This special edition summarizes the discussions which proceeded during the Indian Health Service (IHS) Mental Health Plenary Session. Following introductory comments by four session participants are seven discussion topics: mental health status of American Indians and Alaska Natives; history and description of the program; services for children and adolescents; evaluation and research findings, needs for evaluation and reporting systems; organization and funding; contracting under P.L. 93-638 (Indian Self-Determination and Education Assistance Act); and accomplishments, mission and future direction of the IHS Mental Health Program. Each discussion includes remarks by that topic's presenters and are followed by comments from other participants and further comments by panelists. Most discussions have opening comments from a moderator. Attachments include Plenary Session Agenda, summary statement by the chairperson concerning mental health services for children and adolescents, a list of plenary session participants, mental health recommendations which include nine recommended actions and comments over the recommended actions, Dr. Everette Rhoades' recommendations, and a response to recommendations to the Ad Hoc Group on Mental Health. Closing comments by Dr. Rhoades from Discussion VII include 14 topics which were not discussed fully including cultural ties, genetic causality, the family, dichotomies, suicide, sharing of clinical experiences, accidents, and prevention. (PM)