Describes the development of a mobile geriatric outreach team. The importance of thorough, interdisciplinary assessment and the offering of active, brief psychotherapy are stressed. Community education programs and consultations to the aging network reach the senior community and other referral sources. Preliminary program evaluation data are…

Three case studies of students with special health problems serve as an introduction to a discussion of the role of the school nurse in a community-based School Problems Clinic. The school nurse is responsible for obtaining medical information and making referrals, counseling parents, and monitoring the needs of special students. (JN)

Examines the concept of social network as a mediating construct linking psychiatric epidemiology and community mental health. Presents a selective review of studies investigating the structural and interactional features of the social networks of psychiatrically impaired persons. Implications of results are discussed. (Author)

Marshall University School of Medicine, a new community-based medical school in Huntington, West Virginia which aims to improve the number and distribution of physicians in West Virginia through active involvement of its faculty and residents in primary care delivery, is described. (Author/MLW)

Death rates among those referred to project services were lower within the first six months after enrollment, and the mortality rate difference was maintained throughout the first year. Death rate differences were related to specific long-term care services recommended and received, and to initial functional health status. (Author)

The Brookline Early Education Project (BEEP) is a demonstration model in which a public school system assumes responsibility for the health education of children from birth to five years. This early school health program was designed to work collaboratively with existing health care facilities in the community. (JN)

Need exists for an integrated community health system comprised of a unit within the health care delivery system concentrating on behavioral change and coordinating educational influences on the individual, and a second educational unit providing necessary health knowledge and debating and analyzing the whole system of health care provision. (MB)

Canada's community Health Representative Program trains Indians to act as teachers, organizers, promotors, and liaisons in health education among their own people. (MB)

Author discusses his working experiences in various types of therapeutic communities. He stresses the importance of interaction between patients, counselor and patient, and community and patient, and the need of the therapist or counselor to be open to self-examination and change. (WW)

Indianapolis looked to disc jockeys and the razzle-dazzle of prizes in mounting a remarkably effective campaign to innoculate its unprotected children. (Editor)

In a study of 702 pharmacists in 211 communities, an effort was made to determine the effect of a unit of education on the community pharmacist's ability and/or tendency to detect the early warning signs of cancer when manifested by patrons. The success of such a program is shown. (LBH)

Chaos theory, which attempts to understand underlying order where none is apparent, was applied to an interdisciplinary rural health training program for health professionals. Similar programs should anticipate systemic flux between order and chaos and pay attention to information flow, degree of diversity, richness of connectivity, contained…

Medical schools have increasingly ignored underserved communities' needs. Descriptions of five demonstration programs show how community-driven approaches to medical education involve academic and rural communities, select students from underserved areas, and train learners in undeserved communities. The approach also supports underserved…

Discusses the value of home-based mental health services for Indian families alienated from traditional support systems or resistant to the clinic setting. Examines historical factors relevant to dysfunctional Indian families, components of effective therapy, funding issues, and limits of confidentiality. Contains 14 references and 4 composite…

Between 1980 and 1988, 132 rural hospitals closed and as a result many rural towns also lost physicians, including 19 communities that were still without a physician 2 years after closure. Smaller, more remote towns had few physicians to begin with and were more likely than larger towns to lose physicians along with their hospitals. (LP)