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Journal Article

Citation

Pullmann MD, Vanhooser S, Hoffman C, Heflinger CA. Community Ment. Health J. 2010; 46(3): 211-220.

Affiliation

Department of Human and Organizational Development, Peabody College of Vanderbilt University, 230 Appleton Place, Peabody Box 90, Nashville, TN, 37203, USA, Michael.D.Pullmann@Vanderbilt.edu.

Copyright

(Copyright © 2010, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10597-009-9208-5

PMID

19551506

PMCID

PMC2954890

Abstract

Researchers have not adequately addressed the unique characteristics of rural areas that influence the accessibility of services for families with children who have serious emotional problems. Understanding rurality is particularly important to "systems of care" grant sites because these grants are intended to restructure mental health service delivery by building upon the strengths of a community and addressing the community's needs. This qualitative study examines the barriers to and supports for participation in services within a rural system of care site through the reported experiences of eight caregivers and nine staff. Findings indicate families face many challenges related to rurality, including stigma, transportation, isolation, poverty, and service availability. In addition to these challenges, however, participants reported many meaningful supports such as the religious community and the close-knit community of families and service providers. We present implications for planning, implementing, and evaluating systems of care in rural areas.


Language: en

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