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…

This community-based participatory research (CBPR) project utilized a mixed-methods survey design to identify urban (Tulsa, OK) American Indian (AI) strengths and needs. Six hundred fifty AIs (550 adults and 100 youth) were surveyed regarding their attitudes and beliefs about their community. These results were used in conjunction with other…

In this component of the evaluation, the Circles of Care grantees assessed the feasibility of their model systems of care. The goal of the Feasibility Assessment was to assure that each model system of care was well designed with careful consideration of project goals, community resources and readiness, cultural competence and measurable outcomes.

A model to serve rural (Kentucky) mentally retarded adults age 50 and over incorporates generic community resources such as residential, nutritional, medical, recreational, and transportation services with age appropriate activities and programs. The system is intended to provide an alternative to the life-long work setting of the workshop or work…

The monograph provides an historical overview of services for families of disabled children and considers strategies for increasing family support. The historical analysis traces factors influencing the lack of priority placed on family services and describes trends in family resource services. Advantages and drawbacks of the continuum and array…

This project assumes that a youngster's problems with the law rarely occur in isolation. More often, they are part of a constellation of problems--family conflict, school failure, unemployment, emotional difficulties and, in urban ghettos, inadequate housing and health care. The Neighborhood Youth Resources Center (NYRC) of Philadelphia provides a…

Focuses on some of the problems faced by human service workers in rural communities and suggests the use of an outreach child advocacy model (with a nine-step diagnosis procedure) for intervention. The rural advocate will be more successful and acceptable to the community using a collaborative approach. (Author/LC)

This manual is intended as a resource document for those who train others about homebound individuals and the services available to them. Subjects addressed include (1) identification of homebound persons; (2) legislation and the severely handicapped (covering comprehensive services, centers for independent living, services for the older blind,…

As many as 15 million people living in rural areas report one or more long-term impairments that significantly affect their quality of life. In general, disabled people living in rural areas receive fewer services than do people in urban areas. For example, counties in Montana with the largest population centers received significantly more…

Provided in the first of four booklets on citizen advocacy for the mentally retarded is a general introduction to the concept. Advocacy is defined and traditional approaches including institutional practices are reviewed. The individual advocate-protege relationship is seen to be the central feature of the citizen advocacy model serving mentally…

A comprehensive community approach to the problem of spouse assault involves education of a grassroots community organization, legal incorporation, establishing organizational goals and plans, publicity, state coalition of all such community groups, and new legislation. Such an approach led to the establishment of Michigan's Domestic Violence…

Provided is the final report of the Arkansas Child Abuse and Neglect Demonstration Project, a service delivery model based on the use of volunteer personnel to provide services directly to families with child abuse problems. It is noted that the project was carried out by SCAN (Suspected Child Abuse and Neglect), a non-profit voluntary agency.…

Reviewing the research findings and issues which have been generated around the topic of Mexican American underutilization of mental health services, this paper discusses five major concepts: (1) the epidemiological paradox of Mexican American underutilization of services; (2) explanation offered for the paradox; (3) elaboration on the explanation…

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…