Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

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)

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Describes two health programs giving attention to the rural population: the Rural Health Initiative Program, focusing on primary health care, and the Health Underserved Rural Areas Program, which seeks to demonstrate how public and private agencies can work together to alleviate the shortage of health care services in underserved areas. (Author/RK)

The Geriatric Assessment Unit (GAU), which has proven successful in urban areas, may be a viable system for providing health care to the elderly in rural areas. GAUs engage in assessment, follow-up response to findings, education, and research. The assessment component includes, at minimum, physical health, functional ability in activities of…