A Boston interdisciplinary health care project places nursing students and medical students in neighborhood health centers for clinical experiences for primary care. The students engage in interdisciplinary seminars, work together with patients and families, and plan projects. (JOW)

Describes the Healthy Families America (HFA) initiative, a program that seeks to expand the availability of high-quality, intensive home-visitation services. Reports on evaluation of HFA programs, which have not shown significant improvements in children's development and maternal social support so far. (SLD)

A coalition of community agencies and a nursing school involves nursing students in nontraditional delivery of health-care services to the elderly. Elders report satisfaction with the program but not as much ownership, despite the goal of involving them in program planning and evaluation. (SK)

Offers practice models for community-based nursing and community health nursing that demonstrate the different roles, philosophies, and activities of the two approaches. Points to curriculum changes that are needed to prepare students to practice in an increasingly community-oriented health care industry. (Author)

Includes "Assessing the Need for Community Concepts" (Marion Cahill et al.); "Expanding the Associate Degree Curriculum without Adding Time" (Marjorie K. Jamieson); and "A Community College Responds to Changes in Health Care Delivery" (Patricia D. Irons, Susan Meehan, and Margaret J. Reilly). (SK)

Circles of Care grantees were provided the opportunity to develop a locally relevant definition of serious emotional disturbance (SED) that would be used to define what type of emotional, behavioral, and mental disability would be required to receive services. After conducting detailed assessments of the definition in the guidance for applicants…

This paper presents outcomes and accomplishments of the first round of participating individuals, communities, and grantees of the Circles of Care program (CoC). While accomplishing all CoC program goals, the initiative supported grantees in developing individual service delivery system models and positioned each grantee advantageously for…

Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

Objective: The authors pilot a smoking-cessation outreach for the homeless that extends medical students' tobacco cessation education. Method: In this prospective study, second-year medical students administered cognitive behavior therapy or unstructured support to homeless subjects to help them quit smoking. Self-report and biological measures…

Purpose: This study analyzed the effect of consumer-directed versus agency-directed home care on satisfaction with paid personal assistance services among Medicaid beneficiaries in Washington State. Design and Methods: The study analyzed a survey of 513 Medicaid beneficiaries receiving home- and community-based services. As part of a larger study,…

The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which…

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Purpose: This article describes early efforts of four community partnerships in Boston, El Paso, Houston, and Milwaukee to address governance and management structures in ways that promote the sustainability of innovative community-based long-term care system improvements. The four communities are grantees of the Community Partnerships for Older…

This document describes a study that investigated the reasons for the frequent failure of national health systems based on primary health care to make effective use of community health workers. The report assesses different national experiences in order to pinpoint weaknesses, trace key mistakes, and define corrective actions. The report opens…

This book presents nine packages of learning materials for trainers to use in teaching community health workers to carry out the nutrition element of their jobs. Lessons are intended to help health workers acquire skill in presenting to communities the principles and practice of good nutrition. Responding to the most common causes of poor…