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Achieving Behavioral Health Equity for Children, Families, and Communities Proceedings of a Workshop (2019) / Chapter Skim
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4 Addressing Quality and Access: Promoting Behavioral Health in Rural Communities
Pages 27-36

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From page 27...
... Kelly Kelleher, Nationwide Children's Hospital, urged celebration of the fact that children in general are healthier today than they have been at any other time in the nation's history. With safer health care for children, higher immunization rates, and declining infant mortality rates in most places, there is much to highlight.
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From page 28...
... Panel presenters were Keith Mueller, University of Iowa, who gave an overview of behavioral health services in rural communities nationwide, and Christine Vining, University of New Mexico, who focused on behavioral health for tribal children and families. ACCESSING BEHAVIORAL HEALTH SERVICES IN RURAL COMMUNITIES To provide a high-level perspective on accessing behavioral health services in rural communities, Keith Mueller looked across progress in three areas of behavioral health services: accessibility, affordability, and availability.
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From page 29...
... Variability of health care plans -- across riders, deductibles, providers, medication formularies, benefit designs, copayments, and co-insurance -- is a consequence of public policies that influence options for consumers. Provisions and riders, Mueller stated, may affect eligibility and coverage conditions, including preexisting condition riders and lifetime limit clauses.
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From page 30...
... model attracts organizations that want to rethink how health care dollars are spent. Strategies include care management that extends beyond traditional models.
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From page 31...
... The future, he stated includes implementing a holistic approach to health and well-being (including from the health care organization) , incorporating behavioral health services, and providing financial incentives that may drive desirable system change.
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From page 32...
... Native American populations experience a disproportionate disease burden because of i ­nadequate education, disproportionate poverty, discrimination in health care services, and cultural differences. The Indian Health Service documents that death rates are higher for American Indians than the general population, with causes of death including alcoholism, diabetes, unintentional injuries, homicide, and suicide.
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From page 33...
...   Opportunities Vining noted opportunities for improving behavioral health services for tribal children and families. To start, she highlighted the need to provide a full range of mental health support services for all family members using culturally sensitive approaches.
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From page 34...
... Examples include creating and sustaining meaningful partnerships with key community representatives; communicating and sharing information with providers, policy makers, and families; exploring specific community strengths and needs; and embracing the communities and families in planning, implementing, and evaluating services. Vining also highlighted the value of incorporating strengths into culture-based models, which results in developing a shared sense of collective community responsibility; understanding and utilizing indigenous generational knowledge and wisdom; connecting with the past using a historical perspective; reclaiming traditional language and practices; and navigating between Western and tribal cultures.
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From page 35...
...   Another participant noted that the experiences and barriers rural communities face are similar to those in low-income countries: language and cultural barriers, lack of community capacity, and lack of terminology to name conditions in Native languages. He inquired about opportunities for building local capacity through public health strategies.
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Key Terms

  • behavioral health
  • rural residents
  • indian health
  • accountable care
  • care organizations

  • mueller noted
  • rural health
  • accessing health
  • include rural
  • rural policy

  • accessing behavioral
  • care organization
  • american indian
  • difficulty accessing
  • keith mueller

  • form follows
  • christine vining
  • mortality rates
  • tribal children
  • institute center

  • follows finance
  • care health
  • rural service
  • promoting health
  • health options

  • community health
  • traditional health
  • health support
  • safer health
  • ioral health


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