title: Local knowledge and rural mental health reform.
abstract: Rural mental health care reform has failed to recognize that service utilization and access is guided by the meanings and explanations that rural dwellers ascribe to symptoms and treatments for mental illness. These meanings and explanations are described here as local knowledge. It is argued that planning for reform in rural mental health service delivery must take into account the local knowledge and explanations for mental illness and its treatment in order to improve rural mental health.
authors.affiliation: Department of Anthropology, Georgia State University, Atlanta, USA.
authors.forename: C E
authors.initials: CE
authors.lastname: Hill
authors.forename: G J
authors.initials: GJ
authors.lastname: Fraser
mesh_terms: D001294:Attitude to Health; D003156:Community Mental Health Services / Q000592:standards / Q000706:statistics & numerical data*; D003469:Culture; D018166:Health Care Reform; D006285:Health Planning; D006801:Humans; D019035:Rural Health Services / Q000592:standards / Q000706:statistics & numerical data*; D014481:United States; D000078329:Workforce