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Rural Children Experience Different Rates of Mental Health Diagnosis and Treatment

Abstract: 

Key Findings:

  • Among those with the highest levels of mental health need, rural children are more often identified with an ADHD diagnosis than urban children (24.7% vs. 19.8%; p<.05).
  • The higher prevalence of ADHD diagnosis and stimulant prescribing in rural areas likely results from a greater need for such treatment, based on scores from the Columbia Impairment Scale.
  • Among those with a possible mental health impairment, rural children are less likely to be diagnosed with a psychiatric illness other than ADHD and are less likely to receive counseling.
  • Higher rates of poverty, public coverage, and mental health impairment among rural children explain their greater likelihood of a mental health prescription and stimulant use.

Suggested citation: Anderson, N., Neuwirth, S., Lenardson, J.D., & Hartley, D. (2013, April). Rural children experience different rates of mental health diagnosis and treatment. (Research & Policy Brief). Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.

Publish Date: 
04-30-2013
URL: 
http://muskie.usm.maine.edu/Publications/MRHRC/Rural-Children-Mental-Health_PolicyBrief.pdf

Behavioral Risk Factor Surveillance System (BRFSS) Data Management & Analysis 2012-2013

Duration: 
10/1/2012 - 9/30/2013
Collaborators: 
Maine CDC
Abstract: 

Behavioral Risk Factor Surveillance System is one of Maine’s standard health behavior surveillance systems, data from which informs policy development, program planning, and other public health interventions for chronic disease prevention. This project will assist the Maine BRFSS coordinator and the Maine CDC to achieve BRFSS objectives. Muskie School staff will update the BRFSS interactive web query as well as maintain multiple-year standardized datasets, add the most recent year of data, and update documentation. Muskie staff will also perform other analyses as necessary, including multivariate and trend analyses to help the Maine CDC better understand prevalence, risk factors and disease management for health behaviors and conditions (such as diabetes, asthma, and cardiovascular disease) that impose a heavy burden on the residents of Maine and its health care system.

Maine Rural Health Research Center 2012

Duration: 
9/1/2012 - 8/31/2013
Director: 
Principal Investigator: 
Abstract: 

Established in 1992, the mission of the Maine Rural Health Research Center is to inform health care policy making and the delivery of rural health services through high quality, policy-relevant research, policy analysis and technical assistance on rural health issues of regional and national significance. The Center's core funding is provided by the federal Office of Rural Health Policy.

Project URL: 
http://muskie.usm.maine.edu/ihp/ruralhealth/

Integrating care in rural areas

Abstract: 

Citation: Lambert, D., & Gale, J.A. (2012). Integrating care in rural areas. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. (pp. 131-148). New York, NY: Springer Publishing Co.

Publish Date: 
08-01-2012

Substance abuse and use in rural America

Abstract: 

Citation: Lenardson, J., Hartley, D., Gale, J.A., & Pearson, K.B. (2012). Substance use and abuse in rural America. In Smalley, K.B., Warren, J.C., & Rainer, J.P. (Eds.), Rural Mental Health. (pp. 191-212). New York, NY: Springer Publishing Co.

Publish Date: 
08-01-2012

Medicaid Managed Behavioral Health in Rural Areas

Publish Date: 
01-01-2001
URL: 
http://www.muskie.usm.maine.edu/Publications/rural/wp24.pdf

State Licensure Laws and the Mental Health Professions: Implications for the Rural Mental Health Workforce. Executive Summary

Abstract: 

It is well-established that rural communities suffer disproportionatley from a shortage of mental health professionals. Non-physician mental health professionals include psychologists, social workers, marriage and family therapists, and licensed professional counselors. This study investigates whether and to what extent licensure laws that determine the permissible scope of practice for each of these professions may affect the availability of mental health services.
This study examines licensure statutes and administrative rules for these professions in all states with at least ten percent of the population living in rural areas (total of 40 states). To determine scope of practice for each of these mental health professions, we examined their legal authority to provide five core mental health services: assessment, diagnosis, treatment planning, individual and group counseling, and psychotherapy. Since prescriptive authority had not been granted to any of these professions at the time of our study, this function was excluded from our analysis.

Publish Date: 
05-01-2002
URL: 
http://www.usm.maine.edu/Publications/rural/wp29.pdf

Policy Leaders Academy: Legislative Forum on Healthcare

Duration: 
1/1/2006 - 1/2/2007
Director: 
Principal Investigator: 
Abstract: 

With funding from the Maine Health Access Foundation, Muskie School faculty and staff worked with the Maine Development Foundation and the Margaret Chase Smith Policy Center at the University of Maine to develop and deliver a day-long educational forum for the Maine legislature on health care on January 26, 2007. In addition to a keynote address by Dr. Karen Davis from the Commonwealth Fund, breakout sessions with accompanying Issue Briefs were held on a variety of topics including Medicaid, rural health, workforce, health information technology, state health reform, Maine?s Dirigo health reform initiative, behavioral health, public health, and Maine?s aging population. All Issue Briefs and presentations from the Forum are available for viewing and download from the Muskie School?s website at http://muskie.usm maine.edu

Continuing Education in Behavioral Health 06/07

Duration: 
1/1/2006 - 1/30/2007
Abstract: 

Expanding the qualified workforce in pbulic sector behavioral health is critical to the delivery and administration of quality services across Maine. This proposal continues the collaboration among 5 UMS programs to work directly with public mental health sector officials in linking best practice knowledge with policy and field experience. Students and faculty from a variety of disciplines gain valuable experience with the public sector. Funded interships contribute to an expanded, well trained workforce for Maine's mental health system.

MaineCare and State-Funded Substance Abuse Expenditures

Duration: 
1/1/2005 - 1/31/2006
Director: 
Collaborators: 
Lambert, David
Abstract: 

Muskie School staff assisted the Maine Department of Health and Human Services to identify state expenditures on substance abuse services, for use in developing a managed behavioral health care initiative.

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