Challenges and Opportunities of Pediatric Mental Health Practice in Rural America

被引:0
|
作者
Harris, Kari R. [1 ]
Brown, Rachel M. A. [2 ]
机构
[1] Univ Kansas, Sch Med Wichita, Dept Pediat, 3243 East Murdock,Suite 402, Wichita, KS 67208 USA
[2] Univ Kansas, Sch Med Wichita, Psychiat & Behav Sci, 1010 North Kansas, Wichita, KS 67214 USA
关键词
Rural mental health care; Pediatric primary care clinicians; Child and adolescent psychiatry; PMHCA; CPAP; FQHC; CCBHC; Mental health crisis; PRIMARY-CARE PHYSICIANS; PSYCHIATRY; SERVICES; CHILDREN; ACCESS; AREAS;
D O I
10.1016/j.pcl.2024.07.025
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Practicing medicine in Rural America is rich with opportunities and wrought with challenges. Practicing pediatric mental health care in rural communities further exacerbates these unique challenges. On one hand, pediatric clinicians are well-placed to care for their patients struggling with mental health concerns. The opportunity to understand complex psychosocial contributors only is known from caring for parents, extended families, and living within the social context of the community can certainly aid clinicians in assessing and managing mental illness. On the other hand, knowledge, comfort, and experience in managing pediatric mental illness remain significant barriers to patients receiving high-quality, evidence-based care. Though still lacking overall, resources are available to support rural pediatric clinicians in this endeavor. Programs that aim to build up existing rural clinicians and educate and attract new health care professionals to rural areas are critical to addressing the pediatric mental health crisis. However, PCPs need the support of highly specialized CAPs both for this education and for consultation when they feel out of their depth. Therefore, initiatives aimed at increasing CAPs and child and adolescent psychologists are necessary. Pediatric patients have complex inner-workings of mind and body and are highly affected by their environments. Care for youth should be family-centered, holistic, and team-based. These goals are at the heart of the CCBHC and FQHC models. To be successful though, care must be financially sustainable for clinicians and systems. Further, programs that support clinicians and systems must remain adequately funded until the gap in pediatric mental health care access and quality is closed.
引用
收藏
页码:19 / 36
页数:18
相关论文
共 50 条
  • [21] NAVIGATING TELEPSYCHIATRY FOR RURAL PEDIATRIC MENTAL HEALTH CARE: LEGISLATIVE CHALLENGES AND BARRIERS
    Law, Kari B.
    JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2019, 58 (10): : S25 - S25
  • [22] Challenges and Opportunities for Coping with the Smart Divide in Rural America
    Li, Ruopu
    Chen, Kang
    Wu, Di
    ANNALS OF THE AMERICAN ASSOCIATION OF GEOGRAPHERS, 2020, 110 (02) : 559 - 570
  • [23] RURAL MENTAL-HEALTH IN AMERICA
    HUMAN, J
    WASEM, C
    AMERICAN PSYCHOLOGIST, 1991, 46 (03) : 232 - 239
  • [24] Challenges and Opportunities for Lung Cancer Screening in Rural America
    Odahowski, Cassie L.
    Zahnd, Whitney E.
    Eberth, Jan M.
    JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2019, 16 (04) : 590 - 595
  • [25] Challenges and opportunities for coping with the smart divide in rural America
    Li, Ruopo
    Chen, Kang
    Wu, Di
    JOURNAL OF PLANNING LITERATURE, 2020, 35 (03) : 348 - 348
  • [26] An interdisciplinary rural health course: opportunities and challenges
    Racher, FE
    NURSE EDUCATION TODAY, 2002, 22 (05) : 387 - 392
  • [27] Health disparities in rural communities: challenges and opportunities
    Stephens, Philip M.
    Nahar, Vinayak K.
    RURAL AND REMOTE HEALTH, 2018, 18 (03):
  • [28] The practice of incident reporting and management: current challenges and opportunities for mental health trusts in England
    Wood, David
    Robinson, Catherine
    Nathan, Rajan
    McPhillips, Rebecca
    JOURNAL OF MENTAL HEALTH TRAINING EDUCATION AND PRACTICE, 2023, 18 (03) : 248 - 260
  • [29] The Future of Public Mental Health: Challenges and Opportunities
    McGinty, Beth
    MILBANK QUARTERLY, 2023, 101 : 532 - 551
  • [30] Research, recovery and mental health: challenges and opportunities
    Collins, Padraig
    Crowe, Sarah
    MENTAL HEALTH AND SOCIAL INCLUSION, 2016, 20 (03): : 174 - 179