1st Edition

Mental Health in Rural America
A Field Guide

ISBN 9781138729469
Published March 28, 2018 by Routledge
244 Pages

USD $46.95

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Book Description

This book provides a comprehensive overview of mental health in rural America, with the goal of fostering urgently needed research and honest conversations about providing accessible, culturally competent mental health care to rural populations. Grounding the work is an explanation of the history and structure of rural mental health care, the culture of rural living among diverse groups, and the crucial "A’s" and "S": accountability, accessibility, acceptability, affordability, and stigma. The book then examines poverty, disaster mental health, ethics in rural mental health, and school counseling. It ends with practical information and treatments for two of the most common problems, suicide and substance abuse, and a brief exploration of collaborative possibilities in rural mental health care.

Table of Contents

About the Author  Acknowledgments  Preface  Introduction  1. What Defines Rural and Frontier, and Why Are They Important?  2. Rural Mental Health Policy and Parity  3. Obstacles to Treatment - The Four "A's" and an "S": Accessibility, Availability, Acceptability, Affordability, and Stigma  4. The Structure of Rural Mental Health Care: State, County, Town, Village.  5. Understanding the Culture of Rural Living  6. Agricultural Roots of Rurality  7. Disaster Mental Health  8. Poverty 9. Types of Mental Health Practitioners and Their Scopes of Practice  10. Treatment Philosophies and Models  11. Issues in Rural Practice  12. The 3 "R’s" of Schools in Rural Areas: Reassurance, Responsibility, and Resolution  13. Substance Abuse in Rural Areas  14. Suicide in Rural Areas  15. A Day in the Life of a Rural Mental Health Practitioner  16. The Rural Economy in Transition  17. Technological Innovations in Rural Mental Health Services  18. Looking Forward: Collaborative Possibilities  Mental Health Organizations  Recommended Reading  Index

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Ellen Greene Stewart, MA, ATR-BC, LCAT, is a New York state-licensed, board-certified creative arts therapist who has been in private practice in rural upstate New York for more than 15 years. She is the author of two previous books, Kaleidoscope and Superheroes Unmasked, and numerous peer reviewed articles, and has worked with a wide variety of populations.


"This text covers all major aspects of mental health in rural America. It will be a valuable resource to undergraduate and graduate students and faculty focused on mental health services, as well as to program managers who are planning future services for rural areas."
Ron Manderscheid, PhD, executive director, The National Association of County Behavioral Health and Developmental Disability Directors and The National Association for Rural Mental Health, adjunct professor, Department of Mental Health, Johns Hopkins University