Community Mental Health Journal

, Volume 55, Issue 1, pp 63–73 | Cite as

What Role Can Community Health Workers Play in Connecting Rural Women with Depression to the “De Facto” Mental Health Care System?

  • Claire Snell-RoodEmail author
  • Frances Feltner
  • Nancy Schoenberg
Original Paper


The prevalence of depression among rural women is nearly twice the national average, yet limited mental health services and extensive social barriers restrict access to needed treatment. We conducted key informant interviews with community health workers (CHWs) and diverse health care professionals who provide care to Appalachian women with depression to better understand the potential roles that CHWs may play to improve women’s treatment engagement. In the gap created by service disparities and social barriers, CHWs can offer a substantial contribution through improving recognition of depression; deepening rural women’s engagement within existing services; and offering sustained, culturally appropriate support.


Depression Community health worker Rural Women 



The funding was supported by National Institutes of Health (Grant No. CTSA UL1TR000117), Office of Research on Women's Health (Grant No. K12 DA035150) and University of Kentucky Department of Behavioral Science. This research would not have been possible without the valuable perspectives of all of the participants who made time to share their expertise with us. Wayne Noble′s talents were critical for coordinating the study and other colleagues at the Center of Excellence in Rural Health offered vital feedback on interpreting the findings. We appreciate the insights of the editor and anonymous reviewers to strengthen the manuscript.


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Community Health Sciences, School of Public HealthUniversity of California, BerkeleyBerkeleyUSA
  2. 2.Center of Excellence in Rural HealthHazardUSA
  3. 3.Department of Behavioral ScienceUniversity of Kentucky College of MedicineLexingtonUSA

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