Analysis of “reactor” and control groups of blood bank donors reveals from a statistical standpoint younger donors, particularly female, with a previous history of fainting are more prone to reaction. The “reactor” group had a tendency toward a higher pulse rate and pulse pressure and a lower diastolic pressure before bleeding. Race, blood type and body temperature did not influence the incidence of reactions. It was three times more likely for a one‐time “reactor” to have a subsequent reaction than for a control donor. This distinct tendency toward multiple “reactors” makes it very probable that there exists a “reactor‐prone” type. The fundamental cause of the reaction as well as the defect in the “reaction‐prone” donor are unknown. Closer study of “multiple reactors” would seem to be a profitable approach to the donor reaction problem.

Rural service delivery issues common to the fields of special education, school psychology, and community mental health are described within this article. Many problems common across the three disciplines have some parallel solutions, and a number of potential solutions are suggested. Given preparation at the preservice level appears to be an effective starting point for preparing practitioners to deal with specific problems, the focus of these training-based solutions is at the preservice training level.

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