Page 104 - South Mississippi Living - January, 2026

HEALTHY LIVING
story by
Dr. Nickie Harris-Ray
The term “rural” may carry various meanings and images, such as farms, vast landscapes, or small towns. For some, it represents a state of mind or a particular feeling. Others may argue that its definition can be measured by factors such as population density. However, most definitions seek to describe something that is socially and geographically distinct from urban areas.
Although the number of Americans living in rural areas has been declining, it is still significant. According to the U.S. Census Bureau, 19 percent of the population resides in rural areas, and 75 percent of the U.S. landmass is nonmetropolitan. Globally, about 3.4 billion people live in rural areas, accounting for nearly half of the world’s population. Many individuals in these rural populations struggle with health and access to healthcare.
Rural patients often face challenges due to their remote locations and limited access to healthcare services. These individuals tend to be older, have higher instances of chronic diseases, and are more likely to be uninsured or face financial constraints. As a result, the CDC reports that rural residents experience higher rates of mental health issues, including substance abuse and depression, compared to their urban counterparts. The combination of aging, limited financial
resources, and
reduced access to healthcare
worsens these conditions,
underscoring the need for targeted
support and resources in small communities.
For some individuals, treatment from their primary
healthcare provider is sufficient. However, complex cases can pose significant challenges, with few referral options available. In many rural areas, mental health assistance is often provided by social workers, psychologists, educators, and clergy, while the presence of a psychiatrist in such communities is uncommon.
Fortunately, help is evolving. Telemedicine presents a promising solution for mental health care in rural areas. The Veterans Administration has utilized this approach for psychiatric
services for over 20 years. E-consults with rural providers and direct psychotherapy sessions between patients and distant mental health professionals are being effectively implemented
in communities across the U.S. and internationally. The advancement of cellular technology also holds promise for these services in many locations worldwide where traditional Internet access is unavailable.
104 | January 2026 www.smliving.net | SOUTH MISSISSIPPI Living
HEALTH
in Rural Populations