TY - JOUR KW - Canada KW - Cooperative Behavior KW - Health Services Accessibility KW - Humans KW - Mental Health Services/economics/ethics KW - Program Development KW - Public Policy KW - Rural Health Services/economics/ethics KW - Rural Population AU - J. M. Haggarty AU - K. D. Ryan-Nicholls AU - J. A. Jarva A1 - AB - CONTEXT: For those residing in rural and isolated parts of Canada, obtaining quality mental health services is often an unfulfilled wish. Rural and isolated communities share the problems of health status and access to care. Health deteriorates the greater the distance from urban areas in the following dimensions: lower life expectancy than the national average; higher rates of disability, violence, poisoning, suicide and accidental death; and more mental and physical health issues than those who live in urban areas. The Canadian Collaborative Mental Health Initiative (CCMHI) was formed to provide, in part, a practical means to encouraging collaborations between primary care and mental health providers. ISSUE: This article provides a synopsis of the Rural and Isolated (R&I) toolkit developed through the CCMHI, which was intended to develop primary care and mental health collaboration in such areas. This toolkit was developed using focus group discussions with mental health providers, and surveys completed by providers and consumers. LESSONS LEARNED: Key messages from the consultative process included: access to services; interprofessional education; consumer involvement; research and evaluation; models of collaboration; ethics; funding; and policy and legislation. A flow diagram was devised to detail the synthesis and practical application of the toolkit, as well as the challenges, key questions and principles of implementation associated with collaborative care initiatives in rural and isolated regions. BT - Rural and remote health C5 - Education & Workforce; Measure CP - 3 CY - Australia IS - 3 JF - Rural and remote health N2 - CONTEXT: For those residing in rural and isolated parts of Canada, obtaining quality mental health services is often an unfulfilled wish. Rural and isolated communities share the problems of health status and access to care. Health deteriorates the greater the distance from urban areas in the following dimensions: lower life expectancy than the national average; higher rates of disability, violence, poisoning, suicide and accidental death; and more mental and physical health issues than those who live in urban areas. The Canadian Collaborative Mental Health Initiative (CCMHI) was formed to provide, in part, a practical means to encouraging collaborations between primary care and mental health providers. ISSUE: This article provides a synopsis of the Rural and Isolated (R&I) toolkit developed through the CCMHI, which was intended to develop primary care and mental health collaboration in such areas. This toolkit was developed using focus group discussions with mental health providers, and surveys completed by providers and consumers. LESSONS LEARNED: Key messages from the consultative process included: access to services; interprofessional education; consumer involvement; research and evaluation; models of collaboration; ethics; funding; and policy and legislation. A flow diagram was devised to detail the synthesis and practical application of the toolkit, as well as the challenges, key questions and principles of implementation associated with collaborative care initiatives in rural and isolated regions. PP - Australia PY - 2010 SN - 1445-6354; 1445-6354 SP - 1314 T1 - Mental health collaborative care: A synopsis of the Rural and Isolated Toolkit T2 - Rural and remote health TI - Mental health collaborative care: A synopsis of the Rural and Isolated Toolkit U1 - Education & Workforce; Measure U2 - 20672870 VL - 10 VO - 1445-6354; 1445-6354 Y1 - 2010 ER -