Mental Health In Rural America

Improved Essays
Mental Health Services in Rural America
According to the Veteran’s Health Administration, “more than one-half of all the counties in the United States do not have a psychologist, a psychiatrist, or mental health social worker” (Veteran’s Health Administration Office of Rural Health (VHA-ORH), 2013, p. 1). More than 85% of areas with mental health shortages are in rural areas (VHA-ORH, 2013). In addition to these staggering statistics, it is known that rural residents have higher rates of depression, substance abuse, domestic violence, poverty, and suicide than people who live in urban areas (Rainer, 2012). Considering these facts, it is imperative that rural communities increase the availability of mental health services, especially crisis
…show more content…
As stated previously, over half of American counties lack mental health professionals (VHA_ORH, 2013). Rural communities, in general, have suffered budget cuts and lack the monetary resources that larger metropolitan areas have (Larrison, Hack-Ritzo, Koerner, Schoppelrey, Ackerson, & Korr, 2011). Between 2009 and 2011, states in the U.S. reduced mental health budgets by $36 million, and some states, like Ohio, exterminated all funding for non-Medicaid based psychiatric services (Larrison, et. al., 2011). A few years later, the Affordable Care Act (or Obamacare) required all health insurance plans to cover mental health services and was supposed to expand the opportunity for every United States citizen to have health insurance. This backfired and created a significant amount of the …show more content…
Reaching out to rural residents and informing them that mental health help is easily accessible and affordable without insurance would be imperative for the program to succeed. A study by the Veteran’s Health Administration in which mobile units were utilized showed that rural residents are more likely to pursue mental health help if it is located close to where they live (Mohamed, 2013). Mobile units, preferably in unmarked vehicles, manned by licensed mental health professionals and trained assistants, could be used to cater to patients in their own homes, as well as for crisis response. Home-based, anonymous care is important in a rural setting, where having a mental illness is regularly perceived as being weak or flawed, and is often looked down upon by other members of the community (Chalifoux, Neese, Buckwalter, Liltwak, & Abraham, 1996). The elderly and disabled would benefit tremendously from this service. It is estimated that there are over 1.5 million people over 65 in rural areas with significant mental health disorders, and most are not receiving treatment (Chalifoux, et. al., 1996). These statistics are unacceptable, and something must be done to encourage improvement. Mobile units

Related Documents

  • Great Essays

    Unfortunately, there are countless negative stigma attach to Mental health. Due to the this many people affect by mental health issues refrain from getting help. " The stigma associated with receiving mental health care is one barriers, with public sentiment of being "crazy" hindering efforts to seek professional help" (). This can be problematic, people who decide to enroll in mental health program are ridiculed and seen as insane. “Stigma surrounding mental illness, and lack of knowledge regarding mental health disorders and treatments, also may play a role in lower utilization of mental health services” (Kramer, J Elizabeth & et al. p10).…

    • 925 Words
    • 4 Pages
    Great Essays
  • Superior Essays

    In small towns or cities, people do not have support systems to turn to for help in mental illness or racism because their cities support money rather than serious issues. Mental illness needs to be supported everywhere, especially for the youth, more youths will face mental illness because they are transitioning from one place to another or one school to another and they need…

    • 1621 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Many individuals are afraid to seek healthcare for their mental illness because they do not want others to know and do not want to be associated with the stigma. Advanced Practice Nurses can advocate for patients and provide resources in obtaining help. Other individuals who live in poverty with a mental diagnosis may not be able to afford the help he or she may need. Shipler (2009, p. 53) reports, “Depression is a frequent companion of poverty.” Those living in poverty suffering from a mental illness cannot afford the resources needed.…

    • 703 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    My Age Of Anxiety Summary

    • 1588 Words
    • 7 Pages

    They found statistics that have found a correlation between young adults and critically low mental health. The authors of this article also state some barriers that stand between a young adult and the guidance needed to overcome a mental illness or disorder. Some barriers include "fear of stigma, negative beliefs about help-seeking, preference for self-reliance, and poor recognition of mental health decline. " They address the issue of young adult mental health, but take a great length of the article to identify the importance of addressing and seeking guidance instead of letting those negative thoughts fester. They also conducted surveys and tests to identify if the significant decline in mental health amongst the young adult population was isolated to one group.…

    • 1588 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    This learning brief will discuss the history of various policies that were enacted through the 1960’s until the 1980’s with regards to mental illness. The brief will discuss the factors that lead to the 1970’s deinstitutionalization movement for persons experiencing mental illness. It will also discuss both the advantages and consequences of deinstitutionalization. The brief will conclude with a discussion on issues that are important for social workers to consider today.…

    • 1449 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Mental Health In Kentucky

    • 1015 Words
    • 5 Pages

    Mental health is a serious issue in the state of Kentucky, and millions of people are affected by mental illness worldwide. Not only does mental illness affect the individual, but family members and friends can become distressed for fear of the individual harming themselves or others. The key to preventing harm is to establish a way for individuals to receive appropriate care for their mental illness by means of therapy. Mental health therapy can help an individual cope with stressors and relieve anxiety to promote a more healthy way of living. Whether an individual needs outpatient therapy or hospitalization depends on many factors, thus initiating a mental health assessment is important in determining therapy measures.…

    • 1015 Words
    • 5 Pages
    Improved Essays
  • Superior Essays

    Our social safety net is poor despite all we spend on health care; this means that despite initiatives to keep those who are most vulnerable to poverty from falling below poverty level, it is hard to do so (Rachlis, 2005). Mentally ill patients are discriminated against in the workplace because they are seen as independent or unreliable. This makes it more difficult to find a steady source of income and avoid falling into poverty levels. Institutionalization may treat some patients but when these facilities close down and the patients are put back into the environment that made them ill, it does no good. This illustrates the “revolving door syndrome” in…

    • 2044 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Until recently, research on the delivery of mental health services did not consider race or ethnicity as a major factor. It was found that the use of expenditures for mental health services by Medicaid beneficiaries displayed marked differences between ethnic groups that raised concerns about potential disparities in mental health care among racial and ethnic minorities such as African Americans. In order to resolve the issue of ethical and racial disparity one must know and understand the origin of the problem in order to find a…

    • 550 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The population could have a healthcare provider but be reluctant to receive services and adequate treatment caused by their cultural beliefs. According to Sorkin, & Ngo-Metzger (2014), 14% of the Vietnamese have symptoms of mental health disorders and report a low use of mental health services (p.23). Mental health is not acknowledged in the Vietnamese community because it can be hidden by a person’s daily routine. The population that is more likely to experience the mental health dilemmas is the younger population. The younger population has to experience adjusting to a new environment and being considered different.…

    • 1652 Words
    • 7 Pages
    Improved Essays
  • Great Essays

    There are 150 homeless people housed in the Central Iowa Shelter in the summer, and 400 cram into the same space to escape the cold in the winter months. 33% of homeless people have a severe mental illness as well, which adds to, if not initiates, their hardships (Homeless Mentally Ill par. 1). I once encountered one of these people at a soup kitchen. The man was very open about his mental illness and his positive experience in a mental hospital. Unfortunately, the mental hospital was shut down, and he was forced onto the streets, relying on soup kitchens to survive.…

    • 1333 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Some of these patients could be pronounced mentally insane, have to serve depression, or have nerve related issues. Those that live in the government assisted faculties could see a change in they way they live their daily lives. Most of these individuals never had the opportunity to work a regular 9 to 5 job and provided for others. A spokesman for the Department of Mental Health claimed “ Mental Health agencies have cut programs and services over the last calendar year to absorb the effect of the new budgets” (Clarion-Ledger). In order to confront these budget cuts, the government is decreasing the amount of space allowed to house and help others.…

    • 756 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Treatment of Mentally Ill Offenders There is a major issue with the mental health treatment in our society. With much of America increasingly being diagnosed with a mental illness, it is still a much stigmatized disease. It is estimated that one out of every five Americans have been diagnosed with a mental disorder ranging from mild to severe. Yet, the extent of therapy and support programs available for the mentally ill is considerably insufficient. Deinstitutionalization ultimately had a negative impact on our society and was responsible in criminalizing the mentally ill.…

    • 1063 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Numerous mental health institutions were closed across the country due to budget cuts. Consequently, the states and federal prions are expected to provide services…

    • 472 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The existing mental health system in the United States is fairly new with less structure on standards of care such as with empirically validated treatments or primary prevention models (Behbehani et al., 155). The 2008 Mental Health Parity and Addiction Equity Act (MHPAEA) and the 2010 Patient Protection and Affordable Care Act (PPACA), were designed to extend insurance for individuals with mental illnesses who were unable to before (Health Insurance, n.d.). However, problems still exist with these legislative actions. For example, there is a 190-day lifetime limit for inpatient admissions to psychiatric units (Behbehani et al., 176). Limiting the extent to what costs insurance will help cover hinders the ability for people to maintain their care.…

    • 951 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Background Historically individuals have faced medical and social boundaries for accessing mental health services. Health insurance plans discriminated against people living with a mental illness by offering fewer benefits and more restrictions for mental health treatment than medical treatment. To account for the disparity in services, the Mental Health Parity Act of 1996 (MHPA) was enacted by Congress. The law represented progress in mental health policy, but it “did not address treatment limits, the restrictions on the types of facilities covered, differences in cost sharing, and the application of managed care techniques” (Health Affairs, 2014).…

    • 1691 Words
    • 7 Pages
    Improved Essays