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Definitions for Levels of Communities

LEVELS OF COMMUNITY*

Characteristics

Level I:
Frontier/Village

Level II:
Sub-Regional Center or Town

Level III:
Regional Center or Small City

Level IV:
Urban Center

Level V:
Metropolitan Area

Government

Community or city council, Native Council, incorporated city or unincorporated community.

Incorporated city, may have health powers and may provide health and social services.

Incorporated city or unified municipality, may have health powers and may provide health and social services.

Incorporated, home rule city or unified municipality; may have health powers and may provide health and social services.

Incorporated, home rule city, or unified municipality; may have health powers and may provide health and social services.

Population

25+ in immediate community.

500+ in immediate community; a sub-regional population of at least 1,500.

2,000+ in immediate community, providing services to a regional population of at least 5,000

25,000+ in immediate community providing services to a larger regional or statewide population

200,000+ in immediate community.

Economy

Subsistence, government services (e.g. school)

A developing private sector, some government services; provides some service to surrounding areas.

Regional trade and service center, mixed economy with multiple private and government employers.

Major trade and service center, broad based multi-sector economy.

Principal trade and service center; broad based, multi-sector economy.

Health & Social Services

Community Health Aide, paraprofessional and itinerant services.

Health and social services may be provided by both the private and public sector, community clinic and mid-level provider or MD.

Health care and social service agencies, including both private and government programs; community hospital and physicians.

Multiple providers of health care and other services including both private and government programs; health care specialists; hospitals with full continuum of care.

Level IV plus highly specialized medical and rehabilitation services; specialized hospitals and consultive services.

Access

Usually, more than 60 minutes by year-round ground transportation from a Level II or III community,; limited air and/or marine highway access to Level II or III community.

Usually less than 60 minutes by year-round ground transportation from a Level III community; marine highway or daily air access to closest Level III community; airline service to Level I communities in the area.

Daily air service to closest Level IV or V community; airline service to Level I and II communities in the region; road or marine highway access all year.

Daily airline service to Level II, III, IV, and V communities; road or marine highway access all year.

Daily airline service to Level II-IV communities; road or marine highway access all year.

Communities

Too numerous to list, includes Anvik, Eagle, Houston, Ruby, Hydaburg, Wales, Skagway, etc…

Aniak, Craig, Delta Junction, Tok, Emmonak, Fort Yukon, Galena, Haines, Hoonah, Hooper Bay, King Cove, King Salmon/Naknek, Nenana, McGrath, Metlakatla, Mountain Village/St. Mary’s, Sand Point, Togiak, Unalaska, Unalakleet, Glennallen/Copper Center

Barrow, Bethel, Dillingham, Homer, Kenai/Soldotna, Ketchikan, Kodiak, Kotzebue, Nome, Palmer/Wasilla, Sitka, Cordova, Petersburg, Wrangell, Valdez, Seward

Fairbanks, Juneau

Anchorage

*Levels of Community Care is a document created by the Alaska Mental Health Board (rev.8/93).

 

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