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Rural mental health coverage under health care reform

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Abstract

Efforts to integrate services and financing under health care reform hold benefits for provision of services to rural mentally ill persons. Remote areas pose a particular challenge as the unique characteristics of rural America are even more evident. The model for managed care in remote rural areas will differ from those used in urban and their adjacent rural areas. Universal coverage would remove the barriers to accessing care for this population, but does not assure availability of adequate mental health services or providers in rural areas. Characteristics of currently available rural mental health services are presented and obstacles to expanded delivery under health care reform are outlined.

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Author information

Authors and Affiliations

  1. Department of Health Care Policy, Harvard Medical School, USA

    Richard Frank Ph.D. (Professor)

  2. Southeastern Rural Mental Health Research Center, University of Virginia, Madison House, 170 Rugby Road, 22903, Charlottesville, Virginia

    Deborah A. Shelton R.N., Ph.D., C.N.A. (research associate)

Authors
  1. Deborah A. Shelton R.N., Ph.D., C.N.A.
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  2. Richard Frank Ph.D.
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Additional information

This work was supported by NIMH Grant #MH 49173-02.

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Shelton, D.A., Frank, R. Rural mental health coverage under health care reform. Community Ment Health J 31, 539–552 (1995). https://doi.org/10.1007/BF02189438

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