Primary care integration in rural areas: A community-focused approach.

Current and developing models of integrated behavioral health service delivery have proven successful for the general population; however, these approaches may not sufficiently address the unique needs of individuals living in rural and remote areas. For all communities to benefit from the opportunities that the current trend toward integration has provided, it is imperative that cultural and contextual factors be considered determining features in care delivery. Rural integrated primary care practice requires specific training, expertise, and adjustments to service delivery and intervention to best meet the needs of rural and underserved communities.

Effective support for lesbians in rural communities: the role of psychotherapy.

Most research involving lesbians has been conducted using urban or suburban samples. However, the challenges lesbians face in their rural communities differ from those encountered by lesbians in urban areas. Lesbians in rural areas face potential isolation due to the lack of a visible gay community, an overall lack of services and resources, and an often heightened experience of stigma.