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Rural Health
Resources by Topic: Mental health conditions

Counteracting the Darkness of Physician Burnout
Provides an overview of the problem of physician burnout in rural areas. Features the experience of Dr. Jill Kruse from her work as a young primary care physician in rural South Dakota. Identifies the signs of burnout and discusses methods to build resiliency and provide support.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Intergenerational Trauma: Understanding Natives' Inherited Pain
Discusses the concept of intergenerational (historical) trauma and its influence on the behavior and health conditions of American Indian and Alaska Native (AI/AN) populations. Identifies the connection between excessive amounts of stress and the development of health issues such as addiction, depression, intimate partner violence, suicide, and diabetes. Includes personal stories to demonstrate the intensity of stress experienced by AI/AN children and families through generations.
Author(s): Mary Annette Pember
Date: 2016
Type: Document
Sponsoring organization: Indian Country Today Media Network
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Guideline Concordant Detection and Management of Depression among Alaska Native and American Indian People in Primary Care
Determines the proportion of Alaska Native/American Indians (AN/AIs) screening positive for depression that have been diagnosed or noted for the condition by their primary care provider. Evaluates whether provider management of depression is in accordance with the guidelines. Examines if depression management varied by patient and provider factors, such as gender, age, number of physical conditions, provider tenure, and more.
Author(s): Vanessa Y. Hiratsuka, Julia J. Smith, Sara M. Norman, Spero M. Manson, Denise A. Dillard
Citation: International Journal of Circumpolar Health, 74(1)
Date: 10/2015
Type: Document
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Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder: A Randomized Clinical Trial
Analyzes therapy provided over the phone and its impact on symptoms of anxiety and depression among aging populations in rural areas that lack mental health services.
Author(s): Gretchen A. Brenes, Suzanne C. Danhauer, Mary F. Lyles, Patricia E. Hogan, Michael E. Miller
Citation: JAMA Psychiatry, 72(10), 1012-1020
Date: 08/2015
Type: Document
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Telepsychiatry for Neurocognitive Testing in Older Rural Latino Adults
Examines two methods of neurocognitive assessments, telepsychiatry and in-person, using the same Spanish-language battery for testing to determine whether they are comparable among Spanish-speaking older adults in a rural setting. Includes telepsychiatry and in-person assessment data by education, acculturation, health literacy, depression, and a mini mental state exam.
Author(s): Ipsit V. Vahia, Bernardo Ng, Alvaro Camacho, et al.
Citation: American Journal of Geriatric Psychiatry, 23(7), 666-670
Date: 07/2015
Type: Document
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Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
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Hospital Readmissions Involving Psychiatric Disorders, 2012
Provides data on 30-day hospital readmissions for mood disorders and for schizophrenia and other psychotic disorders. Figure 1 and Figure 2 include readmission data by location of patient residence, for metropolitan and non-metropolitan areas.
Author(s): Kevin C. Heslin, Audrey J. Weiss
Date: 05/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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An Exploratory Study of Mental Health and HIV Risk Behavior among Drug-Using Rural Women in Jail
Examines HIV risk behaviors and mental health conditions through face-to-face interviews with 136 women incarcerated in three rural Kentucky county jails within Appalachia. Includes data and statistics on substance use and HIV risk behaviors for women with anxiety, depression, or post-traumatic stress disorder (PTSD).
Author(s): Michele Staton-Tindall, Kathi L.H. Harp, Alexandra Minieri, et al.
Citation: Psychiatric Rehabilitation Journal, 38(1), 45-54
Date: 03/2015
Type: Document
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Providing Whole-Person Care: Integrating Behavioral Health Into Primary Care
Discusses how a patient-centered medical home in rural North Carolina is integrating primary care with mental health treatment to meet the core health needs of patients, while recognizing the need for making referrals to specialty care for more severe mental illness. Also discusses the benefits of telebehavioral health.
Author(s): Jan Sweet Freeman
Citation: North Carolina Medical Journal, 1(76), 24-28
Date: 01/2015
Type: Document
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Development of a Faith-Based Stress Management Intervention in a Rural African American Community
Findings from interviews conducted in 2011 with 24 African American men who had stress or depressive symptoms, and who participated in Trinity Life Management, a faith-based program in the Mississippi River Delta region of northeastern Arkansas.
Author(s): Keneshia Bryant, Todd Moore, Nathaniel Willis, Kristie Hadden
Citation: Progress in Community Health Partnerships, 9(3), 423-430
Date: 2015
Type: Document
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