Presents an ethnographic analysis of the Puyallup Indian urban tribal health care system with emphasis on mental health issues. Merges anthropological theories and perspectives with the practical experience of providing culturally sensitive care within a multifaceted bureaucratic environment. Contains 146 references. (SV)

Reviews World Wide Web sites useful as alternative resources for reference librarians. Sites described are: general reference; reference for kids and teens; regional interest for Southern California, including local foreign-language resources and local history sites; and interactive reference. (JAK)

A study of 203 community health center preceptors who attended workshops on educational planning, teaching styles, evaluation, and feedback found that participants showed significant increases in use of five of seven teaching concepts while analyzing a role-play interaction; increased familiarity with, and retained for three months, nine of 11…

Purpose: Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care. Design and Methods: We enrolled 349 residents, 243 informal caregivers, and 299…

Background: It has been suggested that persons with an intellectual disability consume a disproportionate amount of hospital services. Policy changes in Ontario in the 1970s and 1980s made it necessary for community health services to accommodate this population that formerly received most of its medical care in the institutions where they lived.…

This article reviews relevant literature and methodological issues concerning home-based intensive behavioural programmes (Lovaas). It describes, via an examination of case work, the dilemmas presented when a local education authority is asked to fund programmes. Suggestions for review procedures are offered.

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

Utilizing the professional expertise of school nurses, the Des Moines (Iowa) Public School system is committed to providing professional health services and health education for students, employees, and the community in order to promote success in the learning process. The health services program is an integral part of the total school program in…

This bibliography contains 166 entries related to information access in rural communities. The entries were derived from the AGRICOLA database produced by the National Agricultural Library and include journal articles, books, conference papers, and government reports. Entries cover such topics as information centers, information needs, cooperative…

As the price of scientific publications soars to Olympian heights, it becomes imperative to base selection decisions on reliable measures for potential use of the prospective titles. A systematic examination of interlibrary loan (ILL) requests should yield hard facts as to the nature of requests and areas of specialization most dependent upon…

This report examines how communities and groups can shape the content of health services to bring more comprehensive health services to poor children and families. The report is based on a study of 11 comprehensive primary care programs and systems some of which offer school-based services: 4 freestanding community-based programs, 4 local systems…

These three documents report on the activities of Child Care Connection-NS (CCC-NS), a service and support organization providing information and resources on the administration of child care programs to residents of Nova Scotia and Canada at large. Formed in 1989, CCC-NS has established itself as an organization that serves all sectors of the…

The 12 papers in this collection were presented during the meetings of three sections of the Division of Regional Activities: (1) "Which Way African Librarianship?" (Kingo Mchombu); (2) "The Expansion of the University of the Air of Japan and the Changing Function of Regional University Libraries" (Katsuhiro Jinzaki); (3)…

Hearings were held concerning community-based mental health services for children. In an opening statement, Chairwoman Schroeder discussed issues of children's mental health and suggested that the committee study: (1) the effectiveness of community-based care in a model service system in California; (2) the importance of having service systems in…

This presentation discusses the effectiveness of a home-visiting program staffed by community workers in providing education and support for parents in poor, underserved areas. Six lessons learned by program staff about ways to successfully implement this type of program are discussed. The first lesson is that it is important to listen to the…