Bereavement service deserts: A 2024 statewide assessment of bereavement services

Bereavement represents a significant public health concern due to rising mortality rates in the United States. Little is known about the availability and distribution of bereavement services at the state and local level, hindering efforts to assess how well these services address community needs. This cross-sectional study analyzed bereavement agencies across Michigan's 83 counties, examining services and the relationship between mortality rates and service availability. Findings reveal geographic disparities, with urban counties often lacking adequate bereavement services despite high mortality rates, while rural counties demonstrate limited services and significant variation in accessibility. Many agencies provide generalized support, which may not address the diverse needs of grieving individuals based on age, cultural background, or type of loss. These disparities underscore the concept of "bereavement service deserts," defined as areas with disproportionately high mortality rates compared to the availability of bereavement services. Expanding services requires equitable resource distribution and sustainable tailored interventions.