Succeeding in Rural Mental Health Practice: Being Sensitive to Culture by Fitting in and Collaborating

被引:16
作者
Bischoff R.J. [1 ]
Reisbig A.M.J. [2 ]
Springer P.R. [2 ]
Schultz S. [2 ]
Robinson W.D. [4 ]
Olson M. [3 ]
机构
[1] Child, Youth and Family Studies, University of Nebraska-Lincoln, Lincoln, NE, 68588-0236
[2] Marriage and Family Therapy Program, University of Nebraska-Lincoln, Lincoln, NE
[3] Department of Family Medicine, University of Texas Medical Branch, Galveston, TX
[4] Marriage and Family Therapy Program, Utah State University, Logan, UT
基金
美国食品与农业研究所;
关键词
Access-to-care; Collaborative-healthcare; Cultural-sensitivity; Culture; Rural-mental-health;
D O I
10.1007/s10591-013-9287-x
中图分类号
学科分类号
摘要
Sustainable solutions to the access to mental health care problems are complex and must address both the availability of mental health care resources and the acceptability of those resources to consumers. The purpose of this study was to determine how to address the acceptability problem by learning from medical and mental health care providers what mental health therapists need to know to be successful in providing care in rural communities. Using a qualitative design, focus groups were conducted in three rural communities (<2,500) with medical and mental health care providers practicing in these communities. Data were analyzed using inductive qualitative methods. Results indicate that in addition to sound clinical skill, mental health therapists should (A) be sensitive to the culture of the rural community in which they are working and (B) practice in a way that accommodates to the care culture of the community. The latter includes spending time with patients commensurate with what is expected by other providers, engaging in generalist practice, and collaborating with local providers in patient care. An important implication of these results is that mental health care must be acceptable to both the residents of the community and the gatekeepers to health care. © 2013 Springer Science+Business Media New York.
引用
收藏
页码:1 / 16
页数:15
相关论文
共 52 条
  • [1] Mental health care services by family physicians (Position Paper). American Academy of Family Physicians, (2011)
  • [2] Allan J., Cambell M., Improving access to hard-to-reach services: A soft entry approach to drug and alcohol services for rural Aboriginal communities, Social Work in Health Care, 50, 6, pp. 443-465, (2011)
  • [3] Bird D.D., Dempsey P., Hartley D., Addressing Mental Health Workforce Needs in Underserved Rural Areas: Accomplishents and Challenges, (2001)
  • [4] Bischoff R.J., Hollist C.S., Smith C.W., Flack P., Addressing the mental health needs of the rural underserved: Findings from a multiple case study of a behavioral telehealth project, Contemporary Family Therapy: An International Journal, 26, pp. 179-198, (2004)
  • [5] Bondi L., Counseling in rural Scotland: Care, proximity and trust, Gender, Place Culture, 16, 2, pp. 163-179, (2009)
  • [6] Breen R., A practical guide to focus-group research, Journal of Geography in Higher Education, 30, 3, pp. 463-475, (2006)
  • [7] Bushy A., Health issues of women in rural environments: An overview, Journal of the American Medical Women's Association, 53, 2, pp. 53-56, (1998)
  • [8] Cellucci T., Vik P., Training for substance abuse treatment among psychologists in a rural state, Professional Psychology: Research and Practice, 32, 3, pp. 248-252, (2001)
  • [9] Creswell J.W., Qualitative Inquiry & Research Design: Choosing Among Five Approaches, (2007)
  • [10] Curtin L., Hargrove D.S., Opportunities and challenges of rural practice: Managing self amid ambiguity, Journal of Clinical Psychology, 66, 5, pp. 549-561, (2010)