Consistent with Rural Nursing Theory and with the literature on mental health service use among older adults, individuals in our study reported greater comfort addressing mental health concerns with familiar and trusted professionals, such as primary care physicians (e.g., Arean, Alvidrez, Barrera, Robinson, & Hicks, 2002; Long & Weinert, 1989). There are problems, however, associated with mental health treatment for older adult populations that are delivered solely by primary care physicians, including a lack of time for treating depression (Koenig, 2007) and the need for a greater emphasis on depression during training (Glasser & Gravdal, 1997).