This social case describes the foundation of a commission whose object is to organize a recreation group for preschool children. The efforts to choose a commission was affected by the antagonism between the old members and the new members. The worker of the community describes his efforts in bringing the groups together. (Author/RR)

A graduate program for community health nurses formed a partnership with a neighborhood to enhance community health behavior and teach nurses about community organizing. Major conflicts between community groups proved to be both powerful catalysts and potential barriers to the use of Freire's concepts in community organizing. (SK)

Describes one researcher's experiences as she interviewed rural families during a comprehensive survey of Johnson County, Tennessee. Discusses health care problems and needs, family support systems for the sick and elderly, fears about cancer risks, and the real picture of underemployment versus the official unemployment rate. (SV)

The express purposes of this article are to discuss the assertion, which is made here, that in the United States the Spanish speaking surnamed (SSS) population receives mental health care of a different kind, of a lower quality, and in lesser proportions than any other ethnically identifiable population, and to offer some recommendations for…

The problem of providing adequate health services for rural America is many fold and will require the combined efforts of everyone to approach a satisfactory solution. A broad overview of all facets of the problem is presented. Listed and briefly discussed are goals which must be achieved to insure permanent improvement. Three general directions…

An interview survey of a statewide sample of community members revealed local perceptions of health problems. While community residents differed slightly in their perceptions of local health problems and the social agencies thought to possess the ability to assist in the solution of these problems, they agreed almost unanimously on the extent to…

Indianapolis looked to disc jockeys and the razzle-dazzle of prizes in mounting a remarkably effective campaign to innoculate its unprotected children. (Editor)

This paper contains preliminary findings from a 1989 survey of over 400 rural health programs serving chronically ill, handicapped, or high-risk children. Respondents identified major problems affecting service delivery. Follow-up research is continuing, but present data indicate that transportation problems, for both clients and staff, will…

The history of reform and the origins of unrest in America are briefly reviewed. Concurrent reform streams of the past are examined in terms of an emerging awareness of the relationship between racism and poverty and social environment. The mental health and social welfare movements paralleled this recognition, but did not lead the new reform.…

This collection of 34 papers from various nations reflects the state of the art in the development of community-based medical educational programs. Papers are grouped into the following topical areas: (1) community-oriented education, (2) evaluation, (3) innovation and change, (4) problem-based learning, (5) administration of education, and (6)…

In Belle Glade, Florida, a slum populated by Blacks, Whites, Hispanics, migrant farmworkers, and Haitians, where the incidence of most major health risks was far greater than anywhere else in the state, a program was planned and partially implemented which aimed to provide health services to at-risk, disadvantaged teenage mothers and their…

The manual is addressed to nutrition and health educators interested in trying out new participatory ways of working at the community level and describes simple techniques to train field staff to approach local communities more sensitively and involve them more fully in achieving better health. Techniques and materials are all experiential and…

A Spanish version of a manual on workshops for training nutrition and health field educators to approach communities more sensitively emphasizes techniques for involving community members in efforts to achieve better health and nutrition. Experiential workshop materials and techniques have been field-tested in several countries, including…

The study reported here describes the development and testing of a curriculum model to extend the role of public health nurses into community nurse practitioners (CNP). The content is presented in six chapters. The first chapter overviews the conceptual framework for the CNP role and then describes the three-course sequence comprising the CNP…