Overview

Named a 2013 Doody's Core Title! Addressing the needs of America's most underserved areas for mental health services, Rural Mental Health offers the most up-to-date, research-based information on policies and practice in rural and frontier populations. Eminent clinicians and researchers examine the complexities of improving mental health in rural practice and offer clear recommendations which can be adapted into current practice and training programs. They bring an incisive lens to factors that contribute to mental illness and prevent access to treatment areas. These include limited resources, reliance on urban models and assumptions, and pervasive misunderstanding of rural realities by policy makers. The text also addresses diversity issues in regard to rural mental health services. Key Features: Focuses on best practices and new models of service delivery in rural populations Provides clear recommendations for adapting new models in current practice and training programs Takes a micro and macro approach to service delivery models Covers contemporary practice applications with specific populations in rural areas

Full Product Details

Author:   K. Bryant Smalley ,  Jacob C. Warren ,  Jackson Rainer, PhD
Publisher:   Springer Publishing Co Inc
Imprint:   Springer Publishing Co Inc
Dimensions:   Width: 15.20cm , Height: 2.30cm , Length: 22.90cm
Weight:   0.456kg
ISBN:  

9780826107992

ISBN 10:   0826107990
Pages:   392
Publication Date:   20 June 2012
Audience:   General/trade ,  General
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

SECTION ONE – INTRODUCTION AND SPECIAL CONSIDERATIONS 1. The Current State of Rural Mental Health (K. Bryant Smalley, Ph.D., Psy.D. & Jacob C. Warren, Ph.D.) a. Introduction b. What is Rural? c. Mental Health in Rural Areas d. Addressing Core Problems in Rural Mental Health e. Conclusion f. References 2. 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. Introduction b. Three Historical Views of Rural Mental Health that Shaped Policy Directions c. The Importance of Personal Involvement in Advocacy and Long Term Vision for Mental Health Providers in Rural Areas i. Opportunities for Involvement in Rural Mental Health Advocacy d. Recruiting and Retaining Rural Mental Health Workers e. The Patient Protection and Affordable Care Act (PPACA) f. Technology Effectively Addressing the Impact of Historical Isolation g. The Advent of Telepsychology and Licensure Mobility h. Conclusion i. References 3. 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 Health b. What about Rural? c. The Culture of Rural Living i. Remoteness and Isolation ii. Agriculture iii. Poverty iv. Religion v. Behavioral Norms vi. Stigma d. Implications for Training Programs e. Implications for Practicing Therapists f. Conclusion g. References 4. 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. Introduction b. Public Stigma c. Self-Stigma d. Stigma in Rural Settings e. Treatment of Self-Stigma in Rural Settings i. Case Illustration 1. Presenting Problem and Client Description 2. Case Formulation 3. Course of Treatment f. Conclusion g. References 5. Loneliness and Isolation in Rural Areas (Jackson P. Rainer, Ph.D., A.B.P.P. & Johnathan C. Martin, Ed.S.) a. Introduction b. Loneliness as a Psychotherapy Issue c. When Loneliness Becomes a Problem d. Isolation and the Pain of Yearning e. The Treatment of Loneliness and Isolation f. Conclusion g. 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. Introduction b. Religion c. Impact of Religion on Well-Being d. Role and Influence of Religion in Rural Communities e. The Role of the Church in the Rural Community f. Rural Religious Worldviews i. Amish Religious Worldview ii. Appalachian and Serpent-Handling Religious Worldviews g. Mental Health Care in the Rural Context h. Mental Health Care with Rural Religious Clients i. Conclusion j. References 7. Ethical and Professional Challenges of Mental Healthcare Delivery in Rural Communities (James L. Werth, Jr., Ph.D., A.B.P.P.) a. Introduction b. A Day in the Life of a Small Town Psychotherapist c. Major Ethical Issues and Professional Challenges in Rural Areas i. Incidental Encounters ii. Visibility of the Therapist iii. Multiple Relationships 1. Current Clients 2. Former Clients 3. Among Current/Former Clients 4. Among the Therapist’s Significant Others and Current/Former Clients or Significant Others of Current/Former Clients 5. Among Staff/Consultants and Clients/Former Clients 6. The Special Case of Barter iv. Confidentiality v. Competence 1. Clinical Competence 2. Assessment Competence 3. Expansion of Responsibilities because of Lack of Available Referral Options d. Recommendations for Practice in Rural Areas e. References 8. Rural Mental Health Practitioners: Their Own Mental Health Needs (David S. Hargrove, Ph.D., A.B.P.P. & Lisa Curtin, Ph.D.) a. Introduction b. Provider Distress, Impairment, and Burnout c. Prevention, Detection, and Intervention: Importance of Self-Care d. Bowen Family Systems Theory e. Case Study i. Background ii. Interpretation of Case Study f. Conclusion g. References SECTION TWO – MODELS OF SERVICE DELIVERY 9. Integrated Care in Rural Areas (David Lambert, Ph.D. & John Gale, M.S.) a. Introduction b. Background i. Definition of Integration ii. Models of Integration iii. Barriers to Integration iv. Evidence for Integration c. Integrated Care in Rural Areas d. Current and Best Practices in Rural Integration e. Case Studies of Integrated Care in Rural Communities f. Rural Integration in a Changing Policy Environment: The Road Ahead i. State Fiscal Pressures ii. The Road Ahead g. Practical Steps to Getting Started h. References 10. 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. Introduction b. Telephone c. Televideo Interventions d. Mobile Interventions e. Computer-Based Technologies i. Computer-Based Assessment ii. Computer-Based Therapy f. Social Media Tools g. Technology Implementation with Mental Health Interventions h. Conclusion i. References 11. School and Home-Based Interventions in Rural Communities (Angela M. Waguespack, Ph.D., Carmen Broussard, Ph.D. & Kristin Guilfou) a. Introduction b. The School as the Hub of Service Delivery c. Use of Problem-Solving and a Multitiered System of Service Delivery i. Tier 1: Universal ii. Tier 2: Selected or Targeted Support iii. Tier 3: Targeted, Intensive d. Incorporating an Ecological Perspective i. Family School Partnerships ii. Interagency Collaboration e. Case Example i. History and Background ii. Universal Interventions (Tier 1) 1. Partnering with Families 2. School-Wide Positive Behavioral Interventions and Supports (PBiS) 3. Monitoring of Behavioral and Academic Progress 4. Tier 1 Results iii. Strategic Interventions (Tier 2) 1. Problem-Solving Committee (PSC) 2. Tier 2 Results iv. Intensive Interventions (Tier 3) 1. Problem-Solving Committee (PSC) 2. Tier 3 Results v. Case Summary and Suggested Improvements 1. Tier 1 2. Tier 2 3. Tier 3 f. Conclusion g. References SECTION THREE – WORKING WITH SPECIFIC POPULATIONS AND ISSUES 12. 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. Introduction b. Prevalence of Rural Substance Use and Abuse i. Patterns of Substance Use ii. Patterns of Substance Abuse by Demographic and Socioeconomic Characteristics iii. Specific Substance Use Issues in Rural Communities c. Prevention i. Review of Prevention Theory and Practice ii. Applying Theory and Practice to Rural Populations d. Substance Abuse Treatment i. Distribution and Characteristics of Rural Providers ii. Lack of Intensive Services and Special Programs iii. Challenges to Treatment Accessibility iv. Treatment Models with Relevance for Rural Providers 1. Role of Primary Care in Identifying and Treating Substance Abuse 2. Telehealth 3. Residential Service Options e. Continuing Care and Long Term Support f. Conclusion g. References 13. 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. Introduction b. Risk Factors for Suicide in Rural Areas i. Access to Lethal Means ii. Geographic and Social Isolation iii. Culture of the Community iv. Stigma c. Suicide in Rural Areas: Prevention, Intervention, and Systems of Care i. Prevention ii. Intervention iii. Systems of Care d. References 14. 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. Introduction b. Racial and Ethnic Disparities in Rural Areas i. Barriers to Provision of Mental Health Services for Rural Minorities c. The Impact of Sexual Orientation on Mental Health in Rural Areas i. Heterosexism ii. Invisibility and “Don’t Ask, Don’t Tell” iii. Victimization and Discrimination iv. Isolation v. Lack of Support vi. Mental Health Providers and Services d. A Holistic Approach to Mental Health for Rural Minorities i. The Indivisible Self Wellness Model e. Implications for Best Practices and Recommendations for the Future i. Racial and Ethnic Minorities ii. Sexual Orientation f. Conclusion g. References 15. 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. Introduction b. The Biopsychosocial Model c. Collaboration between Primary Care Providers and Psychologists d. Collaboration between Religious Organizations and Mental Health Professionals e. Collaboration with Community-Based Programs: Case Examples f. Collaboration with University Training Programs g. Conclusion h. References 16. 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. Introduction b. Characteristics of Rural Men c. Health-Related Behavior d. Stigma of Mental Illness e. Suicides in Rural and Remote Communities f. Provision of Health Services to Rural Men g. What Works: Steps That Can Be Taken to Address the Needs of Rural Men h. Community Capacity Building i. Conclusion j. References 17. Providing Mental Health Services for Children, Adolescents, and Families in Rural Areas (Heidi Liss Radunovich, Ph.D. & Brenda A. Wiens, Ph.D.) a. Introduction b. Need for Mental Health Care Among Rural Children, Adolescents, and Families c. Challenging Issues and Barriers to Care for Rural Children, Adolescents, and Families i. Lack of Providers ii. Distance iii. Financial Issues iv. Confidentiality and Ethical Practice Concerns v. Stigma and Perceptions of Therapy d. Potential Solutions for Increasing Service Provision i. Use of Technology for Service Provision ii. School-Based Care and Coordinated Community Response 1. Case Example: Project CATCh 2. Community-Based Participatory Collaboration iii. Prevention-Based Focus e. Conclusion f. References 18. 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. Introduction b. Older, Rural Adults c. Mental Health and Rural Elders d. Family Caregiving and Rural Elders e. Adapting CBT for Treating the Rural Elderly f. Using CBT for Treating Depression in the Rural Elderly g. Case Illustration i. Presenting Problem and Client Description ii. Case Formulation iii. Course of Treatment h. Clinical Practices and Conclusion i. References 19. Providing Mental Health Services for Rural Veterans (John Paul Jameson, Ph.D. & Lisa Curtin, Ph.D.) a. Introduction b. Characteristics of Rural Veterans c. Barriers to Care for Rural Veterans d. Working with Rural Veterans: Practice Issues e. Future Directions for Research and Practice f. References 20. Working in Frontier Communities (Jaedon P. Avey, M.S., Mimi McFaul, Psy.D., Tamara L. DeHay, Ph.D. & Dennis Mohatt, M.A.) a. Introduction b. Challenges and Adaptations i. Developing Relationships ii. Community Self-Determination and Co-Participation iii. Boundaries and Ethics c. Rural Lifestyle and Self-Care d. Workforce Recruitment and Retention e. Rewards of Working in a Frontier Setting f. Experiential Lessons Learned i. Logistics ii. Presence iii. Awareness of Self iv. Awareness of Community v. Self-Presentation vi. Professional Relationships and Collaboration vii. Self-Care and Safety g. Conclusion h. References SECTION FOUR – LOOKING TO THE FUTURE 21. Rural Mental Health: Future Directions and Recommendations (K. Bryant Smalley, Ph.D., Psy.D. & Jacob C. Warren, Ph.D.) a. Introduction b. Improving Availability of Services c. Increasing Accessibility of Care d. Improving Acceptability of Mental Health Services e. Evidence-Base for Rural Practice f. The Importance of Advocacy g. Conclusion h. References

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Author Information

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.

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