Slide Deck: Equity Considerations in Rural Communities and Reservations (Coming Home to Primary Care Series Webinar 7)

Participants for this webinar will develop an understanding of mental health inequity in rural communities and reservations. This webinar will describe unique components such as challenges to financial sustainability, integration of culture, provider recruitment and retention, and overall health conditions of these communities. Strategies to overcoming these barriers will be described by current practices of clinics in a rural and reservation setting. 


Learning Objectives:

  • Discuss overall health disparities including rates of comorbidities and factors contributing to inequities in behavioral health across rural areas and reservations. 

  • Identify strategies for decolonizing service delivery and incorporating cultural values and norms of communities served. 

  • Identify challenges related to the sustainability of funding and the limitations on specialty providers for the community and how each member of the interdisciplinary health care team can help strategically to maintain quality service delivery in sparsely populated areas.   

  • Describe the benefits and challenges of telehealth during a pandemic. 




Anitra Warrior HeadshotDr. Anitra Warrior is the owner of Morningstar Counseling and Consultation in Lincoln, Nebraska, and is from the Ponca Tribe of Oklahoma. She earned her Ph.D. in Counseling Psychology in 2015 and has operated her clinic since 2012. Since receiving her Ph.D., Dr. Warrior has established four additional clinics that are now located throughout eastern Nebraska. Morningstar offers counseling on two college campuses, schools, communities and in integrated care with the Omaha Tribe of Nebraska. Clinic sites are based on reservations and in rural and urban settings. Dr. Warrior specializes in treating trauma in children through the utilization of evidenced based practices that have been adapted to the American Indian population. Most recently, Morningstar has become a training site for doctoral candidates with the Munroe-Meyer Institute. This track will focus on integrated care on the reservation as well as provide additional clinical training opportunities in schools, colleges, and in the tribal communities.

Kay Bond HeadshotKay Bond, PhD, LP, is the co-founder of Tidal Integrated Health, Inc., and co-director of Behavioral Pediatrics in Primary Care at NOVA Behavioral Healthcare Corporation in Goldsboro, N.C. Dr. Bond is passionate about providing high-quality behavioral health services to young people and their families in rural, low-income, and underserved communities. She is also an experienced behavioral health supervisor. Most recently, Dr. Bond established two pediatric integrated behavioral health clinics designed to increase children’s access to behavioral health treatment and reduce the stigma involved in participating in therapy. Dr. Bond’s clinical and research interests include sleep, elimination disorders, and disruptive behavior and noncompliance. Dr. Bond is also interested in integrating behavioral health into primary care practices and clinical supervision. She earned her Ph.D. in Pediatric School Psychology at East Carolina University in 2016, and she completed her internship and fellowship in Behavioral Pediatrics/Integrated Primary Care at the Munroe-Meyer Institute at the University of Nebraska Medical Center in 2018.

Coming Home to Primary Care: Pediatric Integrated Health


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