CenteringPregnancy Smiles[TM] (CPS) is a partnership between the University of Kentucky, Trover Health System, and Hopkins County Health Department. The purpose of the partnership is to: (1) establish an infrastructure to address health problems requiring research-based solutions, (2) develop a model for community partnership formation, and (3)…

Describes seven case studies from a range of health settings in terms of the diversity of expression of the principles of community-oriented primary care (COPC). Suggests COPC is not limited to publicly funded programs. Argues that the organization of financing and the lack of feasible quantitative tools hinder the full development of the COPC…

This demonstration classroom offers direct therapeutic and academic service to 10 emotionally disordered adolescents, opportunities for observation, participation, and training to teachers of the community. The foci are accurate observation, use of contingencies, the method of approximations, and discrimination training. The impact is upon…

This article describes the results of a qualitative case study evaluating a research mentorship program in community care settings in Ontario, Canada. The purpose of the program was to build evaluation and research capacity among staff of community care agencies through a mentorship program. Data were collected through in-depth, semi-structured…

This manual was designed primarily for use by individuals with developmental disabilities and related conditions. It is hoped that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with developmental disabilities. The main focus of this manual is to provide easy-to-read…

"Teenagers and Their Babies" is a self-study and preparation guide for paraprofessional home-based visitors to engage expectant and new parents in an exploration of their baby's development and their expectations for parenthood. The guide includes service interventions--strategies, techniques, and activities--for home visitors and doulas to use…

Purpose: We compared a primary-care-based psychotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psychotherapy in treating late-life major depression and dysthymia. Design and Methods: The data here are from the IMPACT study, which compared collaborative care within a primary care clinic to care as usual in…

Though collaboration is often required in community initiatives, little evidence documents relationships between collaboration and program success. The authors contend that clarification of the construct collaboration is necessary for investigating its contribution to the success of community initiatives. After respecifying collaboration, they…

Introduction: Governments and healthcare organizations in Canada are reforming the clinical practice structures and policies to deliver primary care to the population. A key component of primary healthcare reform is the establishment of an interdisciplinary, community-based team approach to patient care. This study was undertaken to provide…

Efforts at community development in the potters' village of Kumbharwada, India, in a setting of extreme poverty, are described. Included are successful education and community health programs, as well as unsuccessful attempts to establish a playground, a selling cooperative, and a newspaper. (MF)

Community-based initiatives have become a popular approach to addressing the health needs of underserved populations, in both low- and higher-income countries. This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using…

This research was conducted to understand paraprofessional home visitors' perceptions of their training in addressing poor mental health, substance abuse, and domestic violence, and their actions in working with families in addressing these issues. Five focus groups were conducted with a total of 28 paraprofessional home visitors. Three main…

Study indicated that, although well-integrated comprehensive community mental health system (CMHS) dramatically reduces utilization of long-stay inpatient beds compared to traditional health care systems, it does not banish appearance of "new chronic" patients from a catchment area. CMHS new chronic patients were younger, mostly male,…

Describes several successful community-oriented primary care (COPC) projects conducted by the Health Partners Family Practice Residency Program and outlines eight lessons learned from these projects. The experiences of these projects show that COPC development is a long and slow process that provides many rewards during implementation. (SLD)