{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T09:48:50Z","timestamp":1777715330486,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"5-6","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Child Health and Human Development","award":["9R01-HD058305"],"award-info":[{"award-number":["9R01-HD058305"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Psychiatry Med"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>Free medical fairs have emerged to compensate for the lack of access to affordable health care in rural areas of the United States. Mental health services are offered less frequently than other medical services, despite a documented need, perhaps due to a belief that mental health interventions could not be effective in a single session. We examined the types of problems presented at three rural medical fairs, and whether single session mental health interventions affected participants\u2019 health confidence, distress, or progress toward health-related goals. Problems presented included mental health, legal, financial, tobacco cessation, and relationship problems. Findings indicated that, on average, participants gained health confidence and reduced distress and found the service very helpful. The majority of those reached for phone follow-up reported progress on one or more health goals. Goals that involved manageable steps within the participants\u2019 own control, such as gratitude practices or progressive muscle relaxation, were the most likely to be completed. Implementation lessons included the importance of learning about the fairs\u2019 cultures, advertising the services, location of services, being proactive in connecting with patients, and preparing resources for community referrals. Overall, findings suggest that mental health interventions can have a positive impact on some people at free medical fairs. Given that tens of thousands of people attend each year, the fairs offer a fruitful opportunity to reach some of our most underserved citizens.<\/jats:p>","DOI":"10.1177\/0091217418791441","type":"journal-article","created":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T01:01:49Z","timestamp":1537923709000},"page":"371-383","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Brief behavioral interventions at free medical fairs"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4894-1814","authenticated-orcid":false,"given":"Claudia W","family":"Allen","sequence":"first","affiliation":[{"name":"Department of Family Medicine, University of Virginia Health System, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Siedlecki","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Virginia Health System, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison G","family":"Nagel","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Virginia, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Virginia, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Datta","sequence":"additional","affiliation":[{"name":"Jefferson Digital Commons, Thomas Jefferson University, Curry School of Education, University of Virginia, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly C","family":"Henkler","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Virginia Health System, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph P","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Virginia, Charlottesville, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,9,25]]},"reference":[{"key":"bibr1-0091217418791441","doi-asserted-by":"crossref","unstructured":"Merwin E, Snyder A and Katz E. 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