Assertive community treatment (ACT) has been applied to a number of disorders in the adult population, such as schizophrenia, with some degree of success; its use in the treatment of people with intellectual disability (ID) and mental illness has received little attention. Despite the high costs of ID in health and social care, there has been very…

The Treatment for Adolescents With Depression Study (TADS) is an NIMH-supported multisite clinical trial that compares the effectiveness of a depression-specific cognitive behavioral therapy (CBT), medication management with fluoxetine (FLX), the combination of CBT and FLX (COMB), and medical management with pill placebo (PBO). TADS was…

This paper focuses on the complexities of health care in Coober Pedy (South Australia) and the nearby Umoona Aboriginal community, and highlights the vital role of Aboriginal health workers in the implementation of primary health care principles. The Aboriginal population in this "outback" area is characterized by considerable economic…

The School-Community Health Alliance for Rural Practitioners (SCHARP) was planned and implemented to address the severe health education and service problems faced by school children and citizens of rural America. Small rural school and communities lack the resources, expertise, and leverage to influence public policy to address these needs. This…

One of the major reasons many children do not receive efficient, effective health care is that much of public spending for child health services has been funneled through categorical funding programs. The Child Health Initiative provided an opportunity to learn how different communities would approach improving child health services through…

The Calgary Program for Parenting Adolescents (PPA) was designed to provide an opportunity for parenting teenaged girls to complete their high school education. For the purposes of evaluation, surveys were developed for each of the respondent groups: students (n=58), teachers (n=26), PPA staff (n=10), PPA coordinating committee members (n=4), and…

Edward Kowalewski discusses involving the community in medical education emphasizing the need for models to be flexible in light of different community environments. Harold B. Wise focuses discussion of training in the new setting on the development of a practitioner to assist patients and families in their normal development. (JT)

Emery School of Medicine's freshman behavioral science course, which includes units on medical care, psychiatry, and epidemiology, is directed toward attitude formation as well as intellectual development. Units and field experiences are described and evaluated and the course impact over a 4-year period found to be positive. (JT)

Acquired Immune Deficiency Syndrome (AIDS) has become one of the most serious epidemic disease problems in recent years. In 1985 the Public Health Service recommended establishment of test sites where individuals might be tested for Human T Lymphotropic Virus III (HTLV-III) antibody. An HTLV-III antibody screening program was integrated into a…

Designed to help health center administrators and providers deliver health care services within the broad context of disease prevention, health promotion, and health education, this guide serves as a companion document to "Promoting Health and Preventing Disease: Objectives for the Nation" (ED 209 206). Its purpose is to help in program…

The purpose of this sourcebook is to provide information about health promotion program planning, activities, and resources to people planning wellness programs for older adults. The materials are divided into two parts: background information and resources. The Wallingford Wellness Project is presented as an example of a comprehensive health…

The upward economic flux of Pike County is having a dramatic impact on the traditional morals and values held by the established community. Drug availability has increased proportionately with improved highway systems, accessibility of money, and increasing numbers of youth with their own cars. Although 75% of the population live in isolated…

This paper provides a model to assist local program planners, administrators, and other decisionmakers in the assessment of local drug abuse conditions and problems. The model presents data on which to base everyday judgments about drug abuse, to plan for drug abuse services, and to allocate limited resources on local levels. Drug abuse indicators…

The development of the Technical Assistance Program for Community Mental Health Centers (CMHC) and its attempts to implement the provisions of the CMHC Act Amendments of 1975 are presented. The process by which funds for this program are allotted, the recipients of the allotments, and how they have used them are described. In addition, guidelines…

Intended for workers in Medicaid's Early and Periodic Screening Diagnosis and Treatment program, this booklet describes steps in providing EPSDT services. Focusing on methods of outreach and follow-up services, it concludes with a discussion of principles upon which effective client contact may be based. Section I outlines eight steps in the…