Over two decades Quebec's local health and social service centers have evolved a philosophy integrating community development into their programs. Community workers still experience marginalization, but they are striving to be recognized as members of multidisciplinary problem-solving teams. (SK)

Discusses reasons why communities and schools should communicate electronically, reviews available technologies, presents goals supporting electronic connections to communications technologies, and examines issues involved in developing those electronic connections. A table lists types of information and appropriate technology to use to obtain…

Describes cancer control activities by the Indian Health Service in North Dakota, South Dakota, Iowa, and Nebraska, including risk factor assessment and cancer screening using a modified Health Risk Appraisal; interventions to reduce smoking; community empowerment; development of health education materials; and clinical preventive services. (SV)

Considers appropriate responses that public library leaders should be making in an environment of technological change. Topics discussed include the library mission and its role in dealing productively with change; library leadership in local government; community information; integrating technology into library management and operations; library…

Investigated services received, length of treatment, and outcomes of thousands of Asian-American, African-American, Mexican-American, and White clients using outpatient community mental health services. Asian Americans and Mexican Americans underutilized services. African Americans overutilized services and exhibited less positive outcomes.…

A model for assessing the needs of the rural elderly based on the goal of empowerment is described and evaluated through a case study in Pennsylvania. Overall, the 63 community workers positively evaluated the needs assessment data derived through the model. Ways to enhance the model are discussed. (SLD)

Two studies were conducted to determine the stability of self-assessment of evaluation performance and use by 276 evaluators of community mental health centers over a 6-week period. The test-retest reliability of two instruments developed to assess internal evaluation was examined. The value of these instruments is discussed. (SLD)

The Kellogg-funded Education Information Centers in public libraries provided free adult career counseling, usually including computerized career decision making. A result of the project is that more community agencies refer clients to the library for such assistance. (SK)

Describes the economic and demographic changes experienced by rural communities over the past few years and how they have increased rural health professionals' responsibilities. Presents the Community Wellness program and four case histories illustrating how it has strengthened community infrastructure, developed human capital, and created rural…

Describes the development and components of a referral database management system developed by the Arkansas Transition Project. The system enables individualized-education-plan team members to refer students with disabilities directly to adult agencies and to receive a monitoring report describing the agency response to the referral. The system is…

A community service project involved nursing faculty and students in providing primary health services. One core activity had nursing students conducting vision screening for preschoolers in at-risk populations. (SK)

Describes Hawaii's Healthy Start Program (HST), its ongoing evaluation study, and evaluation findings at the end of two of a planned three years of family-program participation and follow-up. HST uses home visitors to help prevent abusive and neglectful parenting. Found significant differences in program implementation among the three…

Tests the impact of symbolic modeling and persuasive efficacy information on self-efficacy beliefs and intentions to perform breast self-examinations among 147 undergraduate students. Assesses the effects of these modes of efficacy induction on fear arousal and response-outcome expectations. Finds symbolic modeling engendered greater efficacy…

Discusses types of Internet services and service providers. Urges rural social service agencies to evaluate use of the Internet as a means to alleviate professional isolation, become part of a larger community, and extend computing resources to clients. Lists 44 rural gopher sites, 37 freenets, 14 listservs, and 13 rural health links. (SAS)

Collaboration between a community coalition and a nursing school in Chicago resulted in a primary health care clinic, school-based health centers, family education and counseling programs, and screening services. It provides a unique opportunity to combine service delivery and academic education. (SK)