Federal Medicaid long-term care regulations do not require states to offer home and community-based service (HCBS) alternatives; rather, they are offered at the discretion of each state. The two most significant Medicaid HCBS programs are the Medicaid 1915(c) HCBS waiver programs and the Medicaid Title XIX personal care services (PCS) optional…

Since women are more likely than men to experience co-occurring mental health and substance abuse problems, they have a greater need for comprehensive treatment models. Additionally, women of color often have less access to routine medical care where early diagnosis and intervention can be done, so their mental health and substance abuse problems…

The AccessMichigan Electronic Community Health Information Initiative (AMECHII) is a response to a recommendation of the Michigan Information Technology Commission Report recommending improved access to high-quality health care information for all Michigan stakeholders. This project is multi-type, including public, general academic, academic…

Proposes a framework for assessing how human service delivery systems function. Identifies factors that influence the ability of agencies to operate as a unified system. Provides an accurate picture of how services are delivered to target populations, and why various systems function as they do. (Author/JAC)

A study was conducted in Ohio to collect information about the educational backgrounds, job responsibilities, and perceptions of current employees of community health education programs and to project future needs. Implications of the study pertain to college programs that train personnel for this field. (PP)

Four papers describe systems adopted by public libraries in the United States for computerizing community information services and information and referral programs. Word processing at the Fresno County Information and Referral Network and the automation of library processes in the Pikes Peak Library District are among the topics discussed. (JL)

Describes the growth and operations of the Crouch Neighbourhood Resource Centre, a multi-service, inter-agency, community information center housed in a branch library, and discusses its impact on library services. (CWM)

Older adults are generally satisfied with moving to the seaside, and are motivated by a more congenial physical environment and social advantages of living with retirees with similar interests. Unfortunately social and health services have not kept up with the demand. (JAC)

A community-based program was designed to serve as an alternative to traditional short-term hospital treatment and after-care services for the psychiatrically disabled client. Comparisons revealed significant differences in favor of this approach. A rehabilitation counselor worked half-time and was an invaluable member. (Author)

The development of affiliate agreements requires an organized and planned approach with specific goals and strategies, taking into account the complex dynamics that operate in inter-organizational relationships. Successful negotiation leads to decisions in the best interest of each partner, not just preservation of the relationship. (JAC)

In simulated decision-making situations in a community mental health center, three types of information were studied and rated: political; cost-benefit, and statistical. Only cost-benefit information was rated as significantly influencing administrators' decisions. (MH)

Project Porvenir functions as a manpower resource for primary health care systems developing in rural New Mexico. By providing supervised interdisciplinary teams of students in medicine, nursing, and pharmacy, Porvenir increases the service capabilities of the facilities with which it is affiliated. (LBH)

Reports on the results of a study of a community computing system, Prairienet. Examines characteristics of users and the extent to which Prairienet is serving its purpose as a community resource for networked communication and information access, through the analysis of usage patterns and logs. (Author/AEF)

The importance of partnerships between metropolitan universities, local government agencies, and community organizations to address community health issues is discussed and illustrated in the collaborative activities of North Texas University and its Fort Worth health sciences center, including a community clinic and a master's program in public…

In recent decades, rural Mayan women in Guatemala have been working to overcome long-standing disadvantages: illiteracy, poverty, lack of basic community services, and lack of respect for women's abilities and contributions. Profiles of 10 Mayan women describe their educational experiences and their community development work, particularly in the…