Sustainable Support For Rural Mental Health And Adverse Childhood Experiences

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Kellie B. Ashcraft, Professor (Creator)
Lisa Curtin Ph.D., Professor and Clinical M.A Program Director (Creator)
Annette Ward, Lecturer (Contributor)
Appalachian State University (ASU )
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Abstract: Increasing attention over the last decade has focused on rural mental health, including the impact of the “social determinants of health,” such as lack of economic opportunity, lack of affordable housing, transportation issues, social isolation, and pervasive poverty. Further, research regarding adverse childhood experiences (ACEs) has grown exponentially as urban and rural communities work collectively to address the impact of trauma and build resiliency within their communities. In this article, the diverse populations and unique characteristics of rural and Appalachian mental health are highlighted with a focus on ACEs and other risk and protective factors. The convergence of these factors and special populations are further demonstrated in one rural northwestern North Carolina county in Appalachia. In addition, targeted evidence-based and promising rural mental health practices are described. The authors conclude with recommendations and a framework for sustainable rural mental health support moving forward.

Additional Information

Ashcraft, K., Curtin, L., Crawley, J., Ward, A., Forliti, K., & Apple, S. (2021). Sustainable Support for Rural Mental Health & Adverse Childhood Experiences, The Journal of the Blue Cross NC Institute for Health & Human Services: Sustainable Health. Appalachian State University. V. 1, March 23, 2021. NC Docks permission to re-print granted by author(s). Publisher version of record available at:
Language: English
Date: 2021
rural mental health, social determinants, Sustainability, Sustainable support, health, risk, Appalachia, mental health support, economic opportunity, childhood

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