This article presents the major issues, trends, interpretations, and difficulties facing Primary Health Care (PHC) personnel in taking the drastic steps required to reform the health care system. The author argues that PHC aims to enable people to take responsibility for their own health and further the redistribution of resources. (SSH)

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)

For certain groups of the mentally ill, most notably individuals with serious mental disabilities, the community-based mental health system can be more of a "non-system." Unforeseen problems have plagued both the dream of deinstitutionalization and the effectiveness of community mental health centers during the last 20 years. Uncoordinated…

The School Health Demonstration Program (SHDP), undertaken in 1981, is a coordinated effort by the New York State Departments of Health, Education, and Social Services to provide direct health care, health promotion/illness prevention, and health education to children from low income communities with inadequate access to primary health care…

The focus of this study is on the relationship between community support programs and the provision of mental health services to urban Hispanic populations, and the impact of existing public policies and future policy options on the chronically mentally ill in Puerto Rican neighborhoods in New York City. This policy analysis uses five steps. (1)…

The paper describes combined public education and community mental health in a preschool educational day treatment program for seriously emotionally disturbed children. The Developmental Therapy model on which the Tacoma, Washington, program is based is described as using five normal developmental stages to facilitate treatment which stresses the…

This report documents the speeches and recommendations made at the conference on Health Promotion and Health Education in Early Childhood. An introduction, which discusses the purpose of the conference, is followed by a speech entitled, "Community and Professional Responsibility for Health Promotion in Early Childhood." This speech focuses on a…

The Public Health Service's problem in personnel recruitment and retention gave rise to the inception of the Career Development in Global Community Health (GCH). Component Three is concerned with the presentation of recommendations. It recommended two basic objectives: training persons for Federal management manpower needs, and providing…

A total of 174 representatives of 14 health professions from 54 Regional Medical Programs attended a 4-day conference to discuss means by which allied health professions can make a maximum contribution to the health service system through Regional Medical Programs. Conference activities included two panel presentations, reports of 10 task forces…

In keeping with its priority to reduce the disproportionate burden of heart, lung, and blood diseases in minority populations, the National Heart, Lung, and Blood Institute has established an outreach project called Building Healthy Hearts for American Indians and Alaska Natives. This background report provides an overview of the cardiovascular…

Purpose: This article reports on the interest within the religious community in a medical-religious partnership model designed to address some of the health challenges communities face as the population continues to age and become more diverse. Design and Methods: A geographically and religiously diverse group of 183 clergy who were attending a…

Purpose: Drawing on literature and the evaluation of a UK community Arts in Health project, this article aims first to demonstrate that, in spite of the common association in mental health practice between art and the use of psychotherapeutic techniques, involvement in art creation can, in itself, have a sustained and positive impact on the mental…

Data from the first year of a developing plan to implement a bilingual/bicultural mental health service network within a large urban Latino metropolis were gathered from Manos de Esperanza, a Spanish speaking family outpatient/crisis clinic funded by the Van Nuys Community Mental Health Center. First year of planning evolved from a community…

Major contents of this report are the four major presentations made at a workshop designed to give 200 nursing service chiefs a uniform approach for upgrading and expanding skills and knowledge relevant to achieving the mission of the Veterans Administration (VA) Nursing Service. "Facing the Future" focuses on the VA Nursing Service as…

Supports renewed funding of the Appalachian Regional Commission's (ARC) "finish-up health plan" and "highway finish-up program." Discusses at length the need for primary care services, prevention of infant mortality, and the lack of physicians in Appalachia, and how the ARC plans can affect these needs. (LC)