Intended for trainee use, the manual is in notebook format with a curriculum corresponding to the trainers' manual (VT 007 909), a related document. Part I, Basic Health Curriculum, deals with (1) the roles of health service aides, (2) Biological Potential and Equilibrium, (3) Professionals in the Health Field, (4) Public Health Administration,…

Developed on the assumption that part-time nursing services will eventually become part of a comprehensive health program for each industry served, this 3-part guide contains guidelines for planning, promoting, and developing a part-time nursing service. Part I provides administrative considerations for planning the service and responsibilities of…

If health educators, in their preprofessional training, can participate on an interdisciplinary child service team, it should strengthen their background for a professional career. (JD)

Describes variations in case management approaches based on a national evaluation of Medicaid 1115 and Medicare 222 community-based care demonstrations. Presents the costs of producing case management services for selected programs. Less professionalization and less specialization of case management functions are associated with lower service…

The authors suggest that much of the in-service training given health care workers in developing countries is not effective. They discuss reasons for this failure and recommend how health institutions can remedy it. (Author/CH)

Describes adolescent mental health in China as being the responsibility of the wider society and supported by social, educational, and health care resources. Mentions China's emphasis on community mental health care, where prevention and health promotion are priorities, and where mental health is considered in the context of an orderly socialist…

Reports the perspectives of family members, hospital staff, community mental health workers, and clients regarding discharge of clients from a psychiatric extended care facility. Post-discharge problems concerned families and hospital staff most, and patients least. Highly structured and supervised placement options were considered an alternative…

Evaluated Connecticut's Medicaid Home and Community-Based Care program which allowed elderly persons to remain in community with home and community-based services instead of entering nursing homes. Results did not reveal if the program was cost effective. Recommends rigorous preadmission screening of nursing home applicants to increase likelihood…

Used staff observations of a sample of a clinics' total clientele (N=125) and mental health services clients (N=147) to examine chemical use patterns and related family and social problems. Thirty percent of the clinical services families had at least one member using drugs at the circumstantial-situtational level. (BH)

The locus of mental health care for individuals with severe and persistent mental illness continues to shift from inpatient units to outpatient and community services. Among community-based approaches, assertive community treatment (ACT) teams have demonstrated clinical and cost effectiveness in state and federal public systems. However, public…

The planning of any service within the Community Mental Health Center will only be as effective as the amount of consideration which has also been given to understanding the catchment area, administration, continuity of care, and the areas of staffing and funding. Basic principles and guidelines are described for each of the five essential…

Health educators should strive to understand the origins and roles of curanderas (herbalists) and brujas (witches) in Mexican American culture and appreciate both the advantages and the related problems that these people bring to their patients and their communities. (CMJ)

Expert community health nurses (n=28) described crucial clinical situations. Content analysis revealed that decision making was both rational and intuitive. Eight themes were identified: decision-making focus, type, purpose, decision-maker characteristics, sequencing of events, data collection methods, facilitators/barriers, and decision-making…

A 6-year collaboration between home care professionals and academic researchers shows how to identify the right research partners, mobilize resources, sustain long-term effectiveness, and ensure return on investments of time, energy, and resources. Despite the challenges to both community and university, research partnerships result in benefits to…

Primary health care goes beyond the individual focus of primary care to build interventions for improved health for the entire population. It embodies these principles: equitable distribution, appropriate technology, focus on promotion and prevention, community participation, and a multisectoral approach. (SK)