Cutler Institute for Health and Social Policy

Population Health and Health Policy, Maine Rural Health Research Center

Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care

Abstract: 

Despite high levels of need, individuals in long-term care often fail to receive appropriate mental health services, especially in rural areas. In this report (and accompanying Research & Policy Brief), we consider challenges and opportunities for improving mental health treatment delivered to long-term care recipients in rural settings. As background, we note the prevalence of mental health problems in long-term care populations, describe deficiencies in the mental health care afforded to long-term care recipients, and identify barriers that hinder the remediation of these deficiencies in rural settings. We also outline a rationale for enhancing mental health services in long-term care. We then discuss new approaches that have been implemented or could be used to effect positive transformations in the delivery of mental health services to rural long-term care populations. We underscore the potential for synergies between these innovations and provisions introduced under the Affordable Care Act (ACA) of 2010. Finally, we delineate policy considerations for promoting new mental health service models in rural long-term care settings.

Suggested citation:

Talbot, J.A., & Coburn, A.F. (2013, June). Challenges and opportunities for improving mental health services in rural long-term care. (Working Paper #50). Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center.

Publication Type: 
Report
Publish Date: 
June 20, 2013
URL: 
http://muskie.usm.maine.edu/Publications/MRHRC/WP50-Rural-Mental-Health-Services-LTC.pdf

Profile of Rural Residential Care Facilities Chartbook

Profile of Rural Residential Care Chartbook Cover

Using data from the 2010 National Survey of Residential Care Facilities, this chartbook from the Maine Rural Health Research Center presents information on a slice of the rural LTSS continuum—the rural residential care facility (RCF).  Survey results identify important national and regional differences between rural and urban RCFs, focusing on the facility, resident and service characteristics of RCFs and their ability to meet the LTSS needs of residents.

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