According to the National Institute for Occupational Safety and Health (NIOSH), farming is one of the top ten most stressful occupations. The NYCAMH Farm Partners Program was established in 1992 to address the problems associated with work-related stress in farming. Farm Partners provides free and confidential counseling and case management assistance to farmers and their families. The Farm Partners Program utilizes the "team approach" and works in conjunction with other farm human service agencies to assist farmers and their families with problem solving. The staff members' counseling skills, as well as their resource knowledge, have enabled them to provide assistance to disabled farmers and those facing medical bills without the benefit of health care coverage. Fifty-four percent of Farm Partner cases have involved physical health problems, disabling medical conditions or no heath care coverage.