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To the Editor: Federally funded community health centers (CHCs) in 8 southeastern states provided comprehensive primary care services to 2.3 million patients in 2003. Forty-six percent of these patients are uninsured, 66% have family incomes below the federal poverty level, and 60.5% are ethnically African American, Hispanic, or Latino.¹ Based on anecdotal reports of access problems, we conducted a survey to assess the ability of CHC clinicians to obtain specific mental health services for their uninsured patients.

Methods

The Southeast Regional Clinicians’ Network represents clinicians from all 146 federally funded CHCs in the southeastern United States. The National Center for Primary Care at Morehouse School of Medicine, Atlanta, Ga, is their academic partner for practice-based research. We faxed a 1-page survey to the medical director of each CHC; questions required a response of "yes," "no," or "I don’t know," and there was an opportunity for open-ended comments.

Results
Surveys were . . . [Full Text of this Article]

George Rust, MD, MPH
RustG@msm.edu

Elvan Daniels, MD; David Satcher, MD, PhD
National Center for Primary Care
Morehouse School of Medicine
Atlanta, Ga

Janice Bacon, MD
G. A. Carmichael Health Center
Canton, Miss

Harry Strothers, MD, MMM
Department of Family Medicine
Morehouse School of Medicine

Thomas Bornemann, EdD
Carter Center
Atlanta, Ga

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