Claims counseling psychologist faces many challenges when choosing to work in community mental health center setting. Claims as early professional, the obstacles of immense paperwork and shrinking dollars translating into increased caseload allow for rich although costly training/professional experience. Discusses pros and cons within the context…

A 6-year collaboration between home care professionals and academic researchers shows how to identify the right research partners, mobilize resources, sustain long-term effectiveness, and ensure return on investments of time, energy, and resources. Despite the challenges to both community and university, research partnerships result in benefits to…

Discusses respective roles and responsibilities of public and private sectors in corrections field. Describes service contracting and use of private sector for rehabilitation programs carried out in community. Maintains the importance of assuring accountability and assessing the value of services, and the legitimacy of cooperation and…

The Florida National Forum on Health Care drew 75 participants who agreed that schools should be a place for continuing education and a resource for information on community needs for health care. The highest goal is developing a caring, competent generation of children. (SK)

In Hawaii, one of four national "vision for nursing education" projects focused on identifying themes for a community-based curriculum. Focus groups selected nursing history, culture, identity, knowledge, and practice as well as cross-disciplinary themes. (SK)

Describes a continuing education module that addresses care in the community, influences on patients' experience, current social policy, and the role of the carer. The module is designed to help trained nurses integrate patient care from hospital to community setting. (SK)

Addresses issues facing a new professional in a community mental health center (CHMC). Recommends appropriate training in graduate school with extended practicum experiences along with extensive coursework in assessment and testing. Emphasizes awareness of issues involved in working with broad client base and need for resources at many different…

In an increasingly cost-conscious health care environment, average length of hospital stay has decreased. Although psychiatric inpatient treatment is largely exempt from the constraints of the Medicare diagnosis related groups (DRG's), length of stay for geropsychiatric hospital services has decreased also. A trend toward higher rates of early…

Suggests an innovative group structure and process for integrating health care providers and elderly consumers in community health care planning, implementation, and evaluation. The Elderly Health Advocacy Group is described and its developmental processes outlined. Further demonstration for long-range impact is suggested. (Author)

The need for mental health services coordination is discussed in this report. It is noted that, without coordination, government units and service providers can operate independently and in competition with one another. The move to deinstitutionalization is discussed, including the lack of service coordination resulting from this move and the…

Uncompensated/free care and community service obligations under the Hill-Burton Act can assist substantially in providing needed health care services to the Black community. Blacks, however, must become knowledgeable about these obligations, develop monitoring projects, and be prepared to take legal steps to bring Hill-Burton facilities into…

To combat extreme health conditions in Armenia, nurses and physicians were given pretraining in community health at home and additional training in the United States on change strategies and community-based practice. Unforeseen barriers to change hindered progress, but participants were committed to preventive community health care. (SK)

Community Based Consultation, a consultation/education model appropriate for use in CMHC's and mental health departments is described. The model is being implemented by a Community Services Team of a rural mental health department. Appropriate strategies, a conceptualization of the community along power dimensions, a decision-making structure for…

Describes the health care functions provided for the Black community by urban public hospitals; considers the impact of Federal retrenchment on these institutions; and examines the negative impact on Blacks, other minorities, and the poor that the sale of urban public hospitals to private, for-profit chains will have. (GC)

Describes the implementation of the hospice philosophy in rural areas and provides a model of how formal helping systems and natural helping networks can work together effectively. Suggests the emergence of the hospice can reorient social workers to the basic concepts of helping. (Author/JAC)