SLIDE 1 Rural Resiliency – How to support mental health in rural communities
North Carolina Agromedicine Institute
NC State University Extension
SLIDE 2 Agenda
- The state of Rural Mental Health – American Farm
Bureau Survey
- Everywhere we go we hear similar stories –
compounded stressors
- Rural Health care
- Some innovative ideas & programs
- Community Development’s Role
- Promising Partnerships
- Resources
SLIDE 3 American Farm Bureau Poll
- April 4-10, 2019
- N=81 a survey was sent online to 2004 rural residents
- https://www.fb.org/files/AFBF_Rural_Stress_Polling_Pre
sentation_04.16.19.pdf
SLIDE 4
Mental Health is declining
SLIDE 5
It’s worse among young farmers
SLIDE 6
Self-medication is an Issue
SLIDE 7
SLIDE 8
Compounded Stress
▪ Increased production costs ▪ Tariffs ▪ Foreign competition ▪ Weather ▪ Increased labor costs ▪ Tax re-evaluations ▪ Media/Public perception ▪ Environmentalists ▪ Intergenerational tension ▪ Development encroachment ▪ Litigation ▪ Commodity of scale ▪ Immigration ▪ Regulation ▪Contract instability ▪The ‘next best thing’ ▪ Supply chain issues
SLIDE 9
How do farmers manage stress?
✓ Figure and Reassure ✓ Distraction ✓ Repression ✓ Faith ✓ Broaden and Build (positive reserves) ✓ Communication
SLIDE 10
SLIDE 11
Health Professional Shortage Area
SLIDE 12
Adult access to care
SLIDE 13
Youth Access to Mental Health Care
SLIDE 14
Promising Practice
SLIDE 15
Some innovative ideas and programs
▪ Farm Partners Program ▪ Farm Theater ▪ Manitoba Farm, Rural & Northern Support
SLIDE 16
What is Community Development’s Role
SLIDE 17
Promising Partnerships
▪American Foundation for Suicide Prevention ▪Mental Health First Aid ▪Eastern Area Health Education Center ▪Farm Credit ▪Farm Services Agency ▪NC Agribusiness Council ▪Commodity Associations ▪NC Department of Agriculture & Consumer Services ▪Veterans Farm of NC ▪Public/Private Behavioral Health Care Providers ▪Public/Private Healthcare Providers ▪Faith-based organizations ▪NC Farm Bureau ▪NC Grange ▪NC Tobacco Trust Fund Commission ▪Rural Health Leadership Alliance ▪Students ▪Farmers & their families
SLIDE 18 Resources
▪ American Foundation for Suicide Prevention www.afsp.org ▪ Ask in Earnest www.askinearnest.org ▪ Manitoba Farm, Rural & Northern Support Services https://supportline.ca/ ▪ Mental Health First Aid www.mentalhealthfirstaid.org ▪ Michigan State University Extension https://www.canr.msu.edu/managing_farm_stress/ ▪ New York Center for Agricultural Medicine & Health Farm Partners https://www.nycamh.org/programs-and-services/farm-partners.php
SLIDE 19 Resources
▪ North Carolina Farm Stress Resource Guide http://www.ncagromedicine.org/pdf/Resource%20Guide%2071519.pdf ▪ North Carolina StatewideTelepsychiatry Program (NC-STeP) https://www.ncdhhs.gov/divisions/office-rural-health/office-rural-health-pr
- grams/statewide-telepsychiatry-program
▪ North Dakota State University Extension https://www.ag.ndsu.edu/farmranchstress ▪ University of Maryland Extension https://extension.umd.edu/FarmStressManagement ▪ University of Kentucky Farm Theater https://blogs.cdc.gov/niosh-science-blog/2019/05/10/farm-theater/ For more information, contact Dr. Deborah Reed dbreed01@email.uky.edu or Dr. Robin Tutor Marcom tutorr@ecu.edu
SLIDE 20
Questions?
tutorr@ecu.edu Susan_jakes@ncsu.edu
