the report summarizes findings from a 1985 study that investigated service delivery problems and successes with emotionally handicapped Indian children in the Northwest. The study attempted to (1) estimate the approximate number of Indian children in Oregon, Washington, and Idaho who are seriously emotionally handicapped, developmentally disabled, or both; (2) identify current services to these children; (3) identify service delivery barriers to this population; and (4) identify exemplary programs and innovations for successfully addressing these problems. Existing relevant literature was reviewed and key informants were identified and contacted by telephone. The study found that some 11-to-20% of all Indian children appear to have some degree of emotional impairment but that only those whose conditions absolutely demand intervention receive treatment, largely because no single system has assumed primary responsibility for this population. Barriers related to the system (diffuse responsibility, lack of funding, isolation), to the community (needs for increased awareness, improved attitudes, and training), and to practice (need for culturally based diagnosis, lack of knowledge of etiology) were identified. Exemplary programs using a variety of approaches are cited, including group homes, prevention programs, and alcoholic treatment programs. The report concludes with recommendations and a selected bibliography. (VW)