Cutler Institute for Health and Social Policy

Population Health and Health Policy

Provision of Specialty Mental Health Services by Rural Health Clinics

1/1/2005 - 1/3/2006
John Gale
Principal Investigator: 
David Hartley, Ph.D., M.H.A.
Research Staff: 
David Hartley, Ph.D., M.H.A.
John Gale
David Hartley, Ph.D., M.H.A.
David Lambert

<p>It has been well established that the primary care system delivers a substantial proportion of mental health services in rural areas, due primarily to the shortage of specialty mental health services. As a result, primary care settings form a major element of the rural MH delivery system.<p>

<p>Rural Health Clinics are an important part of the rural primary care infrastructure with close to 3,500 clinics providing primary care services to rural residents. Since the late 1980's, Rural Health Clinics have be eligible to receive cost-based Medicare and Medicaid reimbursement for the services of clinical psychologists and social workers practicing in these settings. Despite this incentive, few Rural Health Clinics have chosen to do so.<p>

<p>Given the critical need for mental health care in rural areas, this study will explore why more Rural Health Clinics are not providing specialty mental health services. It will do so through an analysis of Rural Health Clinic cost reports to identify all RHCs currently offering specialty mental health services and to analyze the organization characteritics of those offering these services compared to those that are not. We will then interview a subset of those Rural Health Clinics who are offering specialty mental health services to determine how they developed the service, any barriers they have encountered, and how these barriers were overcome.<p>

Start Date: 
Sat, 2005-01-01
End Date: 
Tue, 2006-01-03
Legacy Muskie ID: 
3 327

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Hartley Retires as Director of the Maine Rural Health Research Center

David Hartley, PhD

David Hartley, PhD, the Director of the Maine Rural Health Research Center (MRHRC) and a Research Professor of Public Health has announced that he will be retiring from the University of Southern Maine August 31st, 2014. David came to the University in 1994 and has directed the MRHRC since 2004. Andy Coburn, PhD, Research Professor of Public Health, will take over as the new MRHRC Director. Erika Ziller, PhD continues in her role as Deputy Director. David has had a distinguished career in rural health and rural health research, and has made lasting contributions to the field with his work on rural behavioral health, rural disparities and health, and rural active living.

A celebration will be scheduled in early fall to honor David and his many contributions to the field and the University.


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