Leah Litwin, Jeffrey Hankey, Mathijs Lucassen, Matthew Shepherd, Chelsea Singoorie, Yvonne Bohr
{"title":"Reflections on SPARX, a self-administered e-intervention for depression, for Inuit youth in Nunavut.","authors":"Leah Litwin, Jeffrey Hankey, Mathijs Lucassen, Matthew Shepherd, Chelsea Singoorie, Yvonne Bohr","doi":"10.1037/rmh0000218","DOIUrl":"https://doi.org/10.1037/rmh0000218","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136367725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acknowledgment of Reviewers","authors":"","doi":"10.1037/rmh0000244","DOIUrl":"https://doi.org/10.1037/rmh0000244","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136002840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
While stress levels, emotional concerns, and mental health issues among U.S. farmers are well documented, limited research exists on the specific impacts of COVID-19 on farmer mental health. To begin to explore this question, our study sought to identify characteristics of farmers at elevated risk for COVID-19-related emotional concerns. We engaged in secondary analysis of 2020 survey data from farmers in a southern state (N = 613), hypothesizing that farmers with high COVID-19-related concern about farm operations/finances, health, and uncertainty in how to navigate pandemic-related challenges would report high levels of concern and thus distress about the emotional impact of COVID-19. We conducted logistic regression analyses;the best-fitting model (p < .001) accounted for 30.4% of the variance. Being married, reporting pandemic impact to field crops, anticipating COVID-related losses in the coming year, and high concern about COVID-19's effects on finances were significant predictors of concern about COVID-19's emotional impact. Concerns about getting COVID-19 and being uncertain about mental health resources were also significant predictors. Our results indicate that within the farmer population, there are individuals at higher risk of COVID-19-related emotional distress and suggest it may be important to prioritize mental health outreach to farmers at high financial risk, who are married, farm row crops, anticipate COVID-19-related financial losses, and are uncertain about accessing mental health resources. These findings can inform proactive work among rural mental health professionals, helping them engage in strategic and nuanced outreach and resource provision to farmers experiencing emotional distress and concern about the emotional impact of COVID-19. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement Public Health Significance Statement-This study suggests that specific subgroups of farmers are at higher risk for distress and concern about the emotional impact of COVID-19. Those who were married, had pandemic impact to field crops, anticipated and were concerned about COVID-19 related financial risks and losses, were concerned about contracting COVID-19, and were uncertain how to access mental health resources were at higher risk. Given the scarcity of mental health resources in rural areas, this risk profile can help target resources to those at highest risk. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
{"title":"Pandemic distress on the farm: Farmers concerned about emotional impacts of COVID-19.","authors":"Anna Scheyett, Vanessa P. Shonkwiler, S. Kane","doi":"10.1037/rmh0000225","DOIUrl":"https://doi.org/10.1037/rmh0000225","url":null,"abstract":"While stress levels, emotional concerns, and mental health issues among U.S. farmers are well documented, limited research exists on the specific impacts of COVID-19 on farmer mental health. To begin to explore this question, our study sought to identify characteristics of farmers at elevated risk for COVID-19-related emotional concerns. We engaged in secondary analysis of 2020 survey data from farmers in a southern state (N = 613), hypothesizing that farmers with high COVID-19-related concern about farm operations/finances, health, and uncertainty in how to navigate pandemic-related challenges would report high levels of concern and thus distress about the emotional impact of COVID-19. We conducted logistic regression analyses;the best-fitting model (p < .001) accounted for 30.4% of the variance. Being married, reporting pandemic impact to field crops, anticipating COVID-related losses in the coming year, and high concern about COVID-19's effects on finances were significant predictors of concern about COVID-19's emotional impact. Concerns about getting COVID-19 and being uncertain about mental health resources were also significant predictors. Our results indicate that within the farmer population, there are individuals at higher risk of COVID-19-related emotional distress and suggest it may be important to prioritize mental health outreach to farmers at high financial risk, who are married, farm row crops, anticipate COVID-19-related financial losses, and are uncertain about accessing mental health resources. These findings can inform proactive work among rural mental health professionals, helping them engage in strategic and nuanced outreach and resource provision to farmers experiencing emotional distress and concern about the emotional impact of COVID-19. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement Public Health Significance Statement-This study suggests that specific subgroups of farmers are at higher risk for distress and concern about the emotional impact of COVID-19. Those who were married, had pandemic impact to field crops, anticipated and were concerned about COVID-19 related financial risks and losses, were concerned about contracting COVID-19, and were uncertain how to access mental health resources were at higher risk. Given the scarcity of mental health resources in rural areas, this risk profile can help target resources to those at highest risk. (PsycInfo Database Record (c) 2022 APA, all rights reserved)","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121493210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Noah Hopkins, C. Proctor, J. Muilenburg, T. Kershaw
{"title":"“It’s easier to go to the beer store than ask for help”: A qualitative exploration of barriers to health care in rural farming communities.","authors":"Noah Hopkins, C. Proctor, J. Muilenburg, T. Kershaw","doi":"10.1037/rmh0000224","DOIUrl":"https://doi.org/10.1037/rmh0000224","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129254184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Nelson, E. Zhang, Skylar A. Bellinger, S. Cain, Ann Davis, S. Lassen, Susan Sharp, Leni Swails, Ilana J. Engel, Annaleis K. Giovanetti, Stephanie Punt, R. Stiles, Linda Heitzman-Powell
School-based telebehavioral health is one avenue to increase students' access to mental health services, especially for students who are less likely to access traditional community mental health settings due to a lack of transportation to distant sites, financial resources, and other barriers. With the shortage of child behavioral specialists in Kansas' rural and underserved communities, the Telehealth ROCKS (Regional Outreach to Communities, Kids, and Schools) program was created to address student behavioral health needs at school through telehealth. Since 2018, this program has provided approximately 1,600 mental health appointments. With public health mandates and a shift to online school, the COVID-19 pandemic led to a rapid telehealth transition from services in rural supervised school settings to direct-to-consumer services in homes. The authors describe the challenges and opportunities experienced during this transition across telebehavioral health specialties: (a) developmental/autism assessments, (b) developmental behavioral interventions to address problem behaviors, (c) child and adolescent psychological services, (d) medical complexity services, and (e) child and adolescent psychiatry. The authors then describe the overall transition from school-based to home-based services based on national Guidelines for Evidence-Based Child Telebehavioral Health domains: Patient Appropriateness, Crisis Management/Safety, and Logistics/Administrative Protocols. This experience and lessons learned can inform other school-based telemental health programs considering expansion to home-based services. The authors also discuss evolving telehealth policy and the reimbursement environment, with continued relevance due to continued COVID-19 outbreaks impacting school services and future public health emergencies affecting schools. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement This report shares lessons learned when rapidly transitioning the Telehealth ROCKS rural telebehavioral health services from the supervised school setting to the unsupervised home setting during the COVID-19 pandemic to meet escalating student behavioral health needs. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
{"title":"Telehealth ROCKS at home: Pandemic transition of rural school-based to home-based telebehavioral health services.","authors":"E. Nelson, E. Zhang, Skylar A. Bellinger, S. Cain, Ann Davis, S. Lassen, Susan Sharp, Leni Swails, Ilana J. Engel, Annaleis K. Giovanetti, Stephanie Punt, R. Stiles, Linda Heitzman-Powell","doi":"10.1037/rmh0000222","DOIUrl":"https://doi.org/10.1037/rmh0000222","url":null,"abstract":"School-based telebehavioral health is one avenue to increase students' access to mental health services, especially for students who are less likely to access traditional community mental health settings due to a lack of transportation to distant sites, financial resources, and other barriers. With the shortage of child behavioral specialists in Kansas' rural and underserved communities, the Telehealth ROCKS (Regional Outreach to Communities, Kids, and Schools) program was created to address student behavioral health needs at school through telehealth. Since 2018, this program has provided approximately 1,600 mental health appointments. With public health mandates and a shift to online school, the COVID-19 pandemic led to a rapid telehealth transition from services in rural supervised school settings to direct-to-consumer services in homes. The authors describe the challenges and opportunities experienced during this transition across telebehavioral health specialties: (a) developmental/autism assessments, (b) developmental behavioral interventions to address problem behaviors, (c) child and adolescent psychological services, (d) medical complexity services, and (e) child and adolescent psychiatry. The authors then describe the overall transition from school-based to home-based services based on national Guidelines for Evidence-Based Child Telebehavioral Health domains: Patient Appropriateness, Crisis Management/Safety, and Logistics/Administrative Protocols. This experience and lessons learned can inform other school-based telemental health programs considering expansion to home-based services. The authors also discuss evolving telehealth policy and the reimbursement environment, with continued relevance due to continued COVID-19 outbreaks impacting school services and future public health emergencies affecting schools. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement This report shares lessons learned when rapidly transitioning the Telehealth ROCKS rural telebehavioral health services from the supervised school setting to the unsupervised home setting during the COVID-19 pandemic to meet escalating student behavioral health needs. (PsycInfo Database Record (c) 2022 APA, all rights reserved)","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128695488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Paull, Michael Hoerger, Melanie Midkiff, Stephanie Lietzau, James I. Gerhart
Guided by the conservation of resources (COR) theory, this study investigated how regional variation in mental health needs and resources may have impacted early efforts to curb the spread of COVID-19. Publicly available data were analyzed to evaluate states' initial responses (i.e., February 2020-March 2020) to the COVID-19 pandemic. Each of the 50 U.S. states, as well as the District of Columbia, were included in the analyses, providing a total sample size of N = 51. U.S. states with greater mental health needs and barriers to treatment tended to: be slower to implement shelter-in-place orders;have residents who showed less increase in time at their residences in response to the crisis;be more rural, economically disadvantaged, and more conventional;and have less access to the internet. Considering this cultural context provides insight for tailoring and implementing interventions in a culturally competent manner. Furthermore, mental health resource sharing across states and regions may be needed to address future mental health care gaps resulting from the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement Rural and financially strained areas with fewer resources and greater mental health needs tended to spend less time under shelter-in-place orders and showed less increase in time spent at home during the early phase of the COVID-19 pandemic. Special attention is needed to strengthen community resources and health care infrastructure to support recovery from the pandemic. Access to finances and resources may facilitate more rapid and flexible change in routines required by future pandemics and large-scale threats. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
{"title":"State mental health infrastructure, personality, and politics of shelter-in-place.","authors":"D. Paull, Michael Hoerger, Melanie Midkiff, Stephanie Lietzau, James I. Gerhart","doi":"10.1037/rmh0000221","DOIUrl":"https://doi.org/10.1037/rmh0000221","url":null,"abstract":"Guided by the conservation of resources (COR) theory, this study investigated how regional variation in mental health needs and resources may have impacted early efforts to curb the spread of COVID-19. Publicly available data were analyzed to evaluate states' initial responses (i.e., February 2020-March 2020) to the COVID-19 pandemic. Each of the 50 U.S. states, as well as the District of Columbia, were included in the analyses, providing a total sample size of N = 51. U.S. states with greater mental health needs and barriers to treatment tended to: be slower to implement shelter-in-place orders;have residents who showed less increase in time at their residences in response to the crisis;be more rural, economically disadvantaged, and more conventional;and have less access to the internet. Considering this cultural context provides insight for tailoring and implementing interventions in a culturally competent manner. Furthermore, mental health resource sharing across states and regions may be needed to address future mental health care gaps resulting from the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Impact Statement Rural and financially strained areas with fewer resources and greater mental health needs tended to spend less time under shelter-in-place orders and showed less increase in time spent at home during the early phase of the COVID-19 pandemic. Special attention is needed to strengthen community resources and health care infrastructure to support recovery from the pandemic. Access to finances and resources may facilitate more rapid and flexible change in routines required by future pandemics and large-scale threats. (PsycInfo Database Record (c) 2022 APA, all rights reserved)","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131463133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jonathan D Moore, Madeline P. Casanova, S. Ryu, Lachelle H. Smith, Russell T. Baker
{"title":"Examining ECHO Idaho’s perinatal substance use disorder program.","authors":"Jonathan D Moore, Madeline P. Casanova, S. Ryu, Lachelle H. Smith, Russell T. Baker","doi":"10.1037/rmh0000219","DOIUrl":"https://doi.org/10.1037/rmh0000219","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124658147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Litwin, J. Hankey, Mathijs F. G. Lucassen, M. Shepherd, Chelsea Singoorie, Y. Bohr
{"title":"Supplemental Material for Reflections on SPARX, a Self-Administered e-Intervention for Depression, for Inuit Youth in Nunavut","authors":"L. Litwin, J. Hankey, Mathijs F. G. Lucassen, M. Shepherd, Chelsea Singoorie, Y. Bohr","doi":"10.1037/rmh0000218.supp","DOIUrl":"https://doi.org/10.1037/rmh0000218.supp","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131769004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gwen Latendresse, Ryoko Pentecost, E. Iacob, S. Simonsen, Marcia F Williams, N. Thompson, C. Hogue
{"title":"A group telehealth intervention for rural perinatal depression and anxiety: A pilot study.","authors":"Gwen Latendresse, Ryoko Pentecost, E. Iacob, S. Simonsen, Marcia F Williams, N. Thompson, C. Hogue","doi":"10.1037/rmh0000213","DOIUrl":"https://doi.org/10.1037/rmh0000213","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124444507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. W. Armstrong, C. McCord, Mariah M. Stickley, Nevita George, T. Elliott
{"title":"Supplemental Material for Assessing Depression Outcomes in Teletherapy for Underserved Residents in Central Texas: Telehealth’s Move to Treatment-as-Usual","authors":"T. W. Armstrong, C. McCord, Mariah M. Stickley, Nevita George, T. Elliott","doi":"10.1037/rmh0000215.supp","DOIUrl":"https://doi.org/10.1037/rmh0000215.supp","url":null,"abstract":"","PeriodicalId":344850,"journal":{"name":"Journal of rural mental health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125239547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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