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Journal of Applied Gerontology
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Article

Mental Health Services for Older Adults in Rural Areas: An Ecological Systems Approach

Gregory F. Sanders*, Margaret A. Fitzgerald, and Marlys Bratteli

* To whom correspondence should be addressed. E-mail: Greg.Sanders{at}ndsu.edu.


   Abstract
Groups of North Dakota professionals from health and aging services participated in a focus group study of mental health needs and barriers to service among older adults. Data were collected from 13 focus groups that included human service providers, public health nurses, outreach workers, and advisory groups who discuss mental health and aging issues in a number of ecological systems contexts. Lack of knowledgeable care providers, funding cutbacks, accessibility of services, and ageism were frequently cited barriers to mental health services for older adults in rural areas. Focus groups also discussed the needs of older adults including information on services, how to access services, the need for service providers in rural areas, and routine assessments by physicians. Participants suggested that the main needs of providers were education, more services, and changes or flexibility in the types of services.

First published on March 11, 2008, doi:10.1177/0733464807311646

Journal of Applied Gerontology 2008;27:252.

A more recent version of this article appeared on June 1, 2008


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