A recent publication from the Center for Rural Policy reports…
Rural Minnesota is changing. Across its small towns and open landscapes, people of color are becoming a larger part of the community—some newly arrived from other countries, others whose families have called this region home for generations.
As our previous research has shown (here and here), finding help for mental health concerns can be a struggle for anyone living in rural areas, but it can be even harder for BIPOC residents (Black, Indigenous and People of Color). Whether they are recent immigrants trying to navigate an unfamiliar system or long-time Minnesotans seeking care that understands their experiences, the challenges of finding accessible mental health services that meet their needs remain significant.
This makes access difficult…
While statewide outpatient statistics are not readily available, national evidence shows that rural residents face longer drives to outpatient clinics. The greater distance between communities and the sparse population of smaller towns create adverse economies of scale that increase the cost of providing services. This in turn has led to clinic closures and healthcare consolidation, further squeezing the supply of services over the years as healthcare companies try to keep revenue ahead of expenses. The closures also result in even longer drives to receive services. …
A lack of transportation or public transportation also limits people in rural areas,[3] who are more likely to not have their own vehicles or are unable to drive due to age, income, or disability even as the distances patients need to travel to get services continue to increase. According to a 2024 Minnesota Department of Health report on the state of rural healthcare, rural patients seeking inpatient mental health and chemical dependency treatment must travel three times farther than their urban counterparts.[4]
But while these challenges are tough for all rural families looking for help, they are even greater for people of color.
The report offers several recommendations for improvement, including telehealth for those with adequate broadband…
Telehealth can especially help rural people of color access appropriate, effective mental healthcare, says Terica Toliver, Senior Director of Clinical Therapy at Louisiana-based Iris Telehealth, which provides therapy via telehealth through her contract with ElevaCare in Southwest Minnesota. Telehealth gives people of color a broader range of providers to choose from, including providers who share the same racial and cultural backgrounds.
It’s not a perfect solution, however. Hundreds of thousands of Minnesotans don’t have access to the broadband internet service required for telehealth to work reliably,[26] and telehealth isn’t for everyone. Some patients simply don’t feel comfortable talking to a stranger about their mental health on a digital screen.