The Mother and Infant Home Visiting Program Evaluation-Strong Start (MIHOPE-Strong Start) is the largest random assignment study to date to examine the effectiveness of home visiting services on improving birth outcomes and infant and maternal health care use for expectant mothers. The study includes local home visiting programs that use one of…

CenteringPregnancy Smiles[TM] (CPS) is a partnership between the University of Kentucky, Trover Health System, and Hopkins County Health Department. The purpose of the partnership is to: (1) establish an infrastructure to address health problems requiring research-based solutions, (2) develop a model for community partnership formation, and (3)…

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)

Describes a research model designed to investigate the shift in the care delivery site from the acute care institution to the home and community. Transitional care may soon become familiar jargon in community health care. (JOW)

ACCESS outreach identified more persons in need of service who met the Title XIX eligibility requirements. Home care emphasis provided the opportunity for increasing proportions to remain at home or return to their home from the hospital. (Author)

A model for assessing the needs of the rural elderly based on the goal of empowerment is described and evaluated through a case study in Pennsylvania. Overall, the 63 community workers positively evaluated the needs assessment data derived through the model. Ways to enhance the model are discussed. (SLD)

Describes On Lok, a long-term care approach which has assumed responsibility for providing all services needed by a functionally dependent adult population. Based on the first two years of operation, descriptive data on the service system, its development, participants served, services given, and costs are presented and interpreted. (JAC)

The article describes North Carolina's precedent setting Office of Rural Health Services, its background and design, and its significant role in the development of primary health care clinics such as that in Balsom Grove which is staffed by a family nurse practitioner and enjoying wide community support. (SB)

The Australian Early Intervention Network for Mental Health in Young People (AusEinet) was established to coordinate a national approach to early intervention for mental health in young people. The approach has three streams: (1) development and maintenance of a national early intervention network for mental health in young people; (2)…

Compares adult and elderly clients of a Crisis Intervention Service in an urban metropolitan area, which included a telephone counseling/referral service and a mobile intervention team for home assessments. Findings indicated the importance of using a biopsychosocial model, particularly in the assessment of elderly persons. (JAC)

These three papers describe a cooperative outreach program designed to counsel older rural residents about available community services through use of a door-to-door information effort. The packaging and delivery of the training conference for the outreach workers involved in the outreach project are described in the paper highlighting the work of…

The development of alternatives to institutionally based long-term care requires the creation of greater interdependence among community based agencies and the provision of appropriate interdependence as the foundation for coordinated service delivery. Theoretical models of interorganizational interdependence are examined and assessed for their…

Proposes a framework for assessing how human service delivery systems function. Identifies factors that influence the ability of agencies to operate as a unified system. Provides an accurate picture of how services are delivered to target populations, and why various systems function as they do. (Author/JAC)

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…

Low rates of service to older persons in community mental health programs were investigated in 20 California county government sponsored programs. County administrative officers, mental health advisory board members, directors, clinic supervisors, and clinical staff were surveyed through a mailed questionniare. Levels of awareness of problems of…