ObjectiveThis paper explores the complexities that impact access to mental health services in rural New Zealand. Historical, cultural, social and political factors will be examined against the philosophical positioning of Foucault and Fairclough.Study DesignThis research is a single‐embedded case study design exploring participants' discourses in the context of a rural, bounded geographical area of New Zealand.ResultsThe results show that mental health support that addresses people's actual needs rather than the needs that governments map against ever‐changing policy is required and that an awareness of context within case study research is important.DiscussionThe process of case study design is described, including building upon a rationale for selecting the case, collecting data and conducting case analysis and interpretation. This study examines factors influencing the real‐life rural context of accessing mental health support. This article demonstrates that case‐study research can be valuable for navigating context complexity and developing nuanced understandings of complex phenomena.ConclusionThe paper highlights how the multifaceted case study context is more than mapping discourses against a rural backdrop. It is necessary to consider the power dynamics that shape experiences and their impact on service creation and its consequent delivery.Implications for Research Policy and PracticeRather than services being created that are complex and not meeting people's needs, there is a need to listen to the people who have experienced mental health distress and provide services and support in locations other than clinical settings.

中文翻译：

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探索新西兰农村地区获得心理健康支持的环境挑战：案例研究方法


目标本文探讨了影响新西兰农村地区获得心理健康服务的复杂性。研究设计本研究是一个单一嵌入的案例研究设计，探索参与者在新西兰农村、有界地理区域的背景下的话语。结果结果表明，需要解决人们实际需求的心理健康支持，而不是政府根据不断变化的政策制定的需求，并且需要对案例研究研究中的背景很重要。讨论描述了案例研究设计的过程，包括建立选择案例的基本原理、收集数据以及进行案例分析和解释。本研究考察了影响现实生活中农村获得心理健康支持的因素。本文表明，案例研究研究对于驾驭环境复杂性和培养对复杂现象的细致理解很有价值。结论本文强调了多方面的案例研究背景不仅仅是在农村背景下绘制话语。有必要考虑塑造体验的权力动态及其对服务创建及其随之而来的交付的影响。对研究政策和实践的影响与其创建复杂且无法满足人们需求的服务，不如倾听经历过心理健康困扰的人的意见，并在临床环境以外的地点提供服务和支持。