Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Rising rates of violence, teen pregnancy, child suicide, poverty, and youth crime are providing a wake-up call for educators and communities. This handbook is the culminating effort of a project designed to improve health programs in small, rural schools. Of the 16,000 school districts in the United States, more than one-half are small and rural;…

A chronicle of the developmental thrust of psychiatry into the community mental health movement; its rise and fall in popularity, and the subsequent doubts raised about the power of social environment and mental health experts as manipulators of that environment to serve as unique forces for the betterment of society as a whole. (EH)

Adapted from a paper read at the Institute for Post-Graduate Occupational Therapists, Albert Einstein College of Medicine (New York City, May 10, 1968).

These guides provide orientation and advanced training for Medicaid's Early and Periodic Screening Diagnosis and Treatment (EPSDT) personnel. The Trainee Workbook consists of exercises that help trainees to better conceptualize their jobs and learn how to explain EPSDT to clients. Material is included on task analysis, publicity, eligibility…

Notes that from a rehabilitation perspective the primary goal of aftercare services is to optimize the psychiatric casualties' learning or relearning of social skills which enable them to improve their ability to function more self-sufficiently and cope with the problems of living. (Author/AM)

Offers mental health administrators indicators for directing scarce resources to priority populations, including density, service utilization rate, and service intensity. Provides examples of the importance of using multiple indicators in community mental health center administrative decision-making. (Author/ABB)

Health Maintenance Organizations are coming. It is imperative that each one of us in the health field, including college health personnel study them, understand them and, most of all, plan for them. Author outlines four specific proposals for effective development of an HMO. (Author/RK)

The group seemed to be a meaningful vehicle for discussing family life problems and to have practical advantages when compared to dealing with individual families. The relationships that developed among group members appeared to be particularly important. (Author)

The principal feature distinguishing this project from similar ones involving college students was its attempt to make their involvement community-oriented. (Editor)

This article describes the rationale, design, and development of a community based school mental health training program that seeks to establish constructive collaboration between those principles most influential in the mental health of young school children educators, mental health professionals, parents, and the children themselves. (Author)

In training nonprofessionals for a mental health project leadership role, directors attempted to find methods which were responsive to the needs of trainees. General appraisal of training and training techniques are presented. )Author/BY(

The authors describe methods and rationale of assignment of roles and give consideration to the nonprofessional role in its most simple form, a description of job behavior perceived to be appropriate for nonprofessional project leaders. (Author)

Demonstrates the importance of shape of the hazard function in determining rate of accumulation of chronic patients. New facilities characterized by length-of-stay distributions with decreasing hazard functions may at first appear to prevent chronicity even though eventual, steady-state patient mix includes many more long-stay patients than…

Examines the adoption of programing innovations at 118 rural mental health centers in 12 Midwestern grainbelt states. Concludes that directors' failure to innovate in response to the 1980s' rural crisis was due to scarce resources and a mentality giving precedence to existing programs, regardless of need. Contains 40 references. (SV)