3. Designate facilities each hospital for (clinic/conference rooms and offife space) individual or group meetings and fbr 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 r emergency crisis intervention. 5. Develop organizations of elders, adults and adolegcent (separate groups for males and females) as support systemg in trouble (educational workshops, discussion groups for persons and groups, Big Brother-Big Sister Programs, self-help groups, etc.) to assist in the development of self-confidence and feelifgs 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 accomp]ishment. 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 Jabuse 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 traditional folk ways to younger generations throu knowledge of community meetings, projects, picture and art shows at schools, andfat community centers on special "Folk Day" holidays. Clinic Services 1) Present Status The present status of the clinical services delivered at level in the M.I. was assessed through onsite visits and survey$ approximately 63 clinics on about half of the atolls. to 22 of the The exact number of functioning clinics is not clear since some are not being util disrepair. fhe dispensary fed or are in The maps in Appendix M show where all the clinics age located and the populations (1973 and 1977 figures) by atoll and by enumeratfion district. For included. this report a detailed analysis of the survey fimdings 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 1? forms.