In Canada's two-tiered mental health system, access to care is especially challenging in rural areas

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Rural clinicians are reporting increased demand for mental health services. This might be quickly interpreted to signal a higher degree of distress rates. However, it might instead be a sign that there are not enough psychologists — let alone integrated inter-professional mental health teams — to meet rural Canadians’ needs.

While the Canadian government has announced billions in additional funding for mental health care and addictions, experts and practitioners acknowledge that the public system has not kept up with needs. Investment is needed so that we can address the exodus of psychologists exiting the public system for private practice.Article contentPsychologists are experts in mental health and provide essential services in identifying and treating behavioural disorders and difficulties.

Rural psychologists also need to work collaboratively with other health-care providers and mental health practitioners including counsellors, social workers and physicians. Noting of course, that these professions are also disproportionately allocated to urban settings. Ultimately, this movement means that experts in mental health are accessible only to those who can afford them. Further, the private system tends to provide service in an out-patient setting to clients who are generally functioning in their day-to-day lives, whereas the public system serves a wider range including inpatient and high-needs care.

 

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