Recently, the southern United States has received a "double dose" of trauma. The psychological impacts of hurricanes Katrina and Rita are still present. And, because a disproportionately large number of Southerners volunteer for military service, towns and cities across the South are receiving many returning veterans, some of whom have seen more than one tour of duty. These overlapping events have increased the need for assistance with mental health problems in some of the most underserved and disadvantaged areas. Although some people turn to formal health care, many more call upon informal providers, including trusted community leaders, such as clergy and educators; officers and administrators in the National Guard; people in service industries, such as bartenders and hairdressers; employers; and of course, family members. These individuals can be seen as the "first responders" to community mental health needs.