The few existing economic evaluations of community-based health promotion interventions were reported retrospectively at the end of the trial. We report an evaluation of the costs of the Kin Keeper(superscript SM) Cancer Prevention Intervention, a female family-focused educational intervention for underserved women applied to increase breast and…

Background: Community health efforts often include outreach activities designed to increase awareness and ensure uptake of services or programs. Yet, few comprehensive outreach evaluations exist, particularly those designed to improve access to and use of mental health services. Purpose: This article summarizes the use of two established…

Purpose: Prostate and colorectal cancer (CRC) rates are disproportionately high among African-American men. The purpose of this paper is to describe the development of an intervention in which barbers were trained to educate clients about early detection for prostate and CRC. Design/methodology/approach: Working with an advisory panel of local…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

Presents the case study of a community mental health agency which was provided consultation, technical assistance, and increased funding to facilitate implementing an assertive community treatment program for the long-term mentally disabled as an alternative to hospitalization. Lists barriers encountered and reports an analysis of the community…

Intended for workers in Medicaid's Early and Periodic Screening Diagnosis and Treatment program, this booklet describes steps in providing EPSDT services. Focusing on methods of outreach and follow-up services, it concludes with a discussion of principles upon which effective client contact may be based. Section I outlines eight steps in the…

Purpose--The purpose of this paper is to explore the efficacy of a community-based outreach initiative, piloted in Worcester, Massachusetts, to reduce children's exposure to toxic chemicals in common household products by changing parental behavior regarding product purchase and use. Design/methodology/approach--The program model was based on the…

Targeted at all professionals working in the area of child health, this book aims to consolidate information and place it within the theoretical frame of "community child health." Part 1 focuses on the community and the changes within it which have resulted in macro- and microenvironmental influences on child health outcomes. It also…

The Southwest Iowa Mental Health Center recently completed a 4-year project to increase use of mental health services by normally reluctant rural populations and to increase coping ability among persons affected by the farm crisis. During the first 2 years, program goals included aggressive outreach to potential patients, mental health education…

A humanistic ideology which emphasizes self-determination, self-reliance, and personal responsibility in decision making, is congruent with the goal of community psychiatry to integrate the ex-institutionalized psychiatric client in the community. The following applications of this ideology in a small community mental health center are described:…

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…

A rural, hospital-based, community mental health program at Keams Canyon Indian Hospital (Arizona) utilizes an array of remedial, developmental, and preventive strategies to respond to the unique biopsychosocial needs of the Navajo and Hopi populations. Outpatient, outreach, and aftercare programs, and development of treatment and consulting…

San Antonio's Child Mental Health Program (CMHP) became ineligible for direct funding following enactment of Public Law 94-63, but was able to propose a viable plan for program survival. The CMHP, established by the Mexican American Unity Council (MAUC) in 1972, provides comprehensive child mental health services within a community setting and…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)