Health care reform and rural mental health: severe mental illness.
Service needs of rural severely mentally ill and strengths of rural communities are addressed. Health care reform policy development at present appears to neglect the seriously mentally ill in general and rural services specifically. Examples of strategies to meet the needs for health care, psychiatric treatment, psychosocial rehabilitation and appropriate housing are described. The advantages and drawbacks of such efforts are considered.
Kane
C F
CF
Southeastern Rural Mental Health Research Center, University of Virginia, Charlottesville 22903, USA.
Ennis
J M
JM
D003150:Community Health Workers / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated / Q000379:methods; D016352:Group Homes / Q000458:organization & administration; D018166:Health Care Reform / Q000379:methods; D006801:Humans; D008507:Medically Underserved Area; D001523:Mental Disorders / Q000534:rehabilitation / Q000628:therapy*; D008605:Mental Health Services / Q000600:supply & distribution*; D012040:Regional Health Planning / Q000379:methods; D019035:Rural Health Services / Q000600:supply & distribution*; D014481:United States; D000078329:Workforce