THE PURPOSE OF THE SURVEY CONDUCTED BY THE SPEECH AND HEARING CLINIC, NORTHEASTERN STATE COLLEGE, TAHLEQUAH, OKLAHOMA, WAS TO DETERMINE THE NEED FOR SPEECH AND HEARING SERVICES IN FOUR ECONOMICALLY DEPRESSED OKLAHOMA COUNTIES AND TO FIND ECONOMICAL AND EFFECTIVE WAYS OF PROVIDING THE SERVICES. COUNTY SCHOOLS AND DEPARTMENTS OF PUBLIC HEALTH AND WELFARE REFERRED PERSONS WITH SUSPECTED SPEECH OR HEARING HANDICAPS. EACH SUBJECT WAS INTERVIEWED, GIVEN AN AUDIOMETRIC SCREENING TEST, A SIMPLIFIED PHONETIC INVENTORY, A VISUAL EXAMINATION, AND A BRIEF PSYCHOLOGICAL ASSESSMENT. EVALUATION CENTERS WERE ESTABLISHED IN EACH COUNTY. MORE COMPLETE SPEECH AND HEARING EVALUATIONS WERE GIVEN TO THOSE WHO DID NOT PASS THE SCREENING AND WANTED RETESTS. LESS THAN HALF THE PEOPLE REQUESTING APPOINTMENTS FOR EVALUATION APPEARED FOR TESTING BECAUSE OF LACK OF TRANSPORTATION. FOR THE SAME REASON, LESS THAN HALF THE PEOPLE SCHEDULED FOR RETESTING KEPT THEIR APPOINTMENTS. OVER 90 PERCENT OF THE ORIGINAL REFERRALS TESTED HAD AT LEAST ONE MARKED DISORDER, AND MANY SHOWED MULTIPLE DISORDERS. MANY HAD NEVER BEEN PREVIOUSLY EVALUATED AND HAD NOT KNOWN SUCH SERVICES EXISTED. IT WAS RECOMMENDED THAT THE COLLEGE CLINIC SET UP THERAPY TEAMS, THAT A MOBILE UNIT BE ESTABLISHED FOR FIELD USE, AND THAT OTHER AGENCIES ASSIST WITH MEDICAL, DENTAL, AND PSYCHOLOGICAL SERVICES. (HK)