Challenges and opportunities associated with rural mental health practice.
Abstract
This manuscript outlines the challenges and opportunities associated with rural mental health practice, and provides descriptive data on the scope of care, area of competence, and clinical training of a group of practitioners providing services in rural central Appalachia. Thematic content analysis reveals ethical challenges encountered, job satisfaction, and the pinnacles and pitfalls of mental health care practice in the region. Implications for training, recruiting, and retaining practitioners to work in underserved rural settings are described. The authors highlight a number of areas that need additional research attention in order to address remaining questions relevant to clinical practice in rural settings.
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Counselors may not be trained in interactions specific to rural health settings, including professional isolation and dual relationships between counselors and patients.
“Additionally, counselors may not be trained in interactions specific to rural health settings, including professional isolation and dual relationships between counselors and patients [13, 14].”
Cites
Jameson, J. P., & Blank, M. B. (2007) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2007.00089.x · Cited by 131 · see citing works
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Humphreys, A., Walker, E. G., Bratman, G. N., & Errett, N. A. (2022) · BMC Public Health · doi:10.1186/s12889-021-12411-2 · Cited by 53 · see citing works
“Additionally, counselors may not be trained in interactions specific to rural health settings, including professional isolation and dual relationships between counselors and patients [13, 14].”
BackgroundToombs, E., Kowatch, K. R., Dalicandro, L., McConkey, S., Hopkins, C., & Mushquash, C. J. (2021) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x19899231 · Cited by 35 · see citing works
- Authors
- Hastings, S. L., & Cohn, T. J.
- Affiliations
- Radford University (US)
- Venue
- Journal of Rural Mental Health
- Published
- 2013-09
- Volume
- 37
- Issue
- 1
- Pages
- 37-49
- ISSN
- 1935-942X (ISSN-L)
- 2163-8969
- OpenAlex
- W2111723850
- Cited by
- 73
- References
- 1
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 9 · 2023: 8 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 1 · 2017: 2 · 2016: 6 · 2015: 1 · 2014: 2
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Rural Mental Health (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- Central Appalachia, practitioner training, ethical considerations, job satisfaction, clinical competence
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