This study examines the location of British health visiting in contemporary policy discourses concerned with public health and safeguarding children. It argues that professional identity and orientation can be understood through health visiting's long history of public health work with children and families, which has included an engagement with…

Background: Community health efforts often include outreach activities designed to increase awareness and ensure uptake of services or programs. Yet, few comprehensive outreach evaluations exist, particularly those designed to improve access to and use of mental health services. Purpose: This article summarizes the use of two established…

Described is the successful use of community agencies as the bases of field study programs for college students majoring in occupational therapy. (GW)

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)

Cost effectiveness of the program cannot be accurately determined. Assessment is based on actual self-care rather than proving poverty. A flexible approach is taken toward disability level and family support. States should keep community care flexible and available at acceptable cost. (JAC)

There is evidence that informal caregiving systems, called natural helping networks, already carry much of the service load of community mental health services, and need to be strengthened to provide even more. Social network analysis is a useful tool for understanding how these informal mechanisms operate, as well as the way in which some…

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)

The process of describing existing services for American Indian and Alaska Native children with serious emotional disturbance by the Circles of Care strategic planning initiative is overviewed. We explain why service system description is important and how it helped define the role of evaluation within the initiative. Primary goals and…

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…

A community-based program was designed to serve as an alternative to traditional short-term hospital treatment and after-care services for the psychiatrically disabled client. Comparisons revealed significant differences in favor of this approach. A rehabilitation counselor worked half-time and was an invaluable member. (Author)

A pilot project to assess the usefulness of rural volunteer Emergency Medical Coordinators (EMC's) was initiated in 36 rural Georgian towns of less than 2,000 population. An EMC program was established in those 36 rural towns that had no physician or ambulance service, to provide a rapid response to accidental injuries in order to maintain life…

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…

This report addresses the issue of community utilization of resources for the elderly population. A strategy for channeling resources is presented, including: (1) design of a comprehensive aging services administration and delivery plan based on needs assessment data and a service resource inventory; (2) development of a service agencies network…

Addressing the lack of cooperation between early intervention programs and the rural health community, this monograph presents eight papers by educators and health professionals who identify specific problems and offer solutions in the form of effective collaboration techniques and model programs. Papers by Susan Hastings and Stewart Gabel…

The Interdisciplinary Rural Health Training Project recruits and trains graduate-level, allied health and social service practitioners for practice in two rural Michigan counties with diverse and migrant populations. The program emphasizes cultural sensitivity, interdisciplinary community service projects, team building among health professionals,…