In the Kentucky Homeplace Project, specially trained paraprofessionals who live in medically underserved rural communities make home visits, facilitate access to health care, and provide case management and culturally appropriate prevention education for poor families. Strengths include local administration and staff and holistic and traditional…

Purpose: The psychiatric home visit is an effective intervention for elderly patients who otherwise would not receive mental health services. Home visits also have potential to be useful for training. Here, the current practice of home visits in geropsychiatry fellowship programs is examined. Design and Methods: The directors of 55 current…

The purpose of this article is to assist health educators and students to integrate theory with practice by examining four major learning theories for their implications for motivating healthy behavior change. Using a prototypical case example based on the authors' experiences with farm families through community health screenings, the learning…

Focusing on current environmental issues and strategies for preparing for the future, this document provides the following conference papers: (1) "Preparing Environments for the 21st Century," by Bailus Walker, Jr.; (2) "Green vs. Greed: Development and Conservation," by John Ferrara; (3) "Plants and People: A Developing Relationship," by Alan…

Comprehensive health enhancement programs (CHEPs) are a curricular area required by new Montana accreditation standards. The curriculum combines the disciplines of health and physical education into an integrated, holistic, health-oriented program. A CHEP incorporates an expanded concept of health services--healthy school environment, employee…

This article describes the unique role of America's community colleges and the way they relate to academic health centers and community health needs. It discusses how community colleges benefit underserved communities. As open-door institutions, they provide academic opportunities for those who would not normally be able to have higher education.…

This document represents proceedings of a workshop before the Senate Special Committee on Aging. The workshop focused on the severe shortage of health professionals in the rural health care system. Opening remarks by Portia Mittelman, Staff Director of the Special Committee on Aging and Jeffrey Human, Director of the Office of Rural Health Policy…

The theme of this serial issue is helping individuals involved in community health programs at the local level to devise and apply a protocol for the evaluation of a community health program. In the opening sections of the issue evaluation is defined, the difference between a direct quantifying measure and an indicator is clarified, obstacles to…

The Los Angeles County Commission on Human Relations held a public hearing to examine the effects of poverty on the hundreds of thousands of low income Blacks and Latinos under the age of 18 residing in Los Angeles County (California). The Commission's findings, recommendations, and concerns are presented. The following findings are presented: (1)…

Nationwide attention to the problems of teenage pregnancy and suicide, Acquired Immune Deficiency Syndrome (AIDS), substance abuse, domestic violence, child abuse, dropping out of school, and other conditions is resulting in a proliferation of primary prevention programs, projects, and activities. In too many communities, however, the growth of…

By almost any definition, rural America has been medically underserved. This bibliography includes materials available from the National Agricultural Library's (NAL) Rural Information Center. The listed materials include approximately 36 books and monographs, 106 articles, and the names and addresses of 17 related associations. Certain local…

The objectives and activities of a 3-year preventive intervention program are described. The project's goal was to demonstrate a comprehensive, coordinated interagency model of preventive intervention for birth to 3-year-old handicapped or at-risk infants and young children. Following an in-hospital screening process of infants delivered at…

The purpose of this guide is to assist health care agencies and educational institutions to prepare an application for approval by the Pennsylvania Department of Education and the Pennsylvania Department of Health to train nursing aides for long-term care and home health agencies. Types of materials provided include definitions, a sample…

A systematic procedure for reviewing a basic nursing curriculum, identifying needed changes, and developing and implementing a plan for change is described. Also examined are techniques used to evaluate the plan and to determine the relevance of the revised curriculum to community health needs. After presenting information on primary health care…

The Fetal Alcohol Syndrome Project of the Indian Health Service was designed to identify existing cases of Fetal Alcohol Syndrome among the American Indian tribes (Navajo, Apache, Ute and 19 Pueblo Tribes) in the Southwest, establish a referral system to identify these children for treatment, estimate the prevalence of the problem, and work…