A literature review was conducted to ascertain the needs of the Appalachian Region. The introduction to the review provides an overview of the characteristics of the Appalachia region and the roles of the Appalachia Regional Commission and the Appalachian Educational Satellite Project. The methodology section discusses the method used to complete the literature search. The next five sections contain a review of the literature regarding Appalachia's needs in education, medical and health services, government, business and industry, and human resources and services. The last section contains conclusions and recommendations for further study. (EMH)