Service utilization records, often used to determine American Indian psychiatric disorder patterns, can guide selectively focused research. A tentative psychiatric epidemiology research framework contains four major components: community collaboration, sampling techniques, instrument development, and implementation. Available from: White Cloud…

Older adults are generally satisfied with moving to the seaside, and are motivated by a more congenial physical environment and social advantages of living with retirees with similar interests. Unfortunately social and health services have not kept up with the demand. (JAC)

A community-based program was designed to serve as an alternative to traditional short-term hospital treatment and after-care services for the psychiatrically disabled client. Comparisons revealed significant differences in favor of this approach. A rehabilitation counselor worked half-time and was an invaluable member. (Author)

Care of the school student with hemophilia requires a cooperative effort by the health care team. A multidisciplinary approach is suggested for the team, whose members include a hematologist, orthopedist, oral surgeon, geneticist, physical therapist, social worker, and school nurse. (JD)

The development of affiliate agreements requires an organized and planned approach with specific goals and strategies, taking into account the complex dynamics that operate in inter-organizational relationships. Successful negotiation leads to decisions in the best interest of each partner, not just preservation of the relationship. (JAC)

In simulated decision-making situations in a community mental health center, three types of information were studied and rated: political; cost-benefit, and statistical. Only cost-benefit information was rated as significantly influencing administrators' decisions. (MH)

Examines the educational challenges created by complex health care delivery systems and the need to train analysts and problem solvers to work effectively within these systems. Illustrates, through a course description, how cognitive and experiential learning approaches can provide the student with a bridge between acquiring technical skills and…

In a question-and-answer format Henry H. Krevor, Executive Director of the Appalachian Regional Commission, reports on the present status of the commission and the region and comments on prospects for the future. (Author/DS)

An AAMC survey of American medical schools indicates that 34 percent have specific programs underway or planned to teach health care cost containment. The majority were introduced during the last two years; the costs are fairly modest. Further activities might be enhanced by development of a program primer and the organization of workshops.…

Project Porvenir functions as a manpower resource for primary health care systems developing in rural New Mexico. By providing supervised interdisciplinary teams of students in medicine, nursing, and pharmacy, Porvenir increases the service capabilities of the facilities with which it is affiliated. (LBH)

The importance of partnerships between metropolitan universities, local government agencies, and community organizations to address community health issues is discussed and illustrated in the collaborative activities of North Texas University and its Fort Worth health sciences center, including a community clinic and a master's program in public…

Virginia Commonwealth University's Master of Science program in health administration uses distance education techniques to facilitate professional education with limited facilities. The program has developed from a first-generation bulletin board conferencing system to an individualized "client-server" based program on the World Wide…

In recent decades, rural Mayan women in Guatemala have been working to overcome long-standing disadvantages: illiteracy, poverty, lack of basic community services, and lack of respect for women's abilities and contributions. Profiles of 10 Mayan women describe their educational experiences and their community development work, particularly in the…

While other universities are selling, privatizing, or downsizing hospitals, Marshall University (West Virginia) has joined with a local hospital to construct a rural health center and library, ambulatory care center, and cancer center. The arrangement will achieve efficiency for the medical school and other laboratory users, integrate education…

This study documented the prevalence of exercise-induced asthma (EIA) in rural elementary schools, examining the use of a free-running asthma screening test and peak expiratory flow-rate measurement for school screening. Results indicated that 5.7% of the students had EIA. Absenteeism and poverty were related to EIA. (SM)