I need to fill out this for Lewis County in Kentucky. It does not matter which year. Thank you!


Psychological Determinants

Future prospects for the population:                                                                                                 


Significant events in the population’s history:                                                                                  


Interaction of groups within the population (racial tension, etc.):                                                   


Protective services (adequacy, local crime rate, insurance rates):                                                  


Communication networks (media, informal channels, links to outside world):                               


Sources of stress in the population:                                                                                                  


Extent of mental illness in the population:                                                                                       



Analysis of Data: What are the strengths of this community from a psychological standpoint? Weaknesses? Are there adequate services available? Is there a stigma associated with mental health in the community based on comments from community members? 


Environmental Determinants

Community location (boundaries, urban/rural):                                                                              


Size and density:                                                                                                                               


Prominent topographical features:                                                                                                    


Housing (type, condition, adequacy, number of persons per dwelling, sanitation):                        


Are there any signs of decay in the neighborhood? 


Safety hazards present in the environment:                                                                                      


Source of population water supply:                                                                                                  


Sewage and waste disposal:                                                                                                              


Nuisance factors:                                                                                                                               


Potential for disaster:                                                                                                                        


(Does your community have a disaster preparation plan? Who coordinates it? Is there a severe warning system? )


Do neighborhoods appear stable, deteriorating, growing? ­­­­­­­­­­­­­­­­­­­­­­­______________________________________________________________________________

Parks/recreation areas (number/condition/access) ______________________________________________________________________________

Supermarkets __________________________________________________________________

Drug stores ___________________________________________________________________

Laundry facilities ______________________________________________________________

Other businesses in area__________________________________________________________