Developing programs to meet the needs of Alzheimer's families in rural Maine

In 1992, Maine had only the rudiments of an integrated system of diagnostic and supportive services for people with Alzheimer's disease. Needs assessments confirmed that caregiver attitudes, geography, a lack of awareness of available services, and limited diagnostic and other specialized resources were major barriers to establishing an effective, comprehensive, and coordinated system of services for people with Alzheimer's disease. Responding to this situation, Maine received funds to develop the capacity to respond to the immediate needs of individuals with Alzheimer's disease and their families and to promote service system development. This article outlines the objectives of the project and highlights the successes and challenges experienced in Maine. Several important themes emerge that should be considered when developing programs to meet mental health needs in rural areas.