The major issues revolving around the need can be summarized simply as distances, lack of local expertise, high cost of delivery in rural areas. The problems of delivery of Rehabilitation Service provision in rural areas parallels the delivery of health care to rural areas where the proportion of people with chronic illnesses is higher and the means to pay for them is reduced services (Witherspoon, Johnston, & Wasem, 1993). Large distances mean long travel times increasing costs associated with any service delivery and the time of travel consumes valuable time skilled professionals could be using to provide services.