneliness and Isolation in Rural Areas (Jackson P. Rainer, Ph.D., A.B.P.P. & Johnathan C. Martin, Ed.S.)a. Introductionb. Loneliness as a Psychotherapy Issuec. When Loneliness Becomes a Problemd. Isolation and the Pain of Yearninge. The Treatment of Loneliness and Isolationf. Conclusiong. References 6. Religion and Rural Mental Health (Jamie Aten, Ph.D., Patrick Hall, M.Div., Isaac Weaver, Michael Mangis, Ph.D., & Clark Campbell, Ph.D., A.B.P.P.)a. Introductionb. Religionc. Impact of Religion on Well-Beingd. Role and Influence of Religion in Rural Communities e. The Role of the Church in the Rural Communityf. Rural Religious Worldviewsi. Amish Religious Worldviewii. Appalachian and Serpent-Handling Religious Worldviewsg. Mental Health Care in the Rural Contexth. Mental Health Care with Rural Religious Clientsi. Conclusionj. References7. Ethical and Professional Challenges of Mental Healthcare Delivery in Rural Communities (James L. Werth, Jr., Ph.D., A.B.P.P.)a. Introductionb. A Day in the Life of a Small Town Psychotherapistc. Major Ethical Issues and Professional Challenges in Rural Areasi. Incidental Encountersii. Visibility of the Therapistiii. Multiple Relationships1. Current Clients2. Former Clients3. Among Current/Former Clients4. Among the Therapist’s Significant Others and Current/Former Clients or Significant Others of Current/Former Clients5. Among Staff/Consultants and Clients/Former Clients6. The Special Case of Barteriv. Confidentialityv. Competence1. Clinical Competence2. Assessment Competence3. Expansion of Responsibilities because of Lack of Available Referral Optionsd. Recommendations for Practice in Rural Arease. References8. Rural Mental Health Practitioners: Their Own Mental Health Needs (David S. Hargrove, Ph.D., A.B.P.P. & Lisa Curtin, Ph.D.)a. Introductionb. Provider Distress, Impairment, and Burnoutc. Prevention, Detection, and Intervention: Importance of Self-Cared. Bowen Family Systems Theorye. Case Studyi. Backgroundii. Interpretation of Case Studyf. Conclusiong. ReferencesSECTION TWO – MODELS OF SERVICE DELIVERY9. Integrated Care in Rural Areas (David Lambert, Ph.D. & John Gale, M.S.)a. Introductionb. Backgroundi. Definition of Integrationii. Models of Integrationiii. Barriers to Integrationiv. Evidence for Integrationc. Integrated Care in Rural Areasd. Current and Best Practices in Rural Integratione. Case Studies of Integrated Care in Rural Communitiesf. Rural Integration in a Changing Policy Environment: The Road Aheadi. State Fiscal Pressuresii. The Road Aheadg. Practical Steps to Getting Startedh. References10. Technological Innovations in Rural Mental Health Service Delivery (Sarah Velasquez, M.A.B., M.S., Angela Bannitt Duncan, M.A. & Eve-Lynn Nelson, Ph.D.)a. Introductionb. Telephonec. Televideo Interventionsd. Mobile Interventionse. Computer-Based Technologiesi. Computer-Based Assessmentii. Computer-Based Therapyf. Social Media Toolsg. Technology Implementation with Mental Health Interventionsh. Conclusioni. References11. School and Home-Based Interventions in Rural Communities (Angela M. Waguespack, Ph.D., Carmen Broussard, Ph.D. & Kristin Guilfou)a. Introductionb. The School as the Hub of Service Deliveryc. Use of Problem-Solving and a Multitiered System of Service Deliveryi. Tier 1: Universalii. Tier 2: Selected or Targeted Supportiii. Tier 3: Targeted, Intensived. Incorporating an Ecological Perspectivei. Family School Partnershipsii. Interagency Collaboratione. Case Examplei. History and Backgroundii. Universal Interventions (Tier 1)1. Partnering with Families2. School-Wide Positive Behavioral Interventions and Supports (PBiS)3. Monitoring of Behavioral and Academic Progress4. Tier 1 Resultsiii. Strategic Interventions (Tier 2)1. Problem-Solving Committee (PSC)2. Tier 2 Resultsiv. Intensive Interventions (Tier 3)1. Problem-Solving Committee (PSC)2. Tier 3 Resultsv. Case Summary and Suggested Improvements1. Tier 12. Tier 23. Tier 3f. Conclusiong. ReferencesSECTION THREE – WORKING WITH SPECIFIC POPULATIONS AND ISSUES12. Substance Use and Abuse in Rural America (Jennifer D. Lenardson, M.H.S., David Hartley, Ph.D., M.H.A., John A Gale, M.S. & Karen B. Pearson, M.L.I.S., M.A.)a. Introductionb. Prevalence of Rural Substance Use and Abusei. Patterns of Substance Useii. Patterns of Substance Abuse by Demographic and Socioeconomic Characteristicsiii. Specific Substance Use Issues in Rural Communitiesc. Preventioni. Review of Prevention Theory and Practiceii. Applying Theory and Practice to Rural Populationsd. Substance Abuse Treatmenti. Distribution and Characteristics of Rural Providersii. Lack of Intensive Services and Special Programsiii. Challenges to Treatment Accessibilityiv. Treatment Models with Relevance for Rural Providers1. Role of Primary Care in Identifying and Treating Substance Abuse2. Telehealth3. Residential Service Optionse. Continuing Care and Long Term Supportf. Conclusiong. References13. Suicide in Rural Areas: Risk Factors and Prevention (Courtney Cantrell, M.S., Sarah Valley-Gray, Psy.D. & Ralph E. Cash, Ph.D., N.C.S.P.)a. Introductionb. Risk Factors for Suicide in Rural Areasi. Access to Lethal Meansii. Geographic and Social Isolationiii. Culture of the Communityiv. Stigmac. Suicide in Rural Areas: Prevention, Intervention, and Systems of Carei. Preventionii. Interventioniii. Systems of Cared. References14. Providing Mental Health Services for Racial, Ethnic, and Sexual Orientation Minority Groups in Rural Areas (Ishan Williams, Ph.D., Derick Williams, Ph.D., Amanda Pellegrino, Psy.S. & Jacob C. Warren, Ph.D.)a. Introductionb. Racial and Ethnic Disparities in Rural Areasi. Barriers to Provision of Mental Health Services for Rural Minoritiesc. The Impact of Sexual Orientation on Mental Health in Rural Areasi. Heterosexismii. Invisibility and “Don’t Ask, Don’t Tell”iii. Victimization and Discriminationiv. Isolationv. Lack of Supportvi. Mental Health Providers and Servicesd. A Holistic Approach to Mental Health for Rural Minoritiesi. The Indivisible Self Wellness Modele. Implications for Best Practices and Recommendations for the Futurei. Racial and Ethnic Minoritiesii. Sexual Orientationf. Conclusiong. References15. Providing Mental Health Services for Women in Rural Areas (Frieda Farfour Brown, Ph.D., Shannon P. Warden, Ph.D., L.P.C., N.C.C. & Amanda Brown Kotis, M.A., D.M.D.)a. Introductionb. The Biopsychosocial Modelc. Collaboration between Primary Care Providers and Psychologistsd. Collaboration between Religious Organizations and Mental Health Professionalse. Collaboration with Community-Based Programs: Case Examplesf. Collaboration with University Training Programsg. Conclusionh. References16. Providing Mental Health Services for Men in Rural Areas (Don Gorman, R.N., Dip.N.Ed., B.Ed., M.Ed., Ed.D., F.R.C.N.A., F.A.C.M.H.N., Robert Eley, Ph.D. & Delwar Hossain, Ph.D.)a. Introductionb. Characteristics of Rural Menc. Health-Related Behaviord. Stigma of Mental Illnesse. Suicides in Rural and Remote Communitiesf. Provision of Health Services to Rural Meng. What Works: Steps That Can Be Taken to Address the Needs of Rural Menh. Community Capacity Buildingi. Conclusionj. References17. Providing Mental Health Services for Children, Adolescents, and Families in Rural Areas (Heidi Liss Radunovich, Ph.D. & Brenda A. Wiens, Ph.D.)a. Introductionb. Need for Mental Health Care Among Rural Children, Adolescents, and Familiesc. Challenging Issues and Barriers to Care for Rural Children, Adolescents, and Familiesi. Lack of Providersii. Distanceiii. Financial Issuesiv. Confidentiality and Ethical Practice Concernsv. Stigma and Perceptions of Therapyd. Potential Solutions for Increasing Service Provisioni. Use of Technology for Service Provisionii. School-Based Care and Coordinated Community Response1. Case Example: Project CATCh2. Community-Based Participatory Collaborationiii. Prevention-Based Focuse. Conclusionf. References18. Providing Mental Health Services for Older Adults and Caregivers in Rural Areas (Martha R. Crowther, Ph.D., M.P.H., Forrest Scogin, Ph.D., Ernest Wayde, M.A. & Audrey Austin, M.P.H., M.A.)a. Introductionb. Older, Rural Adultsc. Mental Health and Rural Eldersd. Family Caregiving and Rural Elderse. Adapting CBT for Treating the Rural Elderlyf. Using CBT for Treating Depression in the Rural Elderlyg. Case Illustrationi. Presenting Problem and Client Descriptionii. Case Formulationiii. Course of Treatmenth. Clinical Practices and Conclusioni. References19. Providing Mental Health Services for Rural Veterans (John Paul Jameson, Ph.D. & Lisa Curtin, Ph.D.)a. Introductionb. Characteristics of Rural Veteransc. Barriers to Care for Rural Veteransd. Working with Rural Veterans: Practice Issuese. Future Directions for Research and Practicef. References20. Working in Frontier Communities (Jaedon P. Avey, M.S., Mimi McFaul, Psy.D., Tamara L. DeHay, Ph.D. & Dennis Mohatt, M.A.)a. Introductionb. Challenges and Adaptationsi. Developing Relationshipsii. Community Self-Determination and Co-Participationiii. Boundaries and Ethicsc. Rural Lifestyle and Self-Cared. Workforce Recruitment and Retentione. Rewards of Working in a Frontier Settingf. Experiential Lessons Learnedi. Logisticsii. Presenceiii. Awareness of Selfiv. Awareness of Communityv. Self-Presentationvi. Professional Relationships and Collaborationvii. Self-Care and Safetyg. Conclusionh. ReferencesSECTION FOUR – LOOKING TO THE FUTURE21. Rural Mental Health: Future Directions and Recommendations (K. Bryant Smalley, Ph.D., Psy.D. & Jacob C. Warren, Ph.D.)a. Introductionb. Improving Availability of Servicesc. Increasing Accessibility of Cared. Improving Acceptability of Mental Health Servicese. Evidence-Base for Rural Practicef. The Importance of Advocacyg. Conclusionh. References