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Frontline Reports   |    
Rural or Remote Psychiatric Rehabilitation (rPSR)
Abraham Rudnick, M.D., Ph.D.; John Copen, M.D., M.Sc.
Psychiatric Services 2013; doi: 10.1176/appi.ps.640108
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Dr. Rudnick is affiliated with the Department of Psychiatry and Dr. Copen is affiliated with its Division of Collaborative Care, both at Vancouver Island Health Authority, Victoria, British Columbia. Dr. Rudnick is also with the Department of Psychiatry, University of British Columbia, Vancouver (e-mail: harudnick@hotmail.com). Dr. Copen is also with the Northern Ontario School of Medicine, Sudbury.

Copyright © 2013 by the American Psychiatric Association

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Psychiatric rehabilitation has been developed, studied, and implemented primarily if not exclusively in urban settings, where formal and funded services are much more available than in rural and remote communities. This partly explains the well-known urban drift of many people with schizophrenia, resulting in their uprooting themselves from their original rural or remote communities. Such relocations can adversely affect recovery by disconnecting people who have disabling mental illnesses from people they know and love. Alternatively families sometimes move to urban settings with relatives who have mental illness, which may disrupt considerably more people’s lives. And some people with longstanding psychiatric disability have no choice (due to financial or other reasons) but to remain in their remote communities, whereas others simply choose to stay. Hence, rural or remote psychiatric rehabilitation (rPSR) would be a valuable addition to the mental health services system.

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