Community-engaged patient navigation safety net programs are established as an evidence-based approach to address cancer prevention and early detection efforts, but barriers to expand and sustain such programs persist. In addition, few studies describe how these programs impact buy-in among communities and policy change within health care systems…

Health care providers could help achieve the necessary shift to healthful eating and active living; however, lack of coverage or reimbursement, lack of time, and limited information about appropriate interventions are some of the documented barriers. This report highlights the potential for Supplemental Nutrition Assistance Program Education…

The program of consumer education for Comprehensive Health Planning was developed to assist consumers to assume leadership roles in community decision-making with regard to health services. This paper presents a description of a project that was developed to train leaders for the program. The project consisted of special, advanced training…

Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

Objectives: This teaching idea is designed to increase students' understanding about the principles of a Coordinated School Health Program and apply these principles as they plan a community health program. As students work through the planning process, they will address many of the AAHPERD/AAHE Standards for Health Education Programs. Target…

The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which…

The purpose, activities, organization, and responsibility of the Prince George's County School Health Council are described. The purposes of the Council include advisement, representation, screening, and the development of new programs. (JN)

The Brookline Early Education Project (BEEP) is a demonstration model in which a public school system assumes responsibility for the health education of children from birth to five years. This early school health program was designed to work collaboratively with existing health care facilities in the community. (JN)

The School-Community Health Alliance for Rural Practitioners (SCHARP) was planned and implemented to address the severe health education and service problems faced by school children and citizens of rural America. Small rural school and communities lack the resources, expertise, and leverage to influence public policy to address these needs. This…

The upward economic flux of Pike County is having a dramatic impact on the traditional morals and values held by the established community. Drug availability has increased proportionately with improved highway systems, accessibility of money, and increasing numbers of youth with their own cars. Although 75% of the population live in isolated…

The Southern Rural Development Center (SRDC) at Mississippi State University aims to stimulate the creation of new partnerships to enhance rural communities' capacity to address key health issues. In 1997, SRDC hosted a conference to develop the following: partnerships among land-grant universities, the health sector, and local citizens and…

Issues in the development of community health education programs for rural areas include: (1) knowledge of disease processes; (2) health care intervention; (3) systems intervention; (4) ethics for change; and (5) program implementation. (JN)

In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive…

The book defines and discusses eight key elements of a family-centered approach to care for children with chronic illnesses and special health care needs: (1) recognition that the family is the constant in the child's life, while the service systems and personnel within those systems fluctuate; (2) facilitation of parent/professional collaboration…

This report examines how communities and groups can shape the content of health services to bring more comprehensive health services to poor children and families. The report is based on a study of 11 comprehensive primary care programs and systems some of which offer school-based services: 4 freestanding community-based programs, 4 local systems…