Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

The rapid expansion of community mental health programs calls for exploring the primary task, the nature of inputs and outputs, environmental conditions, and subsystem interactions as they affect a community mental health program. The differences between programs organized according to a medical practice model and a human services model are also…

Reviews dilemmas confronting Comprehensive Community Mental Health movement, documents existent paradigms on various campuses with special reference to program at University of Florida. Outlines campus utilization of College Community Model for training of psychiatric resident. (Author/CJ)

This paper provides a model to assist local program planners, administrators, and other decisionmakers in the assessment of local drug abuse conditions and problems. The model presents data on which to base everyday judgments about drug abuse, to plan for drug abuse services, and to allocate limited resources on local levels. Drug abuse indicators…

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…

In keeping with its priority to reduce the disproportionate burden of heart, lung, and blood diseases in minority populations, the National Heart, Lung, and Blood Institute has established an outreach project called Building Healthy Hearts for American Indians and Alaska Natives. This background report provides an overview of the cardiovascular…