Table 2-32 (continued)
                          Human Services Delivery in the Local Study Area

                                            Not Statutorily
                                            Required, but   State/Federal
  Private Sector
                           Statutorily     Tradition of    Program--Little
Program--Little
                           Required County Strong County   or No County 
 or No County
                           Involvement      Involvement      Involvement
      Involvement

Social Services                X
Youth services                 X
Day care                                                                
      X-state licensed
Senior services                                X
Vocational Rehabilitation                                       X
Job Services                                                    X
Health manpower                                                         X
Emergency medical services                     X
Hospitals                                                               
      X-state licensed
                                                                        
      some federal and
                                                                        
      state subsidization
Nursing homes                                                           
      X-state licensed
                                                                        
      some federal and
                                                                        
      state subsidization
Public health services                         X
School Health                                  X

Mental Health - Mental health services in Oneida and Forest counties are
provided by the Human
Services Board of Forest, Oneida, and Vilas Counties (s. 51.42 Wis. Statutes)
both directly and on a
contractual basis. There are several private providers in the local study
area as well. Northwoods
Guidance Center has their main office in Rhinelander with a satellite office
in Crandon. The
Crandon office is staffed one day a week. The Northwoods facility, built
three years ago, is adequate
for current needs. The current average client load is approximately 950 clients
per year with about
55 new clients seen per month. In Langlade County, community based mental
health services are
provided by the Human Services Board of Langlade, Lincoln, and Marathon Counties
(s. 51.42 Wis.
Statutes). Mental health services include outpatient counseling at the Langlade
Health Care Center
in Antigo. There is typically a waiting list at all clinic offices.

Alcohol and Drug Abuse - Alcohol and drug abuse services in Forest and Oneida
counties are provided
by the Lakeland Council on Alcoholism and Other Drug Abuse and the Human
Services Board of
Forest, Oneida and Vilas Counties. The Lakeland Council provides outpatient
counseling services to
substance abusers and their families, crisis intervention services, information
and referral services,
and prevention services including a very active education program in the
public schools. Satellite
offices are located in Rhinelander, and Crandon. The office in Rhinelander
is staffed full-time. The
Crandon office is staffed two days a week, although counseling is only available
one day a week. The
Human Services Board of Langlade, Lincoln and Marathon Counties provides
alcohol and drug abuse
services at the Langlade Health Care Center in Antigo.

Health Services (Forest County) - Health Staff - The situation in Forest
County is typical of many
rural areas where it is difficult to attract and retain health care professionals.
According to
standards of the Wisconsin North Central Area Health Planning Association,
the county is
underserved by primary care physicians (e.g., family medicine, general practice,
internal medicine,
pediatric, and obstetrics/gynecology practitioners), registered nurses, licensed
practical nurses,
dentists, and optometrists. The federal government has also designated seven
townships in Forest
County as federal shortage areas for primary care



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