This research monograph reports findings based on studies conducted by Maine's Regional Medical Program Research and Evaluation Service from interviews of 90 families in Indian communities. The report covers self-evaluation of health, patterns and sources of medical care, attitudes toward health care, perception of services, and survey results. The data shows that over three-fourths of the families have various health and medical problems which need immediate attention. These problems range from chronic medical conditions and dental care needs to inadequate physical and sanitary conditions. Medical problems are seen as being closely related to poverty, lack of services and previous illness. The multitude of health and health-related problems faced by American Indian families are further accentuated by the present health care system. Ill health of the poor is accentuated by high medical costs, inequitable distribution of health personnel and facilities and a loosely integrated system of health care delivery. A high percentage of the families are receptive to proposed services and facilities. (Author/WS)