An educational clinical supervisor for nursing students specializing in community practice would help students move toward responsible practice, complement the role of the clinical supervisor, and be implemented in a variety of settings without the onsite presence of the educational supervisor. Implementation requires collaboration between…

Compares the codes of ethics of 13 professional organizations for community mental health service providers. Results suggest that only two of the codes of ethics address many of the "Standards for Educational and Psychological Testing." Provides implications and recommendations for professional organizations. (Contains 20 references and…

Strategies to avoid the penalties of extra variation described by J. Cornfield and reduced degrees of freedom in community-level trials were compared in Monte Carlo simulations. The three conditions necessary to ensure nominal Type I and Type II error rates are detailed. (SLD)

The Boarding Home Support Program for adults with mental health problems uses health promotion mechanisms of self-care, mutual aid, and healthy environments. The program is challenged by increased numbers of persons served, substandard homes, and conflicts between tenant and operator needs and between individual and group tenant needs. (SK)

In this ethnographic study, Mark Granovetter's theory of the strength of weak ties was used to investigate the flow of human services information (HIS) among nurses and the elderly at neighborhood clinics. Analysis of observations and interviews revealed that nurses were bridging weak ties and helped link seniors with local services. (Contains 81…

Presents an overview of the use of telemedicine technologies and critical access hospitals in rural areas. Discusses changes in rural population, hospital closures, and federal health care policy. Provides anecdotal evidence on the impact of these innovations in rural Montana, which suggests that different health care solutions are needed for…

Community learning disability nursing has been faced with considerable changes over recent years. In the early part of the 1990s, some commentators believed that it was a specialism in decline. The aim of the present study was to describe the way in which community nurses, learning disabilities (CNLDs), work within National Health Service (NHS)…

Background: Unmet need for dental care is the most prevalent unmet health care need among children with special health care needs (CSHCN), even though these children are at a greater risk for dental problems. The combination of rural residence and special health care needs may leave rural CSHCN particularly vulnerable to high levels of unmet…

Objective: This study examines the effects of clinical site assignment within a multiple-site psychiatry clerkship program on the convergent outcome of the National Board of Medical Examiners (NBME) subject examination. Method: NBME scores, controlled for baseline pre-clerkship knowledge base as measured by second year human behavior scores, were…

This book was written to provide public health leaders, community organizers, policymakers, community-based agency directors, and health educators with the most accurate information available on developing prevention strategies to reduce the spread of human immunodeficiency virus (HIV) in communities throughout the United States. In the late 1980s…

Although the occurrence of medical illnesses in psychiatric patients is quite high, medical illnesses manifested by psychiatric symptoms are often overlooked. The higher mortality rates among psychiatric patients when compared to the general population may be a reflection of neglect or inadequate treatment of the psychiatric patients' medical…

The need for mental health services coordination is discussed in this report. It is noted that, without coordination, government units and service providers can operate independently and in competition with one another. The move to deinstitutionalization is discussed, including the lack of service coordination resulting from this move and the…

At the request of the government of Bangladesh the International Center for Diarrheal Disease Research, Bangladesh established the Maternal and Child Health-Family Planning (MCH-FP) Extension Project in 1982. This paper discusses: (1) the design of the MCH-FP; (2) the major characteristics of the national health and family planning program under…

In Maine a program was initiated to integrate substance abuse services in community health center settings in order that more individuals and their families who are affected by chemical dependency could be reached and treated effectively. Integration was defined as the degree to which substance abuse services addressed the perceived community need…

Discussed here are: (1) the idea of revenue sharing; (2) action or implementation of the Revenue Sharing Act of 1972; and, (3) its implications for neighborhood health centers. (Author/SB)