Based on their master's studies in community health nursing, two nurses describe their participation in developing a plan for a local health services agency (HSA). They emphasize the need for nursing input in HSA planning and the contribution that this input can make particularly to school health care. (MF)

Reviews the status and organization of the Cuban mental health system. Focuses on the deliberate and systematic interdependence of mental health, public health, and socio-political structures; inpatient treatment modes and rehabilitation programs; use of social networks to support discharged patients; community-based care; and primary to tertiary…

Describes a program which draws on interagency collaboration, principles of care, needs assessment, and other components to create a community-based system of care. Presents the rationale for each of these components and how they were implemented, data on the children and families served by the program, and a case study. (RJM)

Innovative solutions in training or retraining of health workers to meet the nationwide primary care deficiency are summarized. Programs described concern nurse clinicians, practitioners, and midwives; physicians' assistants; medical assistants, laboratory technicians, and secretaries; dental assistants, hygienists, and laboratory technicians;…

This resource guide provides information on programs, publications, organizations, and other resources related to prevention of fetal alcohol syndrome (FAS). The purpose of this guide is to assist health care providers to comply with Indian Health Service (IHS) FAS goals and objectives. It gives examples of community approaches to FAS prevention,…

This report discusses the preliminary results of a study that investigated arrest rates for adolescents who received community mental health services under Medicaid managed care programs in Hillsborough, Florida, and four surrounding countries. Results indicate many young recipients of mental health services were arrested in Hillsborough and…

Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

In view of the many factors threatening the survival, health, and cognitive development of the world's disadvantaged children, both in the United States and in developing countries, the Ford Foundation has begun a new program, called Child Survival/Fair Start, to improve these children's chances. In this working paper, Fair Start's overall…

Since 1969, the clinical program of the Psychology Department of the University of Arizona has been associated with mental health programs and services for Tucson area ethnic minorities and the poor which have provided realistic training for clinical students and established continuing community based services sensitive to the culture of the…

The mental health intervention process, which entails the 12 essential services to be offered by community mental health centers, is studied as an interactive process involving: (1) the cultural foundations within which mental health and illness are defined; (2) the range of cultural variability of Mexican American service recipients and their…

The emerging concept of social system psychotherapy is discussed. The development of this approach to psychotherapy represents a gradual evolution in clinical practices from a one-to-one interaction to a multi-person, multi-relational interaction. It also represents the development of a human psychology that has moved from individualistic to…

Outcomes are reported for youths with serious emotional disturbance receiving customary services from community mental health service providers who receive state mental health funds. Various outcome indicators for the Child and Adolescent Functional Assessment Scale (CAFAS) are described, as well as a procedure for categorizing youths into client…

This revised training guide is designed to help health workers, including nurses, midwives, and medical assistants, improve managerial skills. The book is divided into four main parts, each dealing with a different aspect of management. An opening exercise helps readers diagnose managerial weaknesses and turn to appropriate chapters for study.…

Historically, the financial responsibility for caring for those with mental illness has shifted back and forth from the local community, to the state, to the federal government. Today states provide the vast majority of the funds to the state mental health agencies and oversee local governments and most private resources for mental health funding.…

In 1995, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 25 projects to provide direct primary and preventive health care services to rural residents in 20 states. The grant program allows recipients to test innovative ideas against persistent problems of rural health care, such as provider shortages,…