A model for the delivery of mental health services to people residing in small communities (less than 10,000 population) is presented. The model is the product of personal consultation experience over the past three years with a modestly staffed and financed but very successful mental health agency. Emphasis is placed on community action,…

Summarizes the 20-year history of the Appalachian Regional Commission's innovative, flexible, $550M model health care delivery system. Cites achievements in establishing primary care clinics; tackling black lung disease; and expanding health manpower, health education, maternal and child health care, and rehabilitation centers. (NEC)

Traces Southern West Virginia Regional Health Council's decade of delivering/linking cradle-to-grave health services for 500,000 rural residents. Describes microwave communications radio network; clinics; services in family planning, genetic counseling, prenatal care, maternal/child care, nutrition, heart/respiratory disease screening, renal…

Discusses the problem of hypothermia and specific factors that put older adults at risk. Describes the development, implementation, and evaluation of an educationally oriented prevention program. Data suggested the information presented through community education was effective. (Author/JAC)

Describes the implementation of a collaborative discharge planning program for a chronic psychiatric population. Emphasizes the importance of good communication between patient and professionals. Presents a case example. Findings suggest more substantial involvement of patients in after-care programs is needed. (Author/JAC)

The paper describes a four-year research effort aimed at developing preventive educational interventions for children with behavior problems in inner city schools. The implications of switching the emphasis from early secondary to primary preventive programs are discussed. (Author)

Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

The authors present the argument that evaluation as currently practiced is failing the needs of the social sector, if the goal is to help organizations achieve their mission. Three case studies are presented in which evaluation played a key role in the development of a learning culture within the organization. Each case highlights the positive…

The paper presents an outline for the development of a community mental health program based on assessment of a first grade population in an urban Negro neighborhood and involving a strategy that places primary emphasis on establishing ongoing community sanction and participation in policy-making. The strategy included the development of a…

The people of Boston made a commitment that no homeless person will be denied a bed, a meal, quality health care, and transportation to shelter during the winter of 1989-90. This commitment was difficult to fulfill due to a decline in services for the mentally ill, federal housing cutbacks, and an increase in the number of families living in…

The four sections of this paper outline changes in UNICEF programs from their inception in 1946 to recent initiatives circa 1983. The first section delineates shifts in program emphasis, showing how the organization's focus has moved from meeting the emergency needs of post-World War II European children toward addressing the long-term needs of…