Issues involved in applying the needs assessment model of the Colorado Social Health Survey to planning and management in Massachusetts are reviewed. The methodology in this special issue provides a new paradigm for mental health needs assessment in general and will be valuable in the Massachusetts plan specifically. (SLD)

Implications of the Colorado Social Health Survey for indirect needs assessment in mental health planning and administration are discussed. The survey model parameters' generalizability to other areas of the nation should be investigated, as well as improved ways of linking specific populations to needs, preferences, and outcome dimensions. (SLD)

Service-planning issues necessary for successful implementation of an indirect needs-assessment model to estimate geographical differences in the prevalence of needs for alcohol, drug abuse, and mental health services are discussed. The issues include selection of need categories as target groups, estimation model selection, and understanding…

A summary is provided of a large-scale needs assessment research project in Colorado that tested the validity of several statistical procedures or models for indirectly estimating the need for alcohol, drug abuse, and mental health services across geographic subregions using a Colorado Social Health Survey sample of 4,745 adults. (SLD)

A stratified probability sample of 4,745 adults in Colorado was surveyed to determine the need for alcohol, drug abuse, and mental health services. Findings that variation in need prevalence across 48 subareas of the state substantially challenge the assumptions of a uniform rate of need in a state. (SLD)

Results of empirical validation studies of six statistical models available for indirectly estimating the need for alcohol, drug abuse, and mental health services across a large geographic area are presented. Models were evaluated using Colorado Social Health Survey data for 4,745 adults from 48 subareas of Colorado. (SLD)

A synthetic method of estimating relative annual prevalence of severely mentally disabled (SMD) adults across Ohio's mental health board areas was evaluated. Indirect evidence of accuracy for the method, which relies on local catchment area data and local census data, is provided by comparison with actual SMD adult counts in federal programs. (SLD)

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

Six existing statistical procedures (models) for indirectly assessing the prevalence of need for alcohol, drug abuse, and mental health services across subareas of a state are described and critiqued in terms of epidemiological and statistical characteristics. Specific advantages and disadvantages are listed for each model. (SLD)