3. Designate each _——, facilities hospital for (clinic/conference rooms and office space) individual or group meetings and for in “Drop-In” centers for crisis and long term mental health services. 4. Develop mental health educational programs and "Hot Line" services on Majuro and Ebeye through established telephone systems for emergency crisis intervention. 5. Develop organizations of elders, adults and adolescent groups (separate groups for males and females) as support systems for persons in trouble (educational workshops, discussion and socialization groups, Big Brother-Big Sister Programs, self-help groups, etc.) to assist in the development of self-confidence and feelings of group cohesiveness. 6. Establish structured vocational skills programs and work activities for adults and youth to assist in the constructive use of leisure time and increase feelings of accomplishment. 7. Conduct workshops on family counseling, . parenting skills, family planning and family life enhancement to encourage village stability and community involvement in problem-solving. 8. Develop workshops and village-based classes on substance abuse with a focus on directing personal energies toward constructive projects and away from destructive impulsive behavior. 9. Recruitment of village and community leaders to transmit knowledge of traditional folk ways to younger generations through community meetings, projects, picture and art shows at schools, and at community centers on special "Folk Day" holidays. Clinic Services 1) Present Status The present status of the clinical services delivered at the dispensary level in the M.I. was assessed through onsite visits and surveys to 22 of the approximately 63 clinics on about half of the atolls. The exact number of functioning clinics is not clear since some are not being utilized or are in disrepair. The maps in Appendix M show where all the clinics are located and the populations (1973 and 1977 figures) by atoll and by enumeration district. For included. this report a detailed analysis of the survey findings is not As mentioned previously, four extensive survey forms were filled out on each clinic and the island environment - see copies in appendix. Following is a summary of information gathered from the survey forms. 17