Abstract

The development of a community mental health consultation program to an Indian population both geographically isolated and with minimal community resources poses major tasks. The first is the successful negotiation of a consultation contract with several levels of government involved in Indian health affairs. Second is the selection of entry into the community that will afford community visibility and acceptance. Third is the necessity of providing a modicum of direct services to operate concurrently with the indirect services of consultation. Fourth a systematic method of program evaluation must be carried on to prevent premature solidification of consultation work and provide guidelines for necessary program change and development.

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