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Needs Assessments in Rural Areas Issues and Problems

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Abstract

Rural areas are popularly characterized as quiet and tranquil places where individuals can void the psychonoxious aspects of modern living. However, epidemiological studies have demonstrated that significant mental health problems exist in rural communities (Bentz, Hollister, & Edgerton, 1971; Leighton, Leighton, & Armstrong, 1964; Llewellyn- Thomas, 1960). In fact, Husaini, Neff, and Stone (1979) have suggested that a variety of physical and interpersonal problems have higher incidence rates in rural than in urban areas. Despite the apparent need for mental health services, rural communities do not have many of the services that are readily available to urban dwellers (Willie, 1972). This relative absence of mental health services is not a simple reflection of the increased poverty in rural areas. Hoagland (1978) observed that 49% of urban poverty areas had adequate mental health services, yet, only 17.5% of rural poverty areas had such services. Hence, it seems that rural residents present significant mental health needs but receive fewer services (Falcone, 1979).

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References

  • Aponte, J. F. A need in search of a theory and an approach. Journal of Community Psychology, 1978, 6, 42–44.

    Article  PubMed  Google Scholar 

  • Bell, R. A., Nguyen, T. D., Warheit, G. J., & Buhl, J. M. Service utilization, social indicator, and citizen survey approaches to human service need assessment. In C. C. Attkis-son, W. A. Hargreaves, M. J. Horowitz, & J. E. Sorenson (Eds.), Evaluation of human services programs, New York: Academic Press, 1978.

    Google Scholar 

  • Bentz, W. K., Hollister, W. G., & Edgerton, J. W. Assessing the stigma of mental illness. The Psychiatric Forum, 1971, Winter, 17–22.

    Google Scholar 

  • Bentz, W. K., Hollister, W. G., Edgerton, J. W., Miller, F. T., & Aponte, J. F. Experiences in rural mental health. Chapel Hill: University of North Carolina, 1973.

    Google Scholar 

  • Berken, T. E., & Eisdorfer, C. Closed ranks in microcosm: Pitfalls of a training experience in community consultation. Community Mental Health Journal, 1970, 6, 101–109.

    Article  PubMed  Google Scholar 

  • Boris, H. N. The Seelsorger in rural Vermont. International Journal of Group Psychotherapy, 1971, 21, 159–173.

    PubMed  Google Scholar 

  • Burdick, J. A. Personal communication, April 1, 1980.

    Google Scholar 

  • Christenson, J. A. North Carolina, today and tomorrow, Vol. 5: Rural-urban problems in North Carolina. Raleigh: North Carolina Agricultural Extension Service, Misc. Ext. Publication 113, 1974.

    Google Scholar 

  • Edgerton, J. W., Bentz, W. K., & Hollister, W. G. Epidemiological data for mental health center planning: Demographic factors and responses to stress among rural people. American Journal of Public Health, 1970, 60, 1065–1071.

    Article  PubMed  Google Scholar 

  • Falcone, A. M. The delivery of rural mental health services: A review and assessment of the literature. Unpublished manuscript, 1979. (Available from A. M. Falcone, Department of Psychology, Memphis State University, Memphis, Tennessee).

    Google Scholar 

  • Gertz, B., Meider, J., & Pluckham, M. L. A survey of rural community mental health needs and resources. Hospital and Community Psychiatry, 1975, 26, 816–819.

    PubMed  Google Scholar 

  • Halpern, H., & Love, R. W. Initiating community consultation in rural areas. Hospital and Community Psychiatry, 1971, 22, 274–277.

    PubMed  Google Scholar 

  • Henggeler, S. W., Sallis, J. F., & Cooper, P. F. Comparison of university mental health needs priorities identified by professionals and students. Journal of Counseling Psychology, 1980, 27, 217–219.

    Article  Google Scholar 

  • Hladky, F. A psychiatric program in a rural mental health plan. In L. J. Duhl & R. L. Leopold (Eds.), Mental health and urban social policy: A casebook of community actions. San Francisco: Jossey-Bass, 1968.

    Google Scholar 

  • Hoagland, M. A new day in rural mental services. New dimensions in mental health: Report from the Director, National Institute of Mental Health. Washington, D.C.: U.S. Government Printing Office, 1978.

    Google Scholar 

  • Hurder, W. P. Maximum service-minimum manpower. In L. J. Duhl & R. L. Leopold (Eds.), Mental health and urban social policy: A casebook of community actions. San Francisco: Jossey-Bass, 1968.

    Google Scholar 

  • Husaini, B. A., & Mathis, A. Mental health needs and service utilization in a predominantly black community. Journal of Community Psychology, 1978, 6, 303–308.

    Article  PubMed  Google Scholar 

  • Husaini, B. A., Neff, J. A., & Stone, R. H. Psychiatric impairment in rural communities. Journal of Community Psychology, 1979, 7, 137–146.

    Article  PubMed  Google Scholar 

  • Jeffrey, M. J., & Reeve, R. E. Community mental health services in rural areas: Some practical issues. Community Mental Health Journal, 1978, 14, 54–62.

    PubMed  Google Scholar 

  • Jones, M. Community involvement in the planning of a rural mental health center. In A. Beigel & A. D. Levenson (Eds.), The community mental health center: Strategies and programs. New York: Basic Books, 1972.

    Google Scholar 

  • Kahn, M. W., McWilliams, S. A., Balch, P., Chang, A. F., & Ireland, J. Developing a rural mental health service from a base in an academic clinical psychology program. American Journal of Community Psychology, 1976, 4, 113–127.

    Article  PubMed  Google Scholar 

  • Kübler-Ross, E. On death and dying. New York: Macmillan, 1969.

    Google Scholar 

  • Leighton, D. C., Leighton, A. H., & Armstrong, R. A. Community psychiatry in a rural area: A social psychiatric approach. In L. Bellak (Ed.), Handbook of community psychiatry. New York: Grune & Stratton, 1964.

    Google Scholar 

  • Llewellyn-Thomas, E. The prevalence of psychiatric symptoms within an island fishing village. Canadian Medical Association Journal, 1960, 83, 197–204.

    PubMed  Google Scholar 

  • Macgregor, G. The development of rural community health services. Human Organization, 1966, 25, 16–19.

    Google Scholar 

  • Michaux, M. H., Dasinger, E. M., Foster, S. A., & Pruim, R. J. Treatment outcome in an urban and a rural day hospital. Social Psychiatry, 1974, 9, 31–38.

    Article  Google Scholar 

  • Naftulin, D. H., Donnelly, F. A., & O’Halloran, P. B. Mental health courses as a facilitator for change in a rural community. Community Mental Health Journal, 1974, 10, 359–365.

    Article  PubMed  Google Scholar 

  • Neigher, W. D., & Baker, D. P. Approaches to community mental health needs assessment: The community residents’ survey. In W. Neigher, R. J. Hammer, & G. Lands-berg (Eds.), Emerging developments in mental health program evaluation. New York: Argold Press, 1976.

    Google Scholar 

  • Pharis, D. B. The use of needs assessment techniques in mental health planning: A review of the literature. Community Mental Health Review, 1976, 1, 1–10.

    Article  Google Scholar 

  • Raeburn, J. M., & Seymour, F. W. A simple systems model for community programs. Journal of Community Psychology, 1979, 7, 290–297.

    Article  PubMed  Google Scholar 

  • Sallis, J. F., & Henggeler, S. W. Mental health needs assessments in relation to incidence of problems. Paper presented at the meeting of the Southeastern Psychological Association, Washington, D.C., March 1980. (a)

    Google Scholar 

  • Sallis, J., & Henggeler, S. W. Needs assessment: A critical review. Administration in Mental Health, 1980, 7, 200–209. (b)

    Article  Google Scholar 

  • Schwab, J. J., Warheit, G. J., & Fennell, E. B. An epidemiologic assessment of needs and utilization of services. Evaluation, 1975, 2, 65–67.

    Google Scholar 

  • Siegel, L. M., Attkisson, C. C., & Carson, L. G. Need identification and program planning in the community context. In C. C. Attkisson, W. A. Hargreaves, M. J. Horowitz, & J. E. Sorensen (Eds.), Evaluation of human service programs. New York: Academic Press, 1978.

    Google Scholar 

  • Stewart, R. The nature of needs assessment in community mental health. Community Mental Health Journal, 1979, 25, 287–295.

    Google Scholar 

  • Suchman, E. A. Social patterns of illness and medical care. Journal of Health and Human Behavior, 1965, 6, 2–16.

    Article  PubMed  Google Scholar 

  • Turner, J. T., Kimbrough, W. W., & Traynham, R. N. A survey of community perceptions of critical life situations and community helping sources as a tool for mental health program development. Journal of Community Psychology, 1977, 5, 225–230.

    Article  PubMed  Google Scholar 

  • Wedel, H. L. Characteristics of community mental health center operations in small communities. Community Mental Health Journal, 1969, 5, 437–444.

    Article  Google Scholar 

  • Weiss, A. T. The consumer model of assessing community mental health needs. Evaluation, 1975, 2, 71–73.

    Google Scholar 

  • Willie, C.V. Health care needs of the disadvantaged in a rural-urban area. HSMHA Health Reports, 1972, 87, 81–86.

    Article  PubMed  Google Scholar 

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© 1983 Plenum Press, New York

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Henggeler, S.W. (1983). Needs Assessments in Rural Areas Issues and Problems. In: Childs, A.W., Melton, G.B. (eds) Rural Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3512-2_11

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  • DOI: https://doi.org/10.1007/978-1-4613-3512-2_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-3514-6

  • Online ISBN: 978-1-4613-3512-2

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