The Safe Schools/Healthy Students Initiative in Pinellas County, FL, emerged as a part of a broader local effort to implement creative educational and mental health programs to support children and families. Describes Pinellas County's plan, and highlights the instrumental roles played by school psychologists, which included grant writing, program…

A top-down approach to British community development is rooted in Victorian paternalism, a bottom-up approach in radical action. The case of ACHIEVE (Academic Centre for Health Improvement and Evidence of Effectiveness) shows how the current government's top-down approach is inadequate and potentially exploitive. It emphasizes development and…

Describes how therapeutic recreation in naturally occurring retirement communities (neighborhoods where most residents are older) can promote healthy lifestyles, presenting a case report of an in-home therapeutic recreation program offered in conjunction with nursing and social services in a such a community and discussing implications for…

A cost-effectiveness evaluation of an Arthritis Self-Management Program assessed direct and indirect costs through self-reporting of health services use. Diminished productivity and effectiveness were measured through a visual analog scale and the health status dimensions of the Canadian Medical Outcomes Study short form. (JOW)

Strength training is an effective method of developing musculoskeletal strength and is often prescribed for fitness, health, and for prevention and rehabilitation of orthopedic injuries. This paper describes and presents a rationale for the population-specific strength training guidelines established by major health organizations. (SM)

Highlights one strategy to improve health promotion delivery and generate better outcomes by creating "Microcultures of Meaning" (MOMs), which are intended to provide a context to help people learn and take action. The issue introduces key theoretical concepts associated with the MOM methodology, describes the scientific rationale, discusses…

Evaluated outcomes in selected Australian schools of an intervention project, Health Promoting Schools (promoted by the World Health Organization). Found that studied schools moved beyond oppositional constructions of health and education towards approaching health as an element of effective schooling. (EV)

Notes the rise of the harm-reduction model in the provision of substance abuse services and the history and success of syringe exchange programs. Describes the Xchange Point, a nonprofit community-based AIDS services organization founded in 1996 as a street-based outreach and syringe exchange program. (Contains 15 references.) (GCP)

Explored the relationship between the 1998 National Heart, Lung, and Blood Institute (NHLBI) weight guidelines and concurrent medical costs among 177,971 employees, retirees, and adult dependents from a nationwide manufacturing corporation. Results indicated that the six weight groups defined by the NHLBI guidelines were consistent with concurrent…

Four lay health workers on two American Indian reservations were trained to present a diabetes curriculum while coordinating and guiding group discussion in "talking circles"--a culturally appropriate intervention. Facilitator interviews discussed their "calling" and commitment to the work and to Indian people, their journey of…

Describes use of Environmental Protection Agency's Tools for Schools tool kit to improve indoor air quality aimed specifically at eliminating asthma triggers such as dust mites and mold. Includes several examples of school district efforts to reduce or eliminate student health problems associated with poor indoor air quality. (PKP)

Students of child health nursing conducted weekly preschool health promotion activities for children in homeless shelters. They also organized a health fair and interviewed family members to learn about their coping strategies and help they develop healthy strategies. (SK)

Nursing students planned and implemented a project to ascertain the HIV risk knowledge of homeless people and increase participation in testing. The intervention included getting acquainted with clients, learning about their knowledge level through conversation, and reinforcing information with environmental cues. (SK)

A national survey found that 46 of 91 responding university home economics units offered 104 wellness and health promotion courses. Although most respondents felt that wellness and health promotion are part of home economics' mission, surprisingly few offer related programs. (SK)

Outlines models for health education and community interventions targeted at reducing human immunodeficiency virus-Type 1 transmission. Notes significant gains made with regard to sexual practices among homosexual and bisexual men in some acquired immunodeficiency syndrome epicenters. Stresses need for more programs to address other high-risk…