A nursing school-middle school project included (1) health education for middle schoolers by teachers assisted by nursing students/faculty and (2) middle schoolers' community service in health facilities with student nurses/mentors. Compared with 95 controls, 57 nursing student participants showed increased skills, comfort with, and knowledge of…

Describes the Home Instruction Program for Preschool Youngsters (HIPPY), a two-year home-based early-education intervention program designed to help parents with limited formal education prepare their children for school. Presents findings from a two-site HIPPY study, a one-site case study, and a three-site qualitative study. (SLD)

Programs serving children in trouble have been shifting from a pathological perspective towards supporting and reinforcing children and family functioning. This strength-based perspective is described and the practices found to be effective with challenging children are outlined. Some practices include: building authentic relationships with…

Described use of human services reported by 245 injection drug users and 125 crack cocaine smokers living in Columbus and Dayton, Ohio. Findings suggest that drug users are active consumers of human services; nearly 90% reported involvement. Found no gross patterns of discrimination. (JBJ)

A method is described for increasing residual degrees of freedom in a community experiment without substantially increasing cost or difficulty by dividing experimental subunits into batches. Theoretical advantages of batch sampling are described and illustrated with data from the Pawtucket Heart Health Program. (SLD)

This article examines the work behaviors related to counseling substance-abusing clients by mental health service providers in multiservice mental health agencies. The results support the need for specialized knowledge and skills in working with substance-abusing clients. (Author)

Using variables measuring organizational characteristics and environmental influences, this study analyzed job satisfaction in community-based HIV/AIDS organizations. Organizational characteristics were found to predict job satisfaction among employees with varying intensity based on position within the organization. Environmental influences had…

In 1995, 23 registered nurses working for a bachelor of science degree in nursing completed a community-health course via distance education in Newfoundland. Distance delivery improved access, but students wanted more detailed information about the course and more frequent communication with instructors. (SK)

This article explores women's views on the positive and negative aspects of HIV. Many of the 55 women interviewed stated HIV was the motivation for positive changes. The physical symptoms, stigma, and limited life span were all shared negative experiences. Although the women demonstrated the ability to adapt, suggestions are given on how community…

This paper extends and further validates the quality-of-life/community-healthcare model and measures developed by Rahtz and Sirgy (2000). The quality of life (QOL) model is based on the theoretical notion that community residents' satisfaction with healthcare services available within their community affects community quality of life and life…

We developed a conceptual framework to examine the association between stigma, enrollment barriers (e.g., difficult application), knowledge, state policy, and participation in the Temporary Assistance to Needy Families (TANF) and adult Medicaid programs. Survey data from 901 community health center patients, who were potential and actual…

Context: Migrant and seasonal farmworkers are recognized as a medically underserved population, yet little information on need, access, and services is available--particularly with regard to oral health care. Purpose: This study describes the facilities, services, staffing, and patient characteristics of US dental clinics serving migrant and…

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;…

This booklet for distribution to students and employees contains East Carolina University's (ECU/North Carolina) policy prohibiting illegal drug use, a description of the medical and legal implications of using illegal substances, and a listing of campus and off-campus resources available to assist persons with substance abuse problems. A…

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)