Reasons for the persistently higher suicide rates in rural areas compared to their urban counterparts include social isolation, socioeconomic difficulties, restricted access to mental health care, and geographic distances. Early distress intervention models have demonstrated potential in lowering distress, mental illness and suicide rates. These interventions involve the prompt identification and assistance of persons exhibiting psychological distress. Government programs like Medicare Mental Health (formerly Head to Health) have further enhanced access in areas where these services are available. Broadscale help-seeking messaging, training and specialised workforces have also contributed to increased and easier access to support services. However, our messaging implies that when a distressed person identifies which service they need and attends the service, that their needs will be satisfied; we are essentially dependent on them finding their way there. Further, once at that service there is an assumption that as they have begun their help-seeking journey a diagnosis will be made and successful treatment will commence. This is far from the experience of many regional Australians. In this presentation, I will explore some of the fundamental challenges that remain which, without being addressed, leave people with increased distress, trauma and long-term adjustments that have significant impacts on day-to-day life. Suggestions for workforce planning and training will be provided.