Reviews the status and organization of the Cuban mental health system. Focuses on the deliberate and systematic interdependence of mental health, public health, and socio-political structures; inpatient treatment modes and rehabilitation programs; use of social networks to support discharged patients; community-based care; and primary to tertiary…

Describes a program which draws on interagency collaboration, principles of care, needs assessment, and other components to create a community-based system of care. Presents the rationale for each of these components and how they were implemented, data on the children and families served by the program, and a case study. (RJM)

Discusses six findings of the Northeast Hispanic Acquired Immune Deficiency Syndrome (AIDS) consortium's assessment of 2,527 members of the Hispanic community of the northeast United States and Puerto Rico. Highlights the subjects' needs for information, education, risk reduction, and services related to AIDS and the human immunodeficiency virus…

As part of its mission to increase the availability of primary care providers in rural and other underserved areas of the country, the national Area Health Education Center Program has developed new rural-focused initiatives, including expanded student experiences in underserved areas, rural-track residencies, and telehealth links to rural…

Survey of 602 African-American, Hispanic, and White mothers in rural Florida examined the effects of community, family, sociodemographic, and medical-care variables on self-reported health status. Race/ethnicity and community structural indicators (including populations with limited-English-proficiency or low education) were more important than…

This book contains 13 chapters analyzing important practical issues that must be addressed as Aboriginal self-government becomes fully operational in Canada. These issues are related to social problems and policies, criminal justice, community services, education, employment and job training, finance, the land base of government, women's rights…

Recognizing the need to be proactive in redefining the role of nursing and allied health practitioners at the associate degree level and transforming curricula to meet the changing demands of health care, the Division of Health Technologies at Northern Virginia Community College, in partnership with local community agencies, implemented the Mobile…

This document features four annual reports from 1988-89 to 1991-92 on a community college-nursing home partnership project undertaken by Shoreline Community College (SCC), in Washington. Each report provides a brief summary of the project and describes actions undertaken to achieve the following project objectives: (1) the establishment of…

Spurred by sagging retail trade and the need for future planning, the Fort Madison (Iowa) Chamber of Commerce initiated a community survey to determine attitudes of residents towards various community characteristics. A 7-section questionnaire was distributed to a random sample of 411 area households, of which 268 or 72.2% responded. Over 75% of…

Members of the Health Services Management class conducted a descriptive study of the perceived health problems of the people of Santa Clara Pueblo and the management processes involved in the delivery of health services to them. Data were obtained from personal interviews with 38 Tribal members, 9 officals, 6 employees working primarily in the…

A study of the adjustment of migrant American Samoan families in five gateway cities (Honolulu, San Diego, Los Angeles, San Francisco and Seattle) was done with the objectives of learning about the transition experiences of the families, gaining information about the human services provided in these cities, and providing background cultural…

Although family planning services in rural America are becoming more accessible to women who need and want them, only one-fourth of low- and marginal-income nonmetropolitan women at risk of unintended pregnancy have been served by organized family planning programs. About 150 participants, generally providers of family planning services in…

Innovations in the training of community health personnel that emphasize the importance of the development of health personnel able and willing to serve the community by providing health care, promoting health, preventing disease, and caring for those in need are examined. The need for effective and efficient training programs relevant to present…

To better understand factors contributing to an identified early attrition rate for families referred to a child guidance clinic, a procedure was developed for assessing their satisfaction with clinic services. Brief Client Satisfaction Questionnaires (N=3) were developed to assess clients' attitudes and reactions to an initial screening and…

A major portion of the collection of 20 readings authored by practicing professionals consists of field observations presented both as raw data (field notes) and as analyzed and organized data. About the work of nurses in a variety of settings, a recurrent theme is that work behavior is greatly influenced by organizational and structural elements…