Consideration of approved mental health practice, as this chapter highlights, tends to have the urban context as its default. Here the authors challenge this default by asking the reader to contemplate what constitutes mental health in a rural context, and also the psychological, physical and practical impact of delivering services in such environments. The chapter echoes an earlier thread in this book which seeks to understand the influence of evidence and of research, here the notion that proximation and remoteness are key concepts and underpin approved mental health practice. Of particular note is the way in which default concepts need to be challenged. Notions of communities and boundedness, confidentiality and anonymity, and an understanding of what constitutes normal behaviour are reconsidered. For us as editors it felt important to look anew at how these concepts are considered and in particular to consider evidence outside of the usual. This chapter does both and as a result helps its readers to reconsider received wisdom, confront value stances and challenge any default. Lastly, this chapter echoes the challenges that working across borders bring; another important consideration in light of the increased divergence resulting from devolution.
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