PDF | EPUB | Vol. 16, No. 1 (2020)
About 1 in 4 British Columbians live in small or rural communities. However, mental health, substance use, and other health services are often located in large urban centres. The process of regionalizing and urbanizing health care—placing services in urban centres to save money—means that the nearest help may be hundreds of kilometres away. Untreated or poorly treated mental health and substance use problems take a toll on individuals, their family and friends, and the entire community. Interwoven into rural, remote, and northern health is trauma and racism—Indigenous people are the largest group living in remote communities. However, rural and remote communities continue to develop new approaches that meet their needs. In this issue of Visions, we explore some of the barriers that rural, remote, and northern British Columbians face as well as the programs and services that bring health and well-being closer to home.
Background
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Editor's Message
(Sarah Hamid-Balma) -
Spotlight on Mental Health in Rural BC
(Edward Staples) -
Rigorous Evidence for Rural Health Care Planning: Understanding Outpatient Substance Use Treatment for British Columbia’s Rural and Remote First Nations
(Jude Kornelsen, Christine Carthew and Nicholas Lloyd-Kuzik)
Experiences and Perspectives
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It Is Different in the North
(Shamalla M.L.) -
Going Mental in a Small Town
(Michael J.) -
Longing and Belonging: Navigating cultural expectations, stigma and the mental health care system in a small town
(Navjot K. Gill) -
Up and Down in a Small Town: A youth’s perspective on living in a rural community
(Bailee Lyons) -
Our Journey: The story of a single father of a child with special needs
(Jim)
Alternatives and Approaches
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Life on an Island Doesn’t Have to Mean Isolation: Building new models of care in the Salt Spring community
(David Norget and William MacPherson) -
Small Town, Big Heart: How our Canadian Mental Health Association office came to be
(Stephanie Aaslie and Kirsten Balaski) -
First Nations Virtual Doctor of the Day Program
(Kelsey Louie) -
Home Away from Home: How MOSAIC and its partner organizations support migrant workers in BC
(Dennis Juarez) -
Catching Those Who Fall between the Cracks: The role of the community outreach worker in rural health care
(Jenny Pedwell)