In largely rural states, such as Alaska, there have been historical difficulties in recruiting and retaining an effective behavioral health workforce. Additionally, the recent report of the President’s New Freedom Commission on Mental Health described in detail the significant problems facing mental or behavioral health systems throughout the country, particularly in rural areas. These include critical gaps in accessibility to services, critical shortages in the availability of providers and programs, impaired acceptability of care due to urban-based models and strategies, and establishing mental health policy without consideration of its rural impact.