WICHE Center for Rural Mental Health Research

Products

Listed by publication date. You can also view these publications alphabetically.

For a complete list of publications from the Center, which may include older publications and publications funded by other sources, please see the Center's website.

2010

2009

2007

  • Preventing Hospitalizations in Depressed Rural Primary Care Patients
    WICHE Center for Rural Mental Health Research
    Date: 05/2007
    Investigated the substitution of higher cost hospitalization for lower cost outpatient specialty care for depression and the extent to which insurance barriers impact service substitution patterns of outpatient specialty care for depression in rural and urban areas. The study found depressed rural patients were hospitalized more than urban.

2006

  • Mental Health and Rural America: 1994-2005
    WICHE Center for Rural Mental Health Research
    Date: 2006
    Provides a summary of the current knowledge base surrounding mental health issues in America's rural and frontier areas and an overview of the environment of mental health in rural areas over three decades. Includes an annotated bibliography.
  • Stakeholder Benefit From Depression Disease Management: Differences by Rurality?
    WICHE Center for Rural Mental Health Research
    Date: 2006
    Despite increasing consensus about the value of depression disease management programs, the field has not identified which stakeholders should absorb the relatively small additional costs associated with these programs. This paper investigates whether two stakeholder groups economically benefit from improved depression.

2005

  • Community-Level Risk Factors for Depression Hospitalizations
    Policy Brief
    WICHE Center for Rural Mental Health Research
    Date: 09/2005
    Examines the association between depression hospitalization rates and community-level socio-demographic, economic, and health care system characteristics.
  • Differential Effectiveness of Enhanced Depression Treatment for Rural and Urban Primary Care Patients
    WICHE Center for Rural Mental Health Research
    Date: 09/2005
    Explored whether a depression disease management program has a comparable impact on clinical outcomes over 2 years in patients treated in rural and urban primary care practices. The study found that depression disease management improved the mental health status of urban patients over 18 months but not rural patients.
  • Are Primary Care Services a Substitute or Complement for Specialty and Inpatient Services?
    WICHE Center for Rural Mental Health Research
    Date: 2005
    Change in distance to primary care was a significant and substantial predictor of change in primary care visits. Analyses indicated that an increase in primary care service use was associated with increases in the use of all specialty outpatient services and inpatient services, as well as increases in inpatient and outpatient costs. Results provide evidence that health systems can implement strategies to encourage their members to use more primary care services without driving up physical health costs.
  • Does Improving Geographic Access to VA Primary Care Services Impact Patients' Patterns of Utilization and Costs?
    WICHE Center for Rural Mental Health Research
    Date: 2005
    The Department of Veterans Affairs (VA) has established community-based outpatient clinics (CBOCs) across the country to improve veterans' access to and use of primary care services, thereby decreasing the need for costly specialty outpatient and inpatient care. Examines whether the establishment of CBOCs has affected access, use, and costs for VA.