To determine the extent of perceived mental health problems and the adequacy of services in a six-county area of West Virginia, a questionnaire was mailed to a sample population selected from voter registration lists, the number in the sample from each county proportionately determined by the counties' total population. The conclusion that delivery of mental health services differed widely between an area with a community mental health center and a similar area geographically contiguous, though problems in the two areas were perceived as similar, was based on a fifteen percent response to the questionnaire. The number of persons seeking professional assistance for emotional problems exceeded national averages. A majority of the population surveyed knew of someone who had sought professional assistance for emotional problems, and general hospitals and State hospitals were the most frequently used facilities by those seeking help. Assistance was provided by psychiatrists and physicians. Juvenile deliquency was cited as the most frequently noted mental health problem in the centrol area, but drug abuse was cited in the study area. The Community Mental Health Center rated a vote of confidence from residents in the study area. (AG)