Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach, describes the natural history of a project, the Mental Health and Aging Initiative (MHAI) to enhance awareness of mental health issues in rural Kentucky-Appalachian communities and overcome the reluctance of individuals in these communities to seek assistance. Funded by the United States Department of Agriculture (USDA), MHAI involved an educational intervention to improve knowledge about mental health and aging in rural Appalachian counties. The need to overcome significant community reluctance to engage in discussion of mental health resulted in significant modification of the protocol. The intervention was grounded in recognition of four key aspects of the local situation: (1) the need to understand the sensitivity of mental health as an element of rural culture; (2) the critical role of local community leaders as points of entry, acceptance, and action; (3) the need to overcome social stigma and reframe the topic of mental health in a more positive light; and (4) the need for methodological innovation in developing an empowering educational action plan oriented toward community-wide long-term impact. The intervention model that emerged from these considerations was based on engaging community leaders, providing educational and technical resources, and nurturing the acceptance by individual rural residents of responsibility for monitoring community mental health. This motif became a central theme in a strategy designed to facilitate culture change and acceptance of mental health as a community concern. It involved active engagement of community representatives in defining and implementing an intervention consistent with participatory action research as a means of empowering rural residents in monitoring and addressing sensitive health care issues. Given that many issues in rural health are difficult to address because of such sensitivity, the approach described is considered to have application in other contexts.
PLACE YOUR ADVERT HERE
- ACCOUNTING PROJECT TOPICS AND MATERIALS3553
- EDUCATION PROJECT TOPICS AND MATERIALS3486
- ENGLISH AND LINGUISTIC PROJECT TOPICS AND MATERIALS2939
- COMPUTER SCIENCE PROJECT TOPICS AND MATERIALS FINAL YEAR1274
- BANKING AND FINANCE PROJECT TOPICS AND MATERIALS1250
- BUSINESS ADMINISTRATION PROJECT TOPICS AND MATERIALS1236
- EDUCATION FOUNDATION GUIDANCE AND COUNSELLING TOPICS AND MATERIALS1045
- ZOOLOGY PROJECT TOPICS AND MATERIALS1002
- MASS COMMUNICATION PROJECT TOPICS AND MATERIALS1001
- ANIMAL SCIENCE PROJECT TOPICS AND MATERIALS978
- LAW PROJECT TOPICS AND MATERIALS896
- ARTS EDUCATION PROJECT TOPICS AND MATERIALS844
- MARKETING PROJECT TOPICS AND MATERIALS690
- AGRICULTURAL EXTENSION PROJECT TOPICS AND MATERIALS676
- PUBLIC ADMINISTRATION PROJECT TOPICS AND MATERIALS654
LATEST PROJECTS
STUDIES ON SOME ASPECTS OF ANTHRACNOSE-BLIGHT-DIEBACK COMPLEX OF CULTIVARS OF GRAPEVINES (VITIS SPP.) IN...
GENETIC VARIABILITY STUDIES OF TWENTY POTATO GENOTYPES
RELATIONSHIP OF HAEMOGLOBIN AND POTASSIUM POLYMORPHISM WITH CONFORMATION, MILK PRODUCTION AND BLOOD BIOCHEMICAL PROFILES...
ADOPTION OF AGRICULTURAL INNOVATIONS AMONG MEMBERS AND NON-MEMBERS OF WOMEN CO-OPERATIVE SOCIETIES IN OJU...
SMALL FARMER CREDIT WITH PARTICULAR REFERENCE TO NIGERIA
DISCLAIMER
All undertaking works, records and reports posted on this website, modishproject.com are the property/copyright of their individual proprietors. They are for research reference/direction purposes and the works are publicly supported. Do not present another person’s work as your own to maintain a strategic distance from counterfeiting its results. Use it as a guide and not to duplicate the work in exactly the same words (verbatim). modishproject.com is a vault of exploration works simply like academia.edu, researchgate.net, scribd.com, docsity.com, coursehero and numerous different stages where clients transfer works. The paid membership on modishproject.com is a method by which the site is kept up to help Open Education. In the event that you see your work posted here, and you need it to be eliminated/credited, it would be ideal if you call us on +2348053692035 or send us a mail along with the web address linked to the work, to [email protected]. We will answer to and honor each solicitation. Kindly note notification it might take up to 24 - 48 hours to handle your solicitation.