Ranching in the West: Is it Hazardous to your Health? Randy R. Weigel, Ph.D. Associate Professor & Extension Specialist Department of Family & Consumer Sciences University of Wyoming Behavioral Health A more encompassing term than mental health and includes conditions of stress and anxiety, self-destructive behavior, addiction, adjustment disorders, and/or interpersonal relationship difficulties. Let’s go west It’s our ticket out of here Yeah we can disappear Let’s go west And that painted sky was made for us It’s everything we ever dreamed of Let’s go west. Brooks & Dunn, Let’s Go West The spaces between ranches, and between ranches and the highway, and most of all between an individual ranch and its nearest city, county seat, or even town, can be large indeed. Starrs, P. (1998) Let the cowboy ride: Cattle ranching in the American West. “Geo-conflicts” Conflicts over the natural resources and geography of the West. “The struggle to secure ample high-quality water has fostered mistrust, misunderstanding and has created disharmony. Water conflicts have driven wedges between: neighbors, states, nations, cultures.” Ingram, H. (1998). Place humanists at the head gates Reopening the American West “I told the Elko County commissioners, ‘The days are gone when you’ll come in here and pound on the district ranger’s table and he’ll piss in his pants and you’ll get your way.’” Jim Nelson, supervisor Toiyabe & Humboldt National Forests, Nevada “We are outraged and demand accountability of the actions taken by the U.S. Fish and Wildlife Service surrounding the incident,” (FWS worker with wolves on private property) Park County Commissioners Park County (Cody), Wyoming Life at the Edge “The lives of urban and rural dwellers are becoming increasingly intertwined, and often tangled. This entanglement can be found at the urban wildland interface.” Huntsinger & Hopkins (1996). Viewpoint: Sustaining rangeland landscapes: A social and ecological process. Journal of Range Management “Kent Knudson picked up a rifle and opened fire, defending his 40 acres in Arizona, and got handcuffed and hauled to jail.” High Country News March 1, 2004 vol. 36, no. 4 Frontier Rural Areas Distinguished by low population density and great isolation, comprised of fewer than 7 residents per square mile. Cairlo et al. (1996) Focusing on “frontier”: Isolated rural America. Ranch Preservationism A term that describes an attitude that being a rancher leads to a higher well-being than other methods of making a living. “What’s it going to take – me sitting on my front porch shooting the next son of a bitch that tells me when I can and can’t move my cows?” New Mexico Rancher High Country News retrieved, 2/4/2004 from: http://www.hcn.org/ “The cowboy is in many minds today—as he was in those of Remington and Wister—laconic, chivalric, physically attractive, adroit, violent, romantic and lonesome. That mythic image may have very little in common with the real cowboy of today, or even with history, but it persists by popular demand.” Hassrick, P. (1993-94). The Wyoming cowboy’s evolving image. Wyoming Annals, 65(4), 8-9. Socialization of the Cowboy Beliefs about how men ought to behave are constructed at many levels in society and in the minds of men. * “no sissy stuff” * “ the big wheel” * “ the sturdy oak” * “ give `em hell” Male Approach to Counseling traditional approach to counseling vs. traditional male socialization Of the 5276 suicides to white males in The mountain states, 3653 (70%) of these suicides were committed by firearm. Kaplan, M., & Geling, O. (1998). Firearm suicides and homicides in the United States: Regional variations and patterns of gun ownership. Social Science & Medicine 46(9), 1227-1333. In Wyoming, suicide is the second leading cause of death in young people aged 15-24. Of the sixteen suicides reported in 2001, twelve were by firearms. State of Wyoming Department of Health (2003) State Rankings on Suicide, 1990-2000 NOTE: Rankings in red indicate states ranked in the top 10 for that year. Rankings in blue represent states with rates at or below the national rate for the year. Rankings in black indicate states with rates above the national rate for the year but not in the top 10. State / [Region] 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Nevada [M] 01 01 01 01 01 01 01 01 01 01 02 Wyoming [M] 06 03 04 02 02 06T 05 04 03 02 05 Alaska [P] 25T 24 09 09 03 06T 02T 02 02 06 01 Arizona [M] 04T 05 06 03T 04 03 08 08 05 05 06 Montana [M] 02 02 03 03T 05 02 02T 03 04 03 04 04T 04 02 05 06 04 04 05T 06 04 03 Idaho [M] 03 09 08 06 07 08 12 05T 08 08 16T Colorado [M] 07 06 05 07 08 05 06 10 12 Oregon [P] 09 11 07 12 09 09 09 09 07 09 07T Utah [M] 10 07T 12 16 10 13 13 12 09 15T 10 New Mexico [M] http://mypage.iusb.edu/~jmcintos/SuicideStates.html 10T 07T Why the West’s Soaring Suicide Rate? Five factors common to the Mountain states: - loss of family ties availability of firearms lack of behavioral health geography pregnancy habits? Briggs, B. (Aug. 27, 2000) Isolation, access to guns tied to West’s soaring rate The Sunday Denver Post Mothers of suicide victims: • received less prenatal care • more likely to smoke and drink during pregnancy • higher level of chronic disease during pregnancy Salk, L. et al. (1985). Relationship of maternal and perinatal conditions to eventual adolescent suicide. The Lancet, March, (624-627). Changing Fabric of Rural Life • Fewer ranchers and farmers • Reduced support service “safety net” • A growing global economy • Individualistic political climate • Boom or bust economy Changing Fabric of Rural Life (cont.) • Lack of primary care providers • Urban/rural mental illness • Higher levels of depression, suicide, abuse in ag. populations • Reduced concern for plight of agriculture • Changing “Agri – culture” Census Count of Farms: 1978 to 1997 All Operators 1978 1982 1, 91 1, 85 9 30 0 1, 92 5, 2, 08 7, 75 9 97 6 2, 24 0, 77 5 2, 25 7, 47 6 17 , 18 3 16 , 17 , 57 2 20 , 95 6 27 , 71 7 Hispanic Operators 1987 1992 1997 1978 1982 1987 1992 1997 Summary: Obstacles to Behavioral (mental) Health Care in the Rockies (frontier). • • • • • • • Shortage of health professionals Staff turnover Lack of choice of provider High rates of under/un-insured Cultural barriers Lack of confidentiality Distance Corrine, J. (2003) Frontier communities: Leading the way with innovative approaches to behavioral health “In many areas of the rural West, the development of specialized health services is less economically feasible. A low population base and corresponding weak economic base coupled with vast distances and isolation mean that specialized mental health services will seldom be locally available to rural/frontier areas.” Source: Frontier Mental Health Strategies. Retrieved: November 3, 2003 http://wiche.edu/MentalHealth/Frontier/letter6.html Frontier Behavioral Health Delivery Strategies: • Integration • Outreach • Empowerment • Connection Source: Frontier Mental Health Strategies. Retrieved: November 3, 2003 http://wiche.edu/MentalHealth/Frontier/letter6.html Rural Family Support “Networks” • Hotlines: Kansas Rural Family Helpline Saskatchewan Farm Stress Line • Intervention/Referral: Nebraska Rural Response Line Farm Resource Center (Illinois) • Support Groups: Women in Ag; W.I.F.E.; Women in Blue Jeans • Mediation: Coalition of Agricultural Mediation • Education: Cooperative Extension; consultants; Trade Magazines • Outreach: Sowing the Seeds of Hope (Midwest) Advocacy on Behalf of Ranchers & Farmers and their Families: • Lobbying for increased behavioral health support for agricultural and rural areas • Training of health providers and others who work with ranchers and farmers • Changing attitudes of ranchers and farmers toward seeking help “Going for help beats the hell out of the hell the family goes through after a family member commits suicide or homicide.” Robert J. Fetsch Family Therapist Wyoming’s greatest natural resource is not the coal in the Powder River Basin, the natural gas in our sedimentary formations, the oil in the Big Horn Basin or the trona in the Green River Basin. It is not the pure water of our streams, the strong grass on our prairies or the stunning views of our mountains. Wyoming’s greatest natural resource is our people. Properly providing for their good physical and mental health is essential to the future of our state. Stroock, T. ( March 27, 2003) Need a handle on health care Casper Star and Tribune