A number of studies report that rural populations have poor access to mental health services (1, 2). States in the rural West provide some indication of what such limited access looks like. In 2003, 45 of 56 Montana counties lacked a psychiatrist (3). The same source indicated that those who do practice usually choose to live in the larger cities. Of the 74 licensed psychiatrists listed in this resource file, the majority reside within 5 more urban counties. In Idaho, 31 of 44 counties have no psychiatrist, in North Dakota 47 of 53 counties lack a psychiatrist, and in South Dakota 56 of 66 counties lack a psychiatrist (3). Bleak as these statistics are, they may actually paint an overly rosy picture. In early 2007, a review of Internet listings (4) for psychiatrists in Montana resulted in the identification of only 52. The telephone books listing of psychiatrists in Missoula County and surrounding counties included only six psychiatrists (one child and five adults). None of those listed were accepting new patients, and none accepted Medicaid. With further investigation, we were able to locate one provider who accepted one Medicaid patient per year with the next potential opening in
Hide and Seek: The Elusive Rural Psychiatrist
Abstract
A number of studies report that rural populations have poor access to mental health services (1, 2). States in the rural West provide some indication of what such limited access looks like. In 2003, 45 of 56 Montana counties lacked a psychiatrist (3). The same source indicated that those who do practice usually choose to live in the larger cities. Of the 74 licensed psychiatrists listed in this resource file, the majority reside within 5 more urban counties. In Idaho, 31 of 44 counties have no psychiatrist, in North Dakota 47 of 53 counties lack a psychiatrist, and in South Dakota 56 of 66 counties lack a psychiatrist (3). Bleak as these statistics are, they may actually paint an overly rosy picture. In early 2007, a review of Internet listings (4) for psychiatrists in Montana resulted in the identification of only 52. The telephone books listing of psychiatrists in Missoula County and surrounding counties included only six psychiatrists (one child and five adults). None of those listed were accepting new patients, and none accepted Medicaid. With further investigation, we were able to locate one provider who accepted one Medicaid patient per year with the next potential opening in
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Hide and Seek: The Elusive Rural Psychiatrist
Freeman Cook, Ann; Hoas, Helena
Follow Academic Psychiatry
, Volume 31 (6): 419
American Psychiatric Publishing, Inc (Journal) – Dec 1, 2007
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