When we think of Colorado, it’s easy to picture the mountains, bustling cities, or open fields—a state full of contrasts. Weld County is no exception. Though it's officially considered urban, our community is a unique blend: cities are surrounded by wide-open spaces and smaller towns that feel deeply rural.
This mix is something to be proud of. It reflects our rich diversity and deep roots. But it also means that when it comes to mental health care, not everyone faces the same opportunities or challenges.
Why Rural Communities Face Different Mental Health Hurdles
About 1 in 5 Americans live in rural areas—that’s around 60 million people. In these quieter places, resources can be stretched thin. Long drives to the nearest provider, limited access to public transportation or internet, fewer health professionals, and tighter budgets all create barriers to care. And in some communities, talking openly about mental health still carries a heavy stigma.
Many rural residents come from generations of hard work, independence, and perseverance. These are admirable values, and this self-sufficiency can sometimes make it harder to reach out for help.
Unfortunately, these barriers often lead to higher rates of depression, anxiety, suicide, and substance use. The pain is real, and it’s closer than we might think.
Understanding the “4 A’s” of Rural Mental Health Barriers

Accessibility—Can someone physically get to care?
Smaller, more rural community areas may lack the public transportation options often found in larger cities, creating barriers for anyone without a personal vehicle, in addition to the time needed for driving.

Availability—Are there enough services or providers nearby?
Rural areas in the U.S. experience significant mental health workforce shortages that impede comprehensive service options for residents. On top of this, limited broadband connectivity in these regions can greatly hinder telehealth options.

Affordability—Is the care financially within reach?
Cost is one of the greatest barriers to attaining healthcare. Rural communities are more likely to be uninsured, while increased care costs and lower reimbursement rates often disincentivize insurance companies to cover services, forcing people to pay out of pocket.

Acceptability—Will someone feel comfortable, safe, and supported seeking help?
In close-knit communities and cultures where just about everybody knows everybody, will there be stigma, judgment, or a skewed perception of someone seeking treatment?
It’s also important to consider cultural factors. For those who may speak another language or have diverse identities, specific and unique care will be most beneficial.
Connection as a Path Forward
At the heart of all of this is a simple truth: people need people. Social connection plays a powerful role in supporting mental health. For rural residents, strengthening these connections may look like:
- Checking in on family, friends, and neighbors
- Volunteering with local groups or at churches
- Learning how to talk about mental health and how to become a “trusted person” for people to turn to
At North Range, we believe every person, no matter where they live, deserves access to compassionate, quality care. Our locations throughout Weld County provide accessible and convenient therapy, substance use disorder treatment, and behavioral health care options. To learn more, view our network of services.
Together, we can build a Weld County where everyone feels seen, supported, and connected.