This manuscript examines how a shared sociospatial or “rural” identity may uniquely facilitate mental health care delivery. In particular, we consider the significant but largely unexplored role that domestic violence center staff, whom we term “Reputational Provider-Experts” or RPEs, play in addressing the mental health needs of rural women who have experienced intimate partner violence. Using data collected through semi-structured individual and focus group interviews with RPEs across 12 counties and four tribal reservations in northern Wisconsin (N = 15), we detail the sociospatial commonalities that enable RPEs to provide trusted, sustained mental health support to rural women. Because these advocates are rural community members whose approach implicitly appeals to local norms and values, we argue that they represent rurally concordant providers. In this way, rurality emerges as a meaningful and novel form of patient-provider concordance, one with critical relevance to addressing the rural mental health crisis in the United States.

这份手稿研究了共享的社会空间或“农村”身份如何独特地促进精神卫生保健服务。特别是，我们考虑到家庭暴力中心的工作人员（我们称之为“声誉提供者-专家”或 RPE）在解决经历过亲密伴侣暴力的农村妇女的心理健康需求方面所发挥的重要作用，但在很大程度上尚未得到探索。使用通过对威斯康星州北部 12 个县和四个部落保留地的 RPE 进行半结构化个人和焦点小组访谈收集的数据（N= 15)，我们详细介绍了使 RPE 能够为农村妇女提供可信赖、持续的心理健康支持的社会空间共性。因为这些倡导者是农村社区成员，他们的方法隐含地诉诸当地规范和价值观，我们认为他们代表了农村一致的提供者。通过这种方式，农村作为一种有意义的、新颖的患者-提供者一致性形式出现，与解决美国农村心理健康危机具有重要的相关性。