Popis: |
Rural areas are frequently envisioned as non-changing and homogeneous communities immune to the difficulties associated with modern urban life. In this chapter, we first explore some of the powerful stereotypes of rural communities that have influenced the development of social and health policy in the past century. Second, we try to show the diversity among rural environments and its importance in mental health policy and service development. Third, we identify potential processes and structures by which public mental health services may be organized. The Community Mental Health Centers Act of 1963 in the United States is reconsidered as an effort to develop a locally controlled mental health system, and recent infrastructure consistent with the Affordable Care Act in the context of schools is discussed. Because educational systems are a common institutional presence in most, if not all, rural areas, they provide reasonable and potentially equitable vehicles for thoughtful, context-driven mental health service collaboration and delivery for children and families. |