Used staff observations of a sample of a clinics' total clientele (N=125) and mental health services clients (N=147) to examine chemical use patterns and related family and social problems. Thirty percent of the clinical services families had at least one member using drugs at the circumstantial-situtational level. (BH)

The locus of mental health care for individuals with severe and persistent mental illness continues to shift from inpatient units to outpatient and community services. Among community-based approaches, assertive community treatment (ACT) teams have demonstrated clinical and cost effectiveness in state and federal public systems. However, public…

The planning of any service within the Community Mental Health Center will only be as effective as the amount of consideration which has also been given to understanding the catchment area, administration, continuity of care, and the areas of staffing and funding. Basic principles and guidelines are described for each of the five essential…

The California Career Education Dissemination Center's success is based upon personal service, an active community communications network, in-house monitoring, and responsiveness to changing client goals. (SK)

Health educators should strive to understand the origins and roles of curanderas (herbalists) and brujas (witches) in Mexican American culture and appreciate both the advantages and the related problems that these people bring to their patients and their communities. (CMJ)

Describes a federally funded project to establish neighborhood resource centers in the branches of the Seattle Public Library system to disseminate university research materials and technical assistance of a local nature to neighborhood patrons. (LLS)

Addresses the questions of why community library services have failed to become integrated with traditional public library services, and how such services may develop in the future in the light of service techniques, professionalism, organizational behavior, and trends in human services. References are included. (FM)

Expert community health nurses (n=28) described crucial clinical situations. Content analysis revealed that decision making was both rational and intuitive. Eight themes were identified: decision-making focus, type, purpose, decision-maker characteristics, sequencing of events, data collection methods, facilitators/barriers, and decision-making…

A 6-year collaboration between home care professionals and academic researchers shows how to identify the right research partners, mobilize resources, sustain long-term effectiveness, and ensure return on investments of time, energy, and resources. Despite the challenges to both community and university, research partnerships result in benefits to…

Primary health care goes beyond the individual focus of primary care to build interventions for improved health for the entire population. It embodies these principles: equitable distribution, appropriate technology, focus on promotion and prevention, community participation, and a multisectoral approach. (SK)

Responses from 159 of 837 health and mental health professionals in Alaska showed the following: (1) 54% said community services for the aging were inadequate; (2) 55% felt health professionals' knowledge of aging was insufficient; and (3) 91.8% needed further training in aging and geriatrics, especially regarding mental health and Alzheimer's…

Interviews with 11 key stakeholders uncovered strategies used to prepare rural Canadian nurses for transition from acute care to community health centers. Strategies included broadening the focus of care, involving community and staff, implementing a phased transition, offering continuing education, and ensuring systemic organizational support.…

The Health Systems Nurse specialist program is an innovative master's curriculum in community health nursing, nursing administration, and nursing informatics. Students learn to work collaboratively to determine health priorities, develop and implement interventions, and monitor and improve patient outcomes. (Contains 11 references.) (JOW)

Discusses respective roles and responsibilities of public and private sectors in corrections field. Describes service contracting and use of private sector for rehabilitation programs carried out in community. Maintains the importance of assuring accountability and assessing the value of services, and the legitimacy of cooperation and…

Conducted survey of state school psychological associations (N=46) (as follow-up to earlier survey of state psychological associations) to determine existence of client referral systems. Found that none of the state school psychological associations operated referral services and had only begun to consider them. Discussed school psychological…