Mental Health and Mental Disorders

Abstract

Addressing mental health needs is a clear priority for rural constituents. Issues of accessibility, availability, and acceptability of mental health care in rural areas are well documented. There are viable solutions for improvement as evidenced by the percentage of federally designated MHPSAs in rural or partially rural areas dropping from more than 85% to just under 68% since the 2015 publication of RHP 2020. The use of screening tools for anxiety and depression and the continued integration of mental/behavioral health care within primary care, coupled with intentional focus on training health professionals across disciplines in these models will positively benefit rural areas. Telehealth has a critical role in addressing the mental health crisis and can be used across the lifespan in a variety of settings including homes, schools, community centers, and medical facilities. Thinking outside the medical system by including peer support, utilizing evidence-based models for suicide prevention and mental health awareness, and capitalizing on extended support from community mental health workers will further increase access. Particular attention should be paid to those experiencing the greatest disparities in access and outcomes such as youth, LGBT individuals, and individuals with disabilities