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 effectiveness of the state of Maryland's Community Home Care Services (CHCS) program was evaluated in this study. The CHCS's major goal is to enable persons 65 and over and their spouses (regardless of age) to remain in their own homes or in other independent living arrangements, consistent with their desires, ability and safety; or to assist…

In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive…

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…

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

Purpose: This article reports on the interest within the religious community in a medical-religious partnership model designed to address some of the health challenges communities face as the population continues to age and become more diverse. Design and Methods: A geographically and religiously diverse group of 183 clergy who were attending a…

Intended to provide information on various health related services available to residents of the Navajo Reservation and nearby areas, the directory lists over 75 organizations or programs which provide a consumer service. These services are divided into 17 categories: alcoholism, community service, child development, clinics, county health…