Using telehealth to remediate rural mental health and healthcare disparities
Abstract
"Deaths of despair", deaths due to drugs, alcohol, and suicide, occur at higher rates in rural communities. The incidence of such deaths highlights underlying access and treatment disparities which result in poorer outcomes. Telehealth is a viable option for addressing rural mental healthcare needs as it enables more effective care management, provides expanded access to services, and fosters integrating primary and mental healthcare services. Implementing telemental health will involve overcoming coverage and reimbursement, licensure, broadband access and adequacy, and privacy and security barriers and advancing select policy changes. Telehealth diffusion will require changes in professional training and care delivery models.
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Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior.
“Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior.”
Remotely delivered health service might offer low-threshold access to (mental) health care and improves health care in underserved areas, which is supported for farming communities by our interviewees.
“Researchers on telehealth interventions have argued that remotely delivered health service might offer low-threshold access to (mental) health care (Ebert et al., 2018; Snoswell et al., 2021) and improves health care in underserved areas (Myers, 2019; Salize et al., 2007), which is supported for farming communities by our interviewees.”
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“…have argued that remotely delivered health service might offer low-threshold access to (mental) health care (Ebert et al., 2018; Snoswell et al., 2021) and improves health care in underserved areas (Myers, 2019; Salize et al., 2007), which is supported for farming communities by our interviewees.”
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- Authors
- Myers, C. R.
- Affiliations
- University of Tennessee at Knoxville (US)
- Corresponding author
- Myers, Carole R.
- ORCID
- Myers, Carole R.
- Venue
- Issues in Mental Health Nursing
- Publisher
- Informa UK Limited
- Published
- 2018-12-03
- Volume
- 40
- Issue
- 3
- Pages
- 233-239
- ISSN
- 0161-2840 (ISSN-L)
- 1096-4673
- OpenAlex
- W2903437574
- Cited by
- 159
- References
- 19
- Citations by year
- 2026: 7 · 2025: 25 · 2024: 25 · 2023: 35 · 2022: 25 · 2021: 24 · 2020: 16 · 2019: 2
- FWCI
- 9.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Issues in Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- telemedicine, telemental health, rural mental health, health care disparities, deaths of despair, access to mental health care, primary care integration, broadband access, health policy, professional training, models of care
- MeSH terms
- Health Services Accessibility, Humans, Mental Health Services, Rural Health, United States, Telemedicine, Rural Health Services, Healthcare Disparities
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