Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

The model, structure, program, and impacts of the Newton (Massachusetts) Community Schools are described as exemplary of community education service delivery. The Newton Community Schools have two components: education of the whole community and the involvement of citizens in program and policy decision-making. Section 1 of the report provides a…