Congressional changes in the law to permit reimbursement of physician extenders under Medicare seem closer as national television publicizes the program. (Author)

Notes the rise of the harm-reduction model in the provision of substance abuse services and the history and success of syringe exchange programs. Describes the Xchange Point, a nonprofit community-based AIDS services organization founded in 1996 as a street-based outreach and syringe exchange program. (Contains 15 references.) (GCP)

Describes "linkage agreement" system between Illinois community mental health centers and Anna Mental Health and Developmental Center serving 28 rural counties. Agreements specify responsibilities of community centers and hospital staff regarding referrals, client treatment, and discharge. Describes improvements over previous…

A computerized, simulation-based instrument, consisting of four community practice clinical scenarios, collected information-searching data and the students' decisions. The appropriateness of the decisions, assessed by three clinical judges, and the focus of information search, based on the computer-collected process data, were the dependent…

Challenges counselors to adapt to the multidisciplinary approach for the delivery of mental health services in Canada by moving from the provision of direct services to individual clients to providing indirect services such as program planning, implementation, evaluation, consultation, training, supervision of other workers, and administration as…

Heart to Heart, a 5-year, community-based chronic disease prevention project, included walkathons, lectures, media messages, restaurant food labeling, and cooking seminars. Surveys and assessments of participants and nonparticipants indicated that the project had a slightly favorable effect on cholesterol and smoking but did not affect other…

This study examined the impact of childhood sexual abuse (CSA) on the mental health status of the Los Angeles Epidemiologic Catchment Area. A history of CSA was found to significantly increase an individual's odds of developing eight psychiatric disorders in adulthood. CSA's effect on the community level was also found to be substantial.…

Discusses community health care intervention models that address AIDS in communities of color at both the service and policy level. Argues that health care workers must "respect" minority group members before they can effectively intervene against AIDS in the minority communities. (KS)

Key factors of a model for training community health aides are (1) extended time for updating and reinforcing skills; (2) relevance to local situations; (3) group process and interpersonal communication training; (4) practical materials; and (5) participation of physicians, local health workers, and community leaders in rural health policy…

A Boston interdisciplinary health care project places nursing students and medical students in neighborhood health centers for clinical experiences for primary care. The students engage in interdisciplinary seminars, work together with patients and families, and plan projects. (JOW)

Describes the Healthy Families America (HFA) initiative, a program that seeks to expand the availability of high-quality, intensive home-visitation services. Reports on evaluation of HFA programs, which have not shown significant improvements in children's development and maternal social support so far. (SLD)

A coalition of community agencies and a nursing school involves nursing students in nontraditional delivery of health-care services to the elderly. Elders report satisfaction with the program but not as much ownership, despite the goal of involving them in program planning and evaluation. (SK)

Offers practice models for community-based nursing and community health nursing that demonstrate the different roles, philosophies, and activities of the two approaches. Points to curriculum changes that are needed to prepare students to practice in an increasingly community-oriented health care industry. (Author)

Includes "Assessing the Need for Community Concepts" (Marion Cahill et al.); "Expanding the Associate Degree Curriculum without Adding Time" (Marjorie K. Jamieson); and "A Community College Responds to Changes in Health Care Delivery" (Patricia D. Irons, Susan Meehan, and Margaret J. Reilly). (SK)

Circles of Care grantees were provided the opportunity to develop a locally relevant definition of serious emotional disturbance (SED) that would be used to define what type of emotional, behavioral, and mental disability would be required to receive services. After conducting detailed assessments of the definition in the guidance for applicants…