For organizations providing support to mental health consumers, "cultural competency," or the ability to reach out effectively and appropriately to individuals of different cultural backgrounds, is central to meeting the needs of a diverse community. The Cultural Competency Initiative, which was launched in the year 2000, assisted…

This manual is a how-to-do-it guide to building coalitions of health and human service agencies, organizations, businesses, churches, and other community-based groups for collaborative research, planning, and action to improve resident health and quality of life. Most of the information provided was discovered and developed during the 4-year life…

This is the story of how the people of Appalachia have reversed the trends of 14 years ago to build for themselves a future more to their liking. In addition to new industries and schools, there is a new economic, social and psychological foundation in Appalachia. (BR)

Reviews characteristics of rural drug abuse and general considerations for rural service delivery. Describes the Prevention Project, a rural drug abuse program in Florida, and explains its development, philosophy, and teaching techniques, including a basic educational module for use with rural youth. Includes recommendations for similar programs.…

Over a five-year period 230 senior-level University of New Mexico students in medicine, nursing, and pharmacy served in clinics in rural communities as part of Project Porvenir. Students, supervised by community-based preceptors, participated in the development of clinics and in the organization of services that otherwise were unavailable.…

The University of New Mexico Health Science Center offers an elective, weekly clinical experience for preclinical medical students, senior nursing students, and senior pharmacy students at a prison facility in need of medical services. Student reaction has been strongly positive and inmates have rated the student service highly. (Author/JMD)

A 24-month study of 96 patients in a community-based oral health promotion project found the Geriatric Oral Health Assessment Index (GOHAI), a self-report measure of oral health, to be sensitive to provision of dental care. Some further development of measures is needed. Potential applications of this and similar self-report measures in dental…

As a way to teach database searching skills, students in a nursing research class were paired with, and performed literature searches for, faculty members or community health care professionals. Because students did not formulate questions or initial search terms, they concentrated on the search process, learning how professionals find and use…

Presents 11 recommendations related to improving child health that are based on a synthesis of 58 research reports published 1988-92. Suggests that the development of policies that reduce inadequate health care for women and children, unintended pregnancy, deficient education, and poor nutrition will ultimately improve the life circumstances, and…

A study investigated parental perceptions (n=351) of eight physical and human resources available to meet the needs of children with developmental disabilities in Kenya. Most parents reported a match between expected use and importance in five areas: health, friends, religious affiliation, community acceptance, and having one's own home. (Contains…

This article describes the methodological challenges and processes involved in designing and conducting the School Health Policies and Programs Study. Information is provided on questionnaire development, sampling, data collection, and weighting and variance estimation. (SM)

The paper advances a number of suggestions for an enhanced research agenda in school health education, examining approaches to health education that work, noting new or enhanced directions that are suggested by current successes, and discussing directions for which there are few available data. (SM)

Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

Reviews evidence on the state of health of the nation's children and youth, identifying common health problems. Findings indicate the need for policies placing priority on the delivery of primary care services and status measures that reflect the interrelationships among health problems and the impairments associated with them. (SLD)

Analyzes implications of the birthrate for teenage mothers, and examines the limitations of key statistical indicators. Evidence suggests that the rate of childbearing among U.S. teens may be increasing after a decade of stability. To deal with this effectively, it may be necessary to enhance life options of teenagers. (SLD)