This paper provides a description of the attitudes of rural leaders to
ward mental health issues using data collected in two rural counties (
one in Virginia and one in North Carolina). Study participants (N=63)
are individuals identified as leaders making a significant positive co
ntribution to mental health issues in each county. While the counties
were matched on a number of demographic characteristics, the counties
had one difference believed important: one had a county mental health
center located within the county boundary while the other had no in-co
unty mental health center. The study found that rural leaders believed
that other community members held attitudes toward mentally ill perso
ns that were more discriminatory than their own. In addition, rural le
nders expressed that mental health teas a move important concern to th
em than if was to the community as a whole. Finally, the importance pl
aced on issues of importance to the community and the resulting issue
of priority of relevance varied in response to the occupation of respo
ndents. The study presents an approach to understanding how occupation
al structures affect community issue priorities among rural leaders.