Addressing Geographical Inequities and Barriers in Access to Mental Health Care among Youth in a Rural Western Kentucky County.

IF 1.8 4区 医学 Q3 HEALTH POLICY & SERVICES Community Mental Health Journal Pub Date : 2024-10-01 Epub Date: 2024-06-03 DOI:10.1007/s10597-024-01294-3
Miranda Sue Terry, Charles Brown, Lauren Franklin
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Abstract

A Community Health Assessment (CHA) was conducted among community members in a rural Western Kentucky county in 2022-2023 identified mental health as one of the top health issues in the county. The purpose of a CHA is to identify key health needs and issues through data and develop strategies for action. One of the objectives was to identify barriers to accessing mental health care, especially among youth. Secondary data analyses were performed from survey results conducted by the local health department and local public schools. Quantitative data were analyzed using SPSS software. Qualitative data were analyzed using a two-cycle coding process. Access to mental healthcare is an area of great need in this rural Western Kentucky county. Recommendations include working with healthcare providers, especially specialists, to accept Medicaid and it is recommended to cross-train other professionals to address mental health needs in this region.

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解决肯塔基州西部农村地区青少年在获得心理健康护理方面的地域不平等和障碍。
2022-2023 年,肯塔基州西部一个农村县的社区成员进行了一次社区健康评估 (CHA),发现心理健康是该县最主要的健康问题之一。社区健康评估的目的是通过数据确定主要的健康需求和问题,并制定行动策略。目标之一是确定获得心理健康护理的障碍,尤其是在青少年中。根据当地卫生部门和当地公立学校的调查结果进行了二次数据分析。定量数据使用 SPSS 软件进行分析。定性数据采用两轮编码过程进行分析。在这个肯塔基州西部的农村地区,获得心理保健服务是一个非常需要的领域。建议包括与医疗服务提供者,尤其是专科医生合作,接受医疗补助,并建议对其他专业人员进行交叉培训,以满足该地区的心理健康需求。
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来源期刊
CiteScore
5.30
自引率
3.70%
发文量
133
期刊介绍: Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.
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