The past year prevalence of serious mental illness (SMI) was significantly higher among non-metropolitan than metropolitan (5.90% vs. 5.18%, P < .03) adults.
Only 67.58% of non-metropolitan and 64.29% of metropolitan adults with SMI received any mental health (MH) treatment in the past year.
Additional analyses revealed the following non-metropolitan/metropolitan treatment differences:
- A higher percentage of non-metropolitan than metropolitan adults with SMI received only medication for MH treatment (24.50% vs. 18.53%, P < .02).
- A higher percentage of metropolitan than non-metropolitan adults with SMI received inpatient, outpatient, and medication (5.42% vs. 2.63%, P < .02).
- A significantly higher percentage of non-metropolitan than metropolitan adults with SMI reported that they did not seek mental health treatment because they had no transportation or treatment was inconvenient (11.57% vs. 6.87%, P < .03).
This project was supported by the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services (HHS) under cooperative agreement # U1CRH30041.
Borders, Tyrone F. and Williams, Timothy, "Serious Mental Illness and Mental Health Treatment Utilization among Adults Residing in Non-Metropolitan and Metropolitan Counties" (2022). Rural & Underserved Health Research Center Publications. 20.