The impact of the social context results in dramatically different patterns of utilization of mental health services for the sexes. This article profiles some of the sex differences in utilization of selected mental health facilities. The inadequacy of the data, particularly for identifying special needs of subpopulations of women who differ by age, race, ethnicity, and family structure, is discussed. The need for the development of multiracial/multicultural models for understanding the impact of sex bias and sex role stereotyping is underscored.1 In this article, the term mental health service delivery includes the provision of psychological services in the fields of alcohol, drug abuse, and mental health. 2 Facilities described in this article include state and county mental hospitals, private mental health hospitals, general hospitals, outpatient psychiatric facilities (excluding private practitioners), and federally funded community mental health centers. The data in this article were predominately obtained from unpublished tables developed by the Division of Biometry and Epidemiology of the National Institute of Mental Health (NIMH) and will be contained in Rosenstein and Milazzo-Sayre's publication (in press). We would like to thank Laura Milazzo-Sayre for providing access to the data and for her responsiveness to our questions about the methods and procedures of their collection.

This article addresses issues faced by independent practicing child and adolescent psychotherapists in smalltown settings. A community approach to delivering services is stressed. Personal, professional and ethical dilemmas are explored.

This article assembles data that identify some problems experienced by women incarcerated in prisons in the United States. Inequalities in occupational and educational programs offered in women's prisons in comparison with those offered in prisons for men are discussed. The impact of inadequate health and mental health services on the lives of these women is explored, and separation problems encountered by the woman prisoner and her family are examined. Some recommendations for change are suggested.

This article is an update on some of the issues that have been dealt with by the Insurance Trust. The Trust has an "occurrence" coverage which covers the psychologist psychotherapist for the year that he/she had the coverage for life. A focus on sexual malpractice is made with information about the claims made against female psychologist psychotherapists. The change in the malpractice coverage that was effective in 1985 with respect to cases of sexual malpractice is also discussed.

This article assembles data that identify some problems experienced by women incarcerated in prisons in the United States. Inequalities in occupational and educational programs offered in women's prisons in comparison with those offered in prisons for men are discussed. The impact of inadequate health and mental health services on the lives of these women is explored, and separation problems encountered by the woman prisoner and her family are examined. Some recommendations for change are suggested.