The costs of outpatient training for medical residents in a community health center (CHC) are analyzed, based on a family practice residency of one medical school. The model used a computer spreadsheet program to determine the financial impact of the program on the CHC. Sensitivity analyses determined the effects of changing productivity, nursing…

Describes journal issue's framework and invited articles. Presents transactional approach to environmental stress, identifying and taxonomizing multilevel positive and negative outcomes experienced by elderly rural town residents. Describes contextual taxonomy, offering possible outcomes and relevance to other issues for rural psychologists and…

An interdisciplinary project provided ambulatory care clinical training for pharmacy and nursing students in community-based pharmacies, promoting early detection and medical follow-up of common health problems within the community. Students learned new clinical skills in patient health assessment, new diagnostic technologies, patient education…

Describes application of participatory model for creating school-based mental health services in a developing country. Describes process of identifying individual and cultural factors relevant to mental health. Discusses importance of formative research and collaboration with stakeholders to ensure cultural specificity of interventions, and the…

Assertive community treatment (ACT) has been applied to a number of disorders in the adult population, such as schizophrenia, with some degree of success; its use in the treatment of people with intellectual disability (ID) and mental illness has received little attention. Despite the high costs of ID in health and social care, there has been very…

The Treatment for Adolescents With Depression Study (TADS) is an NIMH-supported multisite clinical trial that compares the effectiveness of a depression-specific cognitive behavioral therapy (CBT), medication management with fluoxetine (FLX), the combination of CBT and FLX (COMB), and medical management with pill placebo (PBO). TADS was…

Purpose: We identified the types of home-and community-based services (HCBS) that high-risk older adults in Medicare managed care used, and we examined participant characteristics associated with service use in six areas: overall service use, four specific categories of HCBS, and referrals to insured medical services. Design and Methods: We used…

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…

This paper focuses on the complexities of health care in Coober Pedy (South Australia) and the nearby Umoona Aboriginal community, and highlights the vital role of Aboriginal health workers in the implementation of primary health care principles. The Aboriginal population in this "outback" area is characterized by considerable economic…

The School-Community Health Alliance for Rural Practitioners (SCHARP) was planned and implemented to address the severe health education and service problems faced by school children and citizens of rural America. Small rural school and communities lack the resources, expertise, and leverage to influence public policy to address these needs. This…

One of the major reasons many children do not receive efficient, effective health care is that much of public spending for child health services has been funneled through categorical funding programs. The Child Health Initiative provided an opportunity to learn how different communities would approach improving child health services through…

The Calgary Program for Parenting Adolescents (PPA) was designed to provide an opportunity for parenting teenaged girls to complete their high school education. For the purposes of evaluation, surveys were developed for each of the respondent groups: students (n=58), teachers (n=26), PPA staff (n=10), PPA coordinating committee members (n=4), and…

Edward Kowalewski discusses involving the community in medical education emphasizing the need for models to be flexible in light of different community environments. Harold B. Wise focuses discussion of training in the new setting on the development of a practitioner to assist patients and families in their normal development. (JT)

Emery School of Medicine's freshman behavioral science course, which includes units on medical care, psychiatry, and epidemiology, is directed toward attitude formation as well as intellectual development. Units and field experiences are described and evaluated and the course impact over a 4-year period found to be positive. (JT)

Acquired Immune Deficiency Syndrome (AIDS) has become one of the most serious epidemic disease problems in recent years. In 1985 the Public Health Service recommended establishment of test sites where individuals might be tested for Human T Lymphotropic Virus III (HTLV-III) antibody. An HTLV-III antibody screening program was integrated into a…