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

Emily M. Selby-Nelson, Joshua M. Bradley, Rebekah A. Schiefer, Alysia Hoover-Thompson

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


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. In this commentary, the authors present trends in integrated behavioral health service delivery in rural integrated primary care settings. Flexible and creative strategies are proposed to promote increased access to integrated behavioral health services, while simultaneously addressing patient care needs that arise as a result of the barriers to treatment that are prevalent in rural communities.

Original languageEnglish (US)
Pages (from-to)528-534
Number of pages7
JournalFamilies, Systems and Health
Issue number4
StatePublished - Dec 2018


  • Integrated behavioral health
  • Integrated primary care
  • Rural
  • Rural health

ASJC Scopus subject areas

  • Applied Psychology
  • Psychiatry and Mental health


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