Addresses the specific advantages to new hospices of incorporating administrative resource people in the planning and organization phases of their programs. Describes organizational structure and the role of the interdisciplinary team. An annotated bibliography summarizes hospice adminstrative resources and research. (Author/JAC)

Groups of community health nurses were taught physical examination skills by two methods: self-study and lecture/laboratory practice. Because the latter produced significantly better posttest scores, it was concluded that self-study is appropriate for teaching the content, while laboratory practice is best for teaching the skills. (SK)

Considers the mobilization of manpower and resources for primary health care at community and provincial levels. Examines the role of adult education through a comparison with health education and suggests areas of interaction between the health sector and other development sectors, including education. (SK)

Consultation is a relationship between two or more professionals for the purpose of exchanging information and cooperation. Guidelines which define the consultation relationship include: (1) the job-centered relationship; (2) the strength-building relationship; (3) the communication relationship; and (4) the choice of action. (JN)

Advantages and disadvantages to various methods of assuring quality and accountability in community mental health centers are discussed. Examples are external structure review, peer monitoring, and site visitation. (LAB)

Examines strengths and weaknesses of several needs assessment techniques currently in use and concludes that exclusive use of any single technique will likely provide a biased or inaccurate assessment of community mental health needs. There is a critical need to empirically investigate the reliability and validity of these needs assessment…

Congressional changes in the law to permit reimbursement of physician extenders under Medicare seem closer as national television publicizes the program. (Author)

Notes the rise of the harm-reduction model in the provision of substance abuse services and the history and success of syringe exchange programs. Describes the Xchange Point, a nonprofit community-based AIDS services organization founded in 1996 as a street-based outreach and syringe exchange program. (Contains 15 references.) (GCP)

Describes "linkage agreement" system between Illinois community mental health centers and Anna Mental Health and Developmental Center serving 28 rural counties. Agreements specify responsibilities of community centers and hospital staff regarding referrals, client treatment, and discharge. Describes improvements over previous…

A computerized, simulation-based instrument, consisting of four community practice clinical scenarios, collected information-searching data and the students' decisions. The appropriateness of the decisions, assessed by three clinical judges, and the focus of information search, based on the computer-collected process data, were the dependent…

Challenges counselors to adapt to the multidisciplinary approach for the delivery of mental health services in Canada by moving from the provision of direct services to individual clients to providing indirect services such as program planning, implementation, evaluation, consultation, training, supervision of other workers, and administration as…

Heart to Heart, a 5-year, community-based chronic disease prevention project, included walkathons, lectures, media messages, restaurant food labeling, and cooking seminars. Surveys and assessments of participants and nonparticipants indicated that the project had a slightly favorable effect on cholesterol and smoking but did not affect other…

This study examined the impact of childhood sexual abuse (CSA) on the mental health status of the Los Angeles Epidemiologic Catchment Area. A history of CSA was found to significantly increase an individual's odds of developing eight psychiatric disorders in adulthood. CSA's effect on the community level was also found to be substantial.…

Discusses community health care intervention models that address AIDS in communities of color at both the service and policy level. Argues that health care workers must "respect" minority group members before they can effectively intervene against AIDS in the minority communities. (KS)

Key factors of a model for training community health aides are (1) extended time for updating and reinforcing skills; (2) relevance to local situations; (3) group process and interpersonal communication training; (4) practical materials; and (5) participation of physicians, local health workers, and community leaders in rural health policy…