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Slanzi CM, MacDonald GA, Nemoianu AT, Salzer MS. Community Participation of Individuals with Mental Illnesses in Rural Areas: Stakeholder Perspectives on Barriers and Facilitators. Community Ment Health J 2024; 60:832-838. [PMID: 38133720 DOI: 10.1007/s10597-023-01217-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 12/09/2023] [Indexed: 12/23/2023]
Abstract
Community inclusion and participation are social determinants of physical and mental health. This study examines activity preferences, barriers to engagement, and potential strategies for facilitating community participation for individuals with serious mental illness living in rural communities. Data for this qualitative study were collected in a series of focus groups with a stakeholders in rural Pennsylvania. Written responses to questions on activities, barriers, facilitators, and solutions were analyzed by members of the research team. The activities that are important to our participants included both those readily accessible in rural areas and those only accessible in more urban areas. Many of the barriers identified aligned with prior research (e.g., poverty, community mobility issues). A number of novel and feasible solutions to overcome barriers were provided at the policy, program, and practice levels, some of which that can be implemented immediately, to increase participation, and improve overall health of people with mental illnesses.
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Affiliation(s)
- Crystal M Slanzi
- Department of Social and Behavioral Sciences, Temple University, 1700 N Broad St., Philadelphia, 19121, USA
| | - Gillian A MacDonald
- Department of Social and Behavioral Sciences, Temple University, 1700 N Broad St., Philadelphia, 19121, USA
| | | | - Mark S Salzer
- Department of Social and Behavioral Sciences, Temple University, 1700 N Broad St., Philadelphia, 19121, USA.
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Udo T, Roberts PC, Dyett J, Mullin S, Cummings D, Morano C. Opportunities and Challenges to Build Behavioral Health Crisis Capacity in Rural America. Psychiatr Serv 2024:appips20230111. [PMID: 38650491 DOI: 10.1176/appi.ps.20230111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
This column shares lessons learned from a 1-year pilot implementation of a crisis response program deploying crisis professionals to rural parts of Albany County, New York. The data (325 crisis interventions for 191 unique individuals, 57% of cases resolved on the scene) suggest that the program helps fill the crisis services gap in these communities. Police were present on 80% of cases. Educating police to build confidence in the program and providing clearer guidelines on the triage process for dispatchers may be important strategies to continue shifting crisis response duties from traditional first responders to crisis professionals.
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Affiliation(s)
- Tomoko Udo
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
| | - Preston Cody Roberts
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
| | - Jordan Dyett
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
| | - Shannon Mullin
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
| | - Denard Cummings
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
| | - Carmen Morano
- Department of Health Policy, Management and Behavior (Udo, Mullin, Cummings) and Department of Epidemiology and Biostatistics (Udo), School of Public Health, University at Albany, Rensselaer, New York; School of Criminal Justice (Roberts) and School of Social Welfare (Dyett, Morano), University at Albany, Albany, New York
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