{"id":47523,"date":"2001-03-14T00:00:00","date_gmt":"2001-03-14T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2001\/03\/14\/munroe-meyer-institute-responds-to-pediatricmental-health-needs-in-rural-nebraska\/"},"modified":"2022-08-29T10:52:59","modified_gmt":"2022-08-29T15:52:59","slug":"munroe-meyer-institute-responds-to-pediatricmental-health-needs-in-rural-nebraska","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2001\/03\/14\/munroe-meyer-institute-responds-to-pediatricmental-health-needs-in-rural-nebraska\/","title":{"rendered":"Munroe-Meyer Institute Responds to&nbsp; Pediatric\n\nMental Health Needs in Rural Nebraska"},"content":{"rendered":"<div class=\"panel body-content\"><div class=\"panel__container\"><p>&nbsp;If two adolescents in Nebraska are having mental health-related<\/p>\n<p>problems &#8212; for example, behavior disorders, anxiety disorders, adolescent<\/p>\n<p>depression, attention deficit disorders &#8212;&nbsp; and one youth is from<\/p>\n<p>Omaha, while the other from outstate, which kid has the greater access<\/p>\n<p>to the professional resources necessary to handle such issues?&nbsp; Up<\/p>\n<p>to now, the answer would be Omaha &#8212; period.<\/p>\n<p>But thanks to an innovative new program administered by the UNMC Munroe-Meyer<\/p>\n<p>Institute, a growing number of rural youths now have access to MMI mental<\/p>\n<p>health expertise right in their own pediatricians office.&nbsp; Even more<\/p>\n<p>promising, some of these same MMI doctoral students serving these adolescents<\/p>\n<p>are opting to return to those communities for professional practice.<\/p>\n<p>The family pediatrician is still the primary mental health resource<\/p>\n<p>for adolescents in rural communities, and the need for our services is<\/p>\n<p>now extraordinary, said Joe Evans, Ph.D., director of the psychology department<\/p>\n<p>at Munroe-Meyer. Eighty percent of all mental health practitioners live<\/p>\n<p>in the Omaha\/Lincoln area, leaving shortages in 83 of Nebraskas 93 counties.<\/p>\n<p>In October 1999, MMI began the first year of the three-year,&nbsp; $463,000<\/p>\n<p>Quentin N. Burdick Rural Interdisciplinary Training grant, in conjunction<\/p>\n<p>with the Nebraska Health Resources and Services Administration, to train<\/p>\n<p>pediatric behavioral health specialists to work in rural communities.&nbsp;<\/p>\n<p>In the program, doctoral students work with veteran MMI faculty members<\/p>\n<p>and professionals in providing treatment for patients in Columbus, Hastings,<\/p>\n<p>Fremont and Plattsmouth.<\/p>\n<p>MMI specialists are providing the equivalent of 40 hours of consultations<\/p>\n<p>per week in Hastings, 24 hours in Columbus, 16 hours in Fremont and eight<\/p>\n<p>in Plattsmouth.&nbsp; There currently is a waiting list of more than 50<\/p>\n<p>patients in Hastings, at least a dozen in Columbus and more calls arrive<\/p>\n<p>weekly from other rural Nebraska towns.<\/p>\n<p>In all these sites, the patients were referred by their pediatrician<\/p>\n<p>or family physician, Dr. Evans said.&nbsp; Our clinic visits to Hastings<\/p>\n<p>draw patients from a 100-miles radius.&nbsp; We even have people driving<\/p>\n<p>up from Kansas.<\/p>\n<p>The reality now is that child adolescent behavior problems are everywhere.&nbsp;<\/p>\n<p>Forty percent of our patients issues are for school-related problems,<\/p>\n<p>Attention Deficit-Hyperactivity Disorder and problems at home.<\/p>\n<p>Munroe-Meyer students not only get exposure to working in rural areas,<\/p>\n<p>but they receive invaluable experience working as part of the patients<\/p>\n<p>primary care package, Dr. Evans said.&nbsp; They pick up many tools that<\/p>\n<p>will enable them to function well after they graduate.<\/p>\n<p>And from the patients perspective, our presence in the pediatricians<\/p>\n<p>office is much more acceptable, Dr. Evans said. There is still too much<\/p>\n<p>stigma attached to mental health services in small communities.&nbsp; Local<\/p>\n<p>parents are more comfortable bringing their children to see us in the primary<\/p>\n<p>physicians office, as opposed to visiting an identified mental health<\/p>\n<p>clinic where neighbors might see them and begin to speculate.<\/p>\n<p>Students in the program have come from UNMC, UNO, Doane College, Mississippi<\/p>\n<p>State and the University of Southern Mississippi.&nbsp; Their training<\/p>\n<p>is in areas such as psychology, nursing,&nbsp; social work, counseling<\/p>\n<p>and marriage and family therapy. During the first year of the program,<\/p>\n<p>MMI specialists served more than 2,300 patient visits.<\/p>\n<p>There is no mystery as to what is likely to befall rural adolescents<\/p>\n<p>with mental health needs that are not treated, Dr. Evans said.&nbsp; Just<\/p>\n<p>as in the largest urban environments, we see outcomes of school failure,<\/p>\n<p>delinquency, involvements with substance abuse, depression and anxiety.<\/p>\n<p>The Burdick grant is a direct response to Senator Chuck Hagels challenge<\/p>\n<p>to UNMC to find ways to get more students to train,&nbsp; and ultimately<\/p>\n<p>practice, in Nebraskas rural communities.&nbsp; With the changing economics<\/p>\n<p>of many of our farming communities and the fact that big city problems<\/p>\n<p>are now showing up in rural towns, the adolescent mental health patient<\/p>\n<p>base is only going to grow and Munroe-Meyer is trying to meet these needs.<\/p>\n<p>We have four graduate students who will receive their doctorates in<\/p>\n<p>July and all four have requested rotations in rural Nebraska.&nbsp; We<\/p>\n<p>anticipate seeing more students opt for rural training as the grant progresses.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>&nbsp;If two adolescents in Nebraska are having mental health-related problems &#8212; for example, behavior disorders, anxiety disorders, adolescent depression, attention deficit disorders &#8212;&nbsp; and one youth is from Omaha, while the other from outstate, which kid has the greater access to the professional resources necessary to handle such issues?&nbsp; Up to now, the answer would [&hellip;]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47523","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Munroe-Meyer Institute Responds to&nbsp; 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