The past year prevalence of serious mental illness (SMI)
was significantly higher among non-metropolitan than
metropolitan (5.90% vs. 5.18%, P < .03) adults, and
only 67.58% of non-metropolitan and 64.29% of
metropolitan adults with SMI received any mental health
treatment in the past year. Additional analyses revealed
further non-metropolitan/metropolitan medication,
inpatient, and outpatient treatment differences.
Regardless of county type, unmet treatment needs remain.
The most commonly reported barriers to receiving mental
health treatment among persons with SMI were not knowing
where to go, a fear of being committed/medicated, and not
having time for treatment.