Cutler Institute for Health and Social Policy

Population Health and Health Policy

Rural Adults Face Parity Problems and Other Barriers to Appropriate Mental Health Care


Findings suggest that a multi-level approach is essential for meeting the mental health service needs of rural residents.<p></p>
Key facts:<li>
8% of rural adults say that they are in "fair" or "poor" mental health versus 6% of urban adults;
<li>Among those using mental health services, rural residents are more likely than urban residents to use medication but not therapy. Practice guidelines for quality mental health treatment recommend that medications be given in combination with therapy;
<li>Both rural and urban adults have greater cost sharing for their mental health care than for their total health care use. The percentages do not differ by residence; however, rural residents may be at greater risk of forgoing mental health care due to costs.</li>

Publication Type: 
Research and Policy Brief
Publish Date: 
November 30, 2008

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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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