Leadership in infant and early childhood mental health must take into consideration issues of diversity, historical context, power dynamics, and difference in worldview and experiences. This article describes the importance of equitable and effective partnerships with rural/remote, underserved, and Indigenous communities in the United States and…

Describes mental health services of the Senior Adult Growth and Enrichment (SAGE) Program, a North Carolina demonstration program. The SAGE staff used a differentiated model of day treatment that tracked clients according to disabilities and potentials. Services were tailored to meet unique needs brought on by diverse mental disorders, functional…

Describes an alternative to traditional residential care for children with behavior disorders, neuroses, bizarre behavior, or immature personality designed to maintain the child in his or her own rural community and to provide a family-type experience. (RH)

This article describes a unique health care delivery system, the Mental Health of the Rural Elderly Outreach Program. The project in designed to identify and provide mental health services to an underserved population, the rural elderly, who are suffering from severe and disabling mental illness. Delivery of mental health services to the rural…

The upward economic flux of Pike County is having a dramatic impact on the traditional morals and values held by the established community. Drug availability has increased proportionately with improved highway systems, accessibility of money, and increasing numbers of youth with their own cars. Although 75% of the population live in isolated…

The Southwest Iowa Mental Health Center recently completed a 4-year project to increase use of mental health services by normally reluctant rural populations and to increase coping ability among persons affected by the farm crisis. During the first 2 years, program goals included aggressive outreach to potential patients, mental health education…

Issues in the development of community health education programs for rural areas include: (1) knowledge of disease processes; (2) health care intervention; (3) systems intervention; (4) ethics for change; and (5) program implementation. (JN)

Many health and development programs have been initiated for the rural poor in the world, but few have achieved as strong an association with the cultural values of the people as has Dr. Carroll Behrhorst's work in Guatemala. The two major communication thrusts of his health programs are education of the native population, emphasizing…

Provides an overview of the current state of health services in rural America and examines policy changes being made through Congressional action. Presents suggestions for further research and legislative actions. Discusses the role that individual psychologists can play in improving mental health services in rural areas. (MW)

The report describes a 3-day, two-part (community education and in-home counseling) rural elderly mental health project conducted in Waushara County, Wisconsin, during 1980-81. The first section details activities of the two components and the second section reports the clinician's experiences in the project. As covered in the first section,…

Nonmetropolitan and totally rural areas have greater unmet health needs and fewer health resources than urban areas. Blacks, American Indians, migrants, and Appalachians have specialized rural health care needs as a result of cultural isolation, poverty, and discrimination. The reversal of the rural to urban population migration has increased the…