Describes the intervention approaches, clients groups, and impacts on use of Medicaid and Medicare reimbursed services for five demonstrations included in the national evaluation of community-based long-term care. Only one project produced significant reductions in nursing home use. Unlike other projects, it identified potential clients through…

Proposes an Institute of Gerontology for developing a comprehensive approach to caring for the elderly. Anticipates the institute promoting gerontological research, educating health professionals, and establishing health services for the elderly. Calls for a Gerontology Center within the institute, which would provide a network of coordinated…

Recounts the aftermath of Hurricane Gloria and necessity of frail individuals to be hospitalized for respite care due to loss of home services. Advances a new category of respite care which includes care for losses related to natural disasters. Describes characteristics of individuals requiring such care and specific reasons for their care.…

Presents the case study of a community mental health agency which was provided consultation, technical assistance, and increased funding to facilitate implementing an assertive community treatment program for the long-term mentally disabled as an alternative to hospitalization. Lists barriers encountered and reports an analysis of the community…

This article describes a rural teenage pregnancy program and compares the pregnancy outcomes to 60 matched nonparticipants. The study determined a relationship existed between program participation and maternal complications, birth weight, gestational age, Apgar score, and perinatal morbidity. (Author/MT)

Examined coordination between community mental health centers (CMHCs) and Area Agencies on Aging (AAAs) through survey of 281 CMHCs. Found affiliation with AAA associated with more indirect services of all types; more sites where mental health programs were offered to elderly; and more provision of direct services, such as Alzheimer's disease…

Investigated the effectiveness of a modeling therapy designed to be sensitive to Hispanic culture using cuentos (folktales) from Puerto Rican culture to present models of adaptive behavior and folktales tailored to bridge Puerto Ricans' bicultural conflict. Cuento therapy significantly reduced children's trait anxiety relative to traditional…

An important part of a clerkship in community medicine on the Navajo Indian reservation is a project in which students select a health problem which they investigate using epidemiological methods of assessment and for which they seek a solution. (Author/MLW)

Academic institutions (N=115) were surveyed concerning trends in professional preparation in health education. Findings indicate an increase in students specializing in public health education and a decrease in those involved in school health education. (Author/DF)

Principles and techniques of community mental health work are case illustrated and the article demonstrates the advantages of having a close working relationship between school personnel and clinician. (Author/RK)

Presents report of the results of a dietary survey conducted among young transients using medical services of the Waikiki Drug Clinic in Hawaii. An informal method of nutrition education is recommended. (DM)

Describes Maryland program in which senior psychiatric residents work one day a week for a year as consultants to health departments, in effort to prepare them more adequately for work in the community. (CJ)

Reviews dilemmas confronting Comprehensive Community Mental Health movement, documents existent paradigms on various campuses with special reference to program at University of Florida. Outlines campus utilization of College Community Model for training of psychiatric resident. (Author/CJ)