Abstract
Several critical issues involved in successfully initiating and maintaining a community mental health center program in a rural setting are discussed. These include the necessity of accurately assessing the existing social, cultural, and political system, and of fitting the mental health center program into these systems as smoothly as possible; the special problems faced in maintaining confidentiality; and the importance of recognizing and dealing with the front-line pressures on professional staff that are peculiar to the rural setting. Advantages as well as disadvantages of working in a rural program are considered.
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Bentz, W. K., Hollister, W. G., Edgerton, J. W., Miller, F. T., & Aponte, J. F.Experiences in rural mental health: Surveys. Chapel Hill, N.C.: Division of Community Psychiatry, Department of Psychiatry, University of North Carolina, 1973.
Daniels, D. N. The community mental health center in the rural area: Is the present model appropriate?American Journal of Psychiatry, 1967, 124, 32–37. (Supplement)
Eisdorfer, C., Altrocchi, J., & Young, R. F. Principals of community mental health in a rural setting: The Halifax County program.Community Mental Health Journal, 1968,4, 211–220.
Gertz, B., Meider, J., & Pluckham, M. A. A survey of rural community mental health needs and resources.Hospital and Community Psychiatry, 1975,26, 816–819.
Huessy, H. R. Tactics and targets in the rural setting. In S. E. Golann, & C. Eisdorfer, (Eds.),Handbook of Community Mental Health. New York: Appleton-Century-Crofts, 1972.
Jones, J. D., Robin, S. S., & Wagenfeld, M. D. Rural mental health centers: Are they different?International Journal of Mental Health, 1974,3, 77–92.
Jones, J. D., Wagenfeld, M. D., & Robin, S. S. A profile of the rural community mental health center.Community Mental Health Journal, 1976,12, 176–181.
Lee, S. H., Gianturco, D. T., & Eisdorfer, C. Community mental health center accessibility: A survey of the rural poor.Archives of General Psychiatry, 1974,31, 335–339.
Segal, J. (Ed.),The mental health of rural America. [Publication No. (HSM) 73-9035]. Washington, D.C.: Department of Health, Education and Welfare, 1973.
Thompson, C. P., & Bell, N. Evaluation of a rural community mental health program.Archives of General Psychiatry, 1969,20, 448–456.
Wedel, H. L. Characteristics of community mental health center operations in small communities.Community Mental Health Journal, 1969,5, 437–444.
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Mr. Jeffrey was affiliated with the Blue Ridge Community Mental Health Center, 1602 Gordon Avenue, Charlottesville, Virginia at the time the article was written.
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Jeffrey, M.J., Reeve, R.E. Community mental health services in rural areas: Some practical issues. Community Ment Health J 14, 54–62 (1978). https://doi.org/10.1007/BF00781311
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DOI: https://doi.org/10.1007/BF00781311