De facto mental health services in the rural south.

Journal Article (Review;Journal Article)

Health care reform efforts highlighted the continuing scarcity of mental health services for the rural poor. Most mental health services are provided in the general medical sector, a concept first described by Regier and colleagues in 1978 as the de facto mental health service system, rather than through formal mental health specialist services. The de facto system combines specialty mental health services with general medical services such as primary care and nursing home care, ministers and counselors, self-help groups, families, and friends. The nature of the de facto system in rural areas with large minority populations remains largely unknown due to minimal available data. This article examines the availability, accessibility, and use of mental health services in the rural South and the applicability of the de facto model to rural areas. The critical need for data necessary to inform changes in health care relative to rural mental health service delivery is emphasized.

Full Text

Duke Authors

Cited Authors

  • Fox, J; Merwin, E; Blank, M

Published Date

  • January 1995

Published In

Volume / Issue

  • 6 / 4

Start / End Page

  • 434 - 468

PubMed ID

  • 7495936

Electronic International Standard Serial Number (EISSN)

  • 1548-6869

International Standard Serial Number (ISSN)

  • 1049-2089

Digital Object Identifier (DOI)

  • 10.1353/hpu.2010.0003


  • eng