This book provides a comprehensive overview of mental health in rural America, with the goal of fostering urgently needed research and honest conversations about providing accessible, culturally competent mental health care to rural populations. Grounding the work is an explanation of the history and structure of rural mental health care, the culture of rural living among diverse groups, and the crucial "A¿s" and "S": accountability, accessibility, acceptability, affordability, and stigma. The book then examines poverty, disaster mental health, ethics in rural mental health, and school counseling. It ends with practical information and treatments for two of the most common problems, suicide and substance abuse, and a brief exploration of collaborative possibilities in rural mental health care.

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This handbook offers a comprehensive overview of school mental health (SMH) initiatives in rural areas in the United States. It offers clinical and administrative guidelines for innovative and effective programs addressing critical problems among rural youth and in areas where funding and resources are scarce. Chapters cover program development, implementation, sustainability, and evaluation; consider issues of community and policy support; address barriers to access and delivery; and debunk misconceptions about the region and its cultures. Chapters also discuss rural SMH applications relating to special populations, including students with autism, depression, anxiety, bipolar disorder, conduct disorders, and ADHD. In addition, the book examines the potential of school-based programs as a counter to the stigma and distrust of mental health services common to the region. “/div>Topics featured in the Handbook include: The value of rural SMH from an educator’s standpoint. Preventing suicide among students in rural schools. Substance abuse in rural school settings. Bullying and cyberbully among rural youth. Intergenerational patterns of mental illness in rural settings and their relevance for SMH. The importance of involving communities in culturally competent rural interventions. The Handbook of Rural School Mental Health is a must-have resource for researchers, scientist-practitioners, and graduate students in child and school psychology, educational psychology, social work/counseling, educational policymakers, pediatrics/school nursing, teaching, and teacher education.div

Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.

A century ago, most Americans had ties to the land. Now only one in fifty is engaged in farming and little more than a fourth live in rural communities. Though not new, this exodus from the land represents one of the great social movements of our age and is also symptomatic of an unparalleled transformation of our society. In Children of the Land, the authors ask whether traditional observations about farm families—strong intergenerational ties, productive roles for youth in work and social leadership, dedicated parents and a network of positive engagement in church, school, and community life—apply to three hundred Iowa children who have grown up with some tie to the land. The answer, as this study shows, is a resounding yes. In spite of the hardships they faced during the agricultural crisis of the 1980s, these children, whose lives we follow from the seventh grade to after high school graduation, proved to be remarkably successful, both academically and socially. A moving testament to the distinctly positive lifestyle of Iowa families with connections to the land, this uplifting book also suggests important routes to success for youths in other high risk settings.

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