Evidence map›Paper›PMID 37314531›Full record

ReviewCommunity mental health journal2023

Challenges and Ethical Implications in Rural Community Mental Health: The Role of Mental Health Providers.

Amanda Palomin, Julie Takishima-Lacasa, Emily Selby-Nelson, Alfonso Mercado

Abstract readReview
PubMed Publisher
In one paragraph

Review in Community mental health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Biofeedback-based Digital Games and Well-being in Childhood: A Systematic Review.Research on child and adolescent psychopathology · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Resilience among Rural Public Health Leaders during the COVID-19 Pandemic: A Hermeneutic Phenomenological Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Amanda PalominDepartment of Psychological Science, University of Texas Rio Grande Valley, 1201 W. University Dr, Edinburg, TX, 78539, USA. Amanda.palomin01@utrgv.edu.ORCID 0000-0003-1032-0406
Julie Takishima-LacasaManakai O Malama, Hawaii, USA.
Emily Selby-NelsonCabin Creek Health System, Charleston, WV, USA.
Alfonso MercadoDepartment of Psychological Science, University of Texas Rio Grande Valley, 1201 W. University Dr, Edinburg, TX, 78539, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This manuscript reviews the unique challenges, barriers, and ethical implications of providing mental health services in rural and underserved areas. Community mental health centers in rural areas are often underserved due to shortages of mental health providers and limited resources. Individuals living in rural areas are at increased risk of developing mental health condition with limited access to mental health clinicians and healthcare facilities. These access to care issues are often exacerbated by geographical barriers as well as social, cultural, and economic challenges. A rural mental health professional may encounter several barriers to providing adequate care to individuals living in rural areas. For example, limited services and resources, geographic barriers, conflict between professional guidelines and community values, managing dual relationships, and challenges pertaining to confidentiality and privacy are several barriers to providing adequate care in rural areas. We will briefly summarize the primary ethical domains that are especially influenced by rural culture and the complex responsibilities of mental health providers in rural areas including barriers to care, crisis intervention, confidentiality, multiple relationships/dual roles, limits of competency, and rural mental healthcare practice implications.

Indexed as

Community Mental Health ServicesProfessional RoleRural Health ServicesConfidentialityHealth Services AccessibilityHumansRural PopulationBarriersEthicsMental health practiceRural population

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.