Mental Health and Substance Abuse Services Among Rural Minorities
Abstract
ABSTRACT: This paper provides a brief overview of current conditions and prospects for increased access to mental health and substance abuse services among rural minorities. First, it addresses challenges in ensuring rural minorities access to needed services. Second, it considers steps to increase rural minority participation in the mental health and substance abuse workforce. The dual emphasis is on (1) reaching now the isolated, rural, and frontier minority populations in need of these services and (2) building a rural health workforce that is reflective of rural minority cultures and offers continually higher quality and sustainable services to rural and minority populations.
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Licensing, scope-of-practice, and reimbursement challenges can arise across diverse contexts.
“Challenges related to licensing, scopes of practice, and reimbursement for services can arise across these diverse contexts.69,70”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [69]
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“Challenges related to licensing, scopes of practice, and reimbursement for services can arise across these diverse contexts.(69,70) Several states in the United States have yet to resolve licensing and credentialing issues so that clinicians can be reimbursed for consultation across state lines.”
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“…this research builds on previous studies examining rural or urban barriers by simultaneously comparing findings from rural and urban counselors within a single state, working at state-funded treatment sites (Borders & Booth, 2007; Gamm, 2004; McKenzie & Bushy, 2004; Pringle et al., 2006).”
InfluentialAn Internet-based abstinence reinforcement smoking cessation intervention in rural smokers
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“, face to face) smoking cessation interventions may also be too time consuming for overburdened health care providers, especially in areas where there is a shortage of these providers (Gamm, 2004).”
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“…rates; accessing care is particularly difficult for those patients in rural areas with primary substance use disorders (Borders & Booth 2007; Gamm 2004; Jackson & Shannon 2012; Sexton et al. 2008; Wood 2008) and co-occurring psychiatric diagnoses (Anderson & Gittler 2005; Ouimette et al.…”
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“VTC services have been identified as a viable tool for addressing service requirements established in the Individuals with Disabilities Education Act (Gamm, 2004), and rural educational systems are very interested in what this technology has to offer.”
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“Yet, many of these counties do not have the infrastructure or resources to address these issues (Fluharty, 2002; Gamm, 2004; Reschovsky & Staiti, 2005).”
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- Authors
- Gamm, L. D.
- Affiliations
- Texas A&M Health Science Center (US)
- Corresponding author
- Gamm, Larry D.
- Venue
- The Journal of Rural Health
- Publisher
- Wiley
- Published
- 2004-06
- Volume
- 20
- Issue
- 3
- Pages
- 206-209
- ISSN
- 0890-765X (ISSN-L)
- 1748-0361
- OpenAlex
- W2057321373
- Cited by
- 27
- References
- 16
- Citations by year
- 2026: 1 · 2025: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2017: 3 · 2014: 3 · 2013: 1 · 2012: 2
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Rural Health (publishedVersion)
- PubMed (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 › Sociology and Political Science › Cultural Competency in Health Care
- Keywords
- mental health services, substance abuse services, health care access, rural health workforce, minority health, cultural competence, rural health disparities
- MeSH terms
- Health Services Accessibility, Humans, Mental Health Services, Minority Groups, Personnel Selection, United States, Substance Abuse Treatment Centers, Patient Satisfaction, Telemedicine, Rural Health Services
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