There is a Road,No Simple Highway: Musings on Rural Community Practice

The article was delivered as an invited address to the 2019 SCRA Biennial. The author, the 2019 recipient of the Award for Distinguished Contributions to Practice in Community Psychology, discusses the application of community psychology practice competencies to rural mental health practice and reviews the challenges faced by rural and remote residents, and the rural idyllic myth. The author shares musings and observations of key lessons learned from mentors and practice across over three decades.     

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

Although Hawai‘i is often portrayed as an idyllic paradise and is recognized as one of the healthiest States in the United States, pervasive health disparities exist among Native Hawaiians. Similar to other indigenous populations across the globe, these disparities are linked to unjust social and economic policies rooted in colonization and historical trauma. Western‐centric efforts to address these disparities have yielded limited results. Consequently, indigenous frameworks to decolonize western‐centric research processes have emerged. The Waimānalo Pono Research Hui is an example of a community–academic partnership that uses indigenous methodologies and principles of community‐based participatory research as the foundation to engage Native Hawaiian community members in research. Monthly gatherings are held where community members and academic researchers share a meal and discuss community priorities with the goal of shaping research and programming that are rooted in Native Hawaiian values. A mission for the group has been created as well as protocols for community engagement to ensure all projects that work with the Waimānalo Pono Research Hui are ethically sound and grounded in the community's preferences, cultural knowledge, and lived experiences. Our community members continually report that the Waimānalo Pono Research Hui has positively transformed their perception of and willingness to engage in research. Similarly, university students and academic researchers express how much their knowledge about working with communities has grown and inspired them. Creating spaces for communities and researchers to build authentic relationships and engage in ongoing conversations can promote culturally grounded and community‐driven research and programming.     

Rural Chinese youth during the transition into adulthood: Family dynamics and psychological adjustment

Rural youth in China experience numerous challenges during their transition into adulthood. Yet, research on this transition and its relevant influential factors is rare. Through the lens of family systems theory, this study examined the impacts of family dynamics (i.e., interparental and parent–adolescent interactions) in adolescence on the psychological adjustment of youth as they transition into adulthood. Participants were 1330 youth and their mothers in rural Gansu. In 2004, mothers completed questionnaires of interparental and parent–adolescent interactions when youth were adolescents (M_age = 15.03, SD = 1.15). In 2009, youth completed questionnaires of depression and self-esteem when they were emerging adults (M_age = 20.03, SD = 1.15). Results of structural equation modelling suggested that while interparental interactions in adolescence were not associated with the psychological adjustment of youth in emerging adulthood, positive parent–adolescent interactions in adolescence predicted better psychological adjustment of youth in emerging adulthood. Furthermore, mediation analysis showed that although interparental interactions did not directly affect the psychological adjustment of youth, they were positively associated with parent–adolescent interactions, which in turn contributed to the psychological adjustment of youth. The results reveal an enduring influence of family dynamics on psychological adjustment among rural Chinese youth during the transition into adulthood.     

同伴友谊质量与留守儿童社会适应性的关系：有调节的中介模型

以生态系统理论为主要理论基础,对1440名农村留守儿童进行调查研究,建立农村留守儿童社会适应性的影响因素结构模型。研究发现,师生关系、友谊质量和自我意识直接影响社会适应性;亲子沟通、社会支持分别通过影响师生关系、友谊质量和自我意识而间接地影响社会适应性。应格外重视留守儿童的友谊质量及自我意识,同时加强亲子沟通,完善社会支持系统,形成学校、家庭、社会教育合力,切实提高农村留守儿童社会适应性。     

The Importance of the Community Context in the Epidemiology of Early Adolescent Substance Use and Delinquency in a Rural Sample

Considerable research has demonstrated that substance use and delinquency during early adolescence can have long-term negative health consequences. As the correlates of these behaviors cross levels and contexts, it is likely that a social ecological approach will provide insight to inform community prevention. This approach informs the present study, which focuses on developing a multiple-method measurement strategy to examine associations among community risks, resources, and rates of early adolescent substance use and delinquency in 28 rural and small town communities. Measures include five domains of community risk, four domains of community resources, and population rates of early adolescent substance use and delinquency. Results demonstrated that several measures of context were significantly associated with community rates of adolescent substance use and delinquency, and different risks and resources appear important for different outcomes. Multiple associations were curvilinear, and interactions may also be important. Findings suggest that it may be worthwhile to create and test new intervention strategies that target community factors in the pursuit of prevention.     

The Social Relations of Rural African American Early Adolescents and Proximal Impact of the School Engagement Project

This paper reports on the social relations of rural African American early adolescents and the initial impact of a multilevel universal intervention program aimed at enhancing the productive school engagement of at-risk youth. Students' school social relations were assessed with social cognitive mapping procedures that yield information on peer group membership and social network centrality (i.e., prominence in the social structure). Risk status was determined by cluster analysis of teacher ratings of students' adjustment on multiple dimensions including aggression, academic competence, and popularity. Four subgroups were identified: Model, Aggressive, Troubled, and Below Average. Differences among clusters were found in network centrality and patterns of peer affiliations. In addition, boys in the Below Average and Troubled configurations showed an increase in social prominence after the initial intervention phase.     

Boredom and despair in rural Egypt

Boredom is a key experience in the lives of many young people in contemporary rural Egypt. With its calm, predictable rhythm of life offering little excitement and surprises, village life is intrinsically monotonic. But monotony as such does not necessarily bore people. It is turned into intense boredom and despair by the presence of strong but unfulfilled aspirations for a better and more exciting life. Boredom and attempts to escape it form an experience and a discourse of life that stand in a strong albeit often unstated contrast to the ideology of Islamic revival. With the stated purposeless and pointlessness of the discourse on boredom, not only the forms of entertainment, but also the very position of entertainment towards the grand projects of religious revival and nationalist progress appears in a different light that fits in neither the secularist tradition of arts and entertainment nor their revivalist contestation and reinterpretation.

Implementation and Utilization Characteristics of a Rural,School-linked Mental Health Program

We examined variables associated with treatment engagement in a real-world therapeutic setting. The model of care examined involved school-linked mental health care for children and their families in a rural county. Service utilization characteristics, as well as child- and treatment-specific variables were examined in relation to their impact on therapy length, missed appointments, and treatment outcome. A total of 168 students and their families participated in therapeutic services over a period of approximately 4.5 years. Overall, children who had less psychopathology and a higher level of clinician-rated functioning (GAF) at the start of therapy were more likely to successfully complete treatment. Parental involvement in therapy was associated with a longer course of therapy, as well as more missed appointments. Barriers to treatment and treatment engagement, as well as future directions of study, are discussed.     

Neighborhood and Individual Factors in Marijuana and Other Illicit Drug Use in a Sample of Low-income Women

Few studies have systematically evaluated whether contextual variables differ in their ability to explain the use of different drugs in the same sample. Our objective was to examine correlates of use for different illicit drugs at the individual and neighborhood level in a tri-ethnic sample of low-income women, an underrepresented sample in drug research. Women 18–31 were recruited from a low-cost family planning clinic in southeast Texas from December 2001 to May 2003. Neighborhood level indicators of disadvantage, family structure, and nativity status from U.S. Census 2000 were linked with individual survey data. Multilevel logistic regression was used to examine the effect of individual and neighborhood level measures on lifetime use of marijuana only and of other illicit drugs in 594 women. Only individual level variables (younger age, non-Hispanic White ethnicity, not being married, greater peer acceptance of substance use) increased odds of exclusive marijuana use, controlling for neighborhood level factors. However, both neighborhood and individual level variables significantly predicted other illicit drug use. Residence in less disadvantaged neighborhoods, non-Hispanic White ethnicity, higher levels of education, greater acceptance of substance use by peers, and a larger number of perceived neighborhood problems increased odds of illicit drug use. Use of other illicit drugs with or without marijuana may be more closely tied to area level factors whereas factors driving exclusive marijuana use may not rely on localized structures to the same extent. Thus, community-level interventions may need to customize their approaches according to the type of drug use targeted. The implication of using neighborhood level variables in substance use research is also discussed.     

The Significance of Employment for Chronic Stress and Psychological Distress among Rural Single Mothers

Considerable research has found elevated levels of stress and psychological distress among single mothers. However, little research has addressed the relevance of employment for stress processes in this population, and few studies have focused on links between employment, stress, and mental health among single mothers living in rural areas. Based on a probability sample of 508 single mothers age 18-39 living in rural Northern New England, this study: (1) documents variations in chronic stress and psychological distress for employed and unemployed single mothers, (2) considers the extent to which different forms of chronic stress mediate or explain the employment-distress relationship, and (3) examines whether employment status modifies associations between chronic stress and psychological distress. Findings indicated that rural single mothers who were employed reported significantly less financial stress, childcare stress, and rural residence stress, relative to mothers who were not employed, independent of variety of other factors. Employed mothers also experienced significantly less psychological distress which was partially mediating by their lower financial stress. However, there was also a statistical interaction between employment status and financial stress such that the harmful effect of financial stress on well-being was greater for employed women. Implications of the findings are discussed.