{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:51:19Z","timestamp":1791532279921,"version":"4.3.4"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:00:00Z","timestamp":1791504000000},"content-version":"vor","delay-in-days":38,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural youth face barriers to mental health service access, including provider shortages, stigma, geographic isolation, and financial constraints. Community\u2010engaged approaches are essential for developing contextually appropriate solutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used Group Concept Mapping, a participatory research method, to identify strategies for improving mental health service access for rural youth in three counties in northeastern Washington State. Adult community members participated in brainstorming, sorting, and rating potential solutions. Statements were rated on perceived impact and perceived equity dimensions and analyzed to identify thematic clusters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis yielded eight thematic clusters: Youth Life Skills Development, Community\u2010Based Training &amp; Education, Community Support Systems, Community Awareness &amp; Engagement, Mental Health Services Delivery &amp; Access, Affordability, School\u2010Based Mental Health Services, and Capacity\u2010Building in Schools. The Affordability cluster received the highest ratings for both impact and equity. Notably, 72.7% of statements in the Capacity\u2010Building in Schools cluster fell in the \u201cgo\u2010zone\u201d (above the overall mean for both perceived impact and perceived equity). Strategies related to de\u2010stigmatization, mental health education, and workforce development were highly rated across clusters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Rural stakeholders prioritized school\u2010based interventions, affordability, and mental health education as key strategies to improve access to youth mental health services. Findings highlight the importance of leveraging existing community infrastructure, particularly schools, and addressing mental health workforce shortages. Ratings reflect adult perceptions; youth were not participants. Future research should include youth perspectives and evaluate the feasibility of implementing these community\u2010identified strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70227","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:39:25Z","timestamp":1791531565000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adult Community Perspectives on Improving Rural Youth Access to Mental Health Services: A Participatory Group Concept Mapping Study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7659-2634","authenticated-orcid":false,"given":"Janessa M.","family":"Graves","sequence":"first","affiliation":[{"name":"Department of Family Medicine WWAMI Rural Health Research Center School of Medicine University of Washington  Seattle Washington USA"},{"name":"Nursing and Systems Science Department College of Nursing Washington State University Spokane Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4234-128X","authenticated-orcid":false,"given":"Demetrius A.","family":"Abshire","sequence":"additional","affiliation":[{"name":"Biobehavioral Health and Nursing Science Department College of Nursing University of South Carolina  Columbia South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9135-7811","authenticated-orcid":false,"given":"Jessica L.","family":"Mackelprang","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7673-1374","authenticated-orcid":false,"given":"Kailee","family":"Parrott","sequence":"additional","affiliation":[{"name":"Nursing and Systems Science Department College of Nursing Washington State University Spokane Washington USA"},{"name":"Department of Chemistry University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102176"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.42"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12644"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12504"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.01.004"},{"key":"e_1_2_10_7_1","unstructured":"Rural Health Information Hub (RHIhub) \u201cBarriers to Mental Health Treatment in Rural Areas \u201d updated 2023 accessed July 28 2023 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