An experimental health-care delivery and teaching model, the health department-medical school affiliation, is described. Its conceptual basis and the affiliation agreement are reviewed and its impact is likened to that of the medical school-teaching hospital affiliation. The affiliation between the Lexington-Fayette County Health Department and…

Examines relationship of client and therapist characteristics to length of stay and premature treatment termination in 595 psychotherapy cases at a rural Arizona community health clinic. Finds results similar to those obtained in urban settings: small number of psychotherapy sessions attended and tendency to premature termination unrelated to…

This paper discusses the work of Yooroang Garang: the Centre for Indigenous Health Studies at the University of Sydney (Australia), focusing on professional education of Aboriginal health workers (AHWs). Aboriginal Education Centres in tertiary institutions are challenged to ensure that those institutions impart knowledge that is relevant and…

The South Carolina Rural Interdisciplinary Program in Training (SCRIPT) provides practical educational experiences for students from multiple health care majors in rural communities in the Low Country (Southern region) of South Carolina. Faculty from the Medical University of South Carolina joined with staff from the Low Country Area Health…

Five out of every 100 children develop serious emotional disturbances. Another 20 to 25 out of every 100 develop less severe emotional problems that can be resolved with proper care. It is this group for whom appropriate intervention can make a difference. This booklet describes the Great Smoky Mountains Study, a longitudinal, population-based…

Issues in the development of community health education programs for rural areas include: (1) knowledge of disease processes; (2) health care intervention; (3) systems intervention; (4) ethics for change; and (5) program implementation. (JN)

The required first-year clerkship in family and community medicine at the University of Massachusetts Medical School is discussed. The goals and objectives and the teaching methods used to implement the program are described. It is suggested that community medicine clerkships belong in the first year of the curriculum. (Author/MLW)

Describes a project at Fort Riley, Kansas, combining military, community and private resources and stressing parent education and problems of isolation and self-concept. (SS)

The National Cancer Institute created the Appalachia Leadership Initiative on Cancer, composed of four similar projects that focus on increasing screening for cervical and breast cancer among low-income, older women. The program relies on community coalitions that develop innovative grass roots methods to spread the message about the importance of…

Discusses the following topics concerning violence against women: (1) its scope; (2) its impact on women; (3) the community services provided in response to the violence; (4) clinical treatment of victims; and (5) violence prevention. Presents a research agenda that addresses the gaps in existing literature. (JS)

The Medical University of South Africa (Medunsa) was founded to address underrepresentation of blacks in health professions and inadequate health care in the homelands. It trains most allied health professionals in the country, emphasizing community service and preventive medicine. Medunsa and American health professions schools can learn from…

A small town designed a health clinic to entice a health care practitioner to locate in the town, increase the town's economic feasibility, generate local jobs, and stimulate business in the downtown. The design is important to achieving these goals by continuing and enhancing the town's character. (TD)

Alternate reasons for conducting program evaluation in community health care (CHC) settings and their relationships with information needs were explored in a survey of 136 CHC decision makers. Major reasons for conducting program evaluation included accreditation, true evaluation, and pseudoevaluation. Information needs were predictors of true…

The article describes implementation of the PATCH (Planned Approach to Community Health) model in an urban African-American community. It presents recommendations reflecting lessons learned in that community and notes four components crucial to such a community-based public health effort. (SM)

By the 21st century, there will be 5 new challenges for health education. Shifts in demographics, conceptions of family, and levels of activism will demand new thinking. Health educators must provide powerful leadership to pave the way. Approaches based on a new perception of health education are presented. (SM)