Abstract
We used a community-based participatory research (CBPR) approach to develop and conduct a mixed-methods needs assessment with a sample of 36 veterans. We gathered data using the Short-Form 36 Health Survey (SF-36), focus groups, and individual interviews. The sample SF-36 mean scores were significantly higher than the general population average for general health, but lower for role limitations due to emotional problems, vitality, and social functioning. The qualitative data revealed three significant health needs for the veterans: (a) access to mental health services, (b) barriers to social participation, and (c) the importance of nature-based occupations. Findings suggest that occupation-based interventions, administered in the natural environment, targeting rural veterans’ mental health and social participation, could help improve their access to needed mental health care.
Plain Language Summary
We assessed rural Montana Veterans on a Short Form (SF-36) health survey. They also participated in focus groups and interviews about their health needs. The veterans in the sample reported better overall health than the average person, but they struggled more with emotional challenges, energy levels, and social connections. Interviews revealed three main needs: (a) better access to mental health services, (b) help with staying socially connected, and (c) opportunities for outdoor activities. This suggests that offering activities in nature that support mental health and social engagement could help rural veterans get the mental health care they need.
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