A national survey of 69 teaching hospitals (principally affiliated community teaching hospitals) found much variation in direct graduate medical education pass-through costs, supported by Medicare. Analysis suggested variations may be a result of the faculty expenses component, economies of scale, and the contribution of volunteers. Tables and…

Despite some efforts, dental education is not succeeding at creating socially responsible, service-oriented professionals. Further research should be undertaken on the effectiveness of various forms of community health services, improving service to underserved populations, the perceptions of the underserved, clinical experience with health teams,…

The United States leads all other developed nations in inappropriate teenage pregnancies and the educational and societal consequences. Describes activities of the community-based I Have a Future Program (IHAF), built on the premise that changes in sex behavior must be pursued in a framework of enhancing self-esteem and presenting positive…

The report of the 1990 Joint Committee on Health Education Terminology provides a common interpretation of terms frequently used by health educators in many settings. Terminology is broken down into contextual definitions, primary health education definitions, definitions related to community settings, and definitions related to educational…

In rural Madison County (North Carolina), a project to plan community health services began with 40 community "listening sessions" in which local people discussed health needs and problems. These sessions led to a community coalition that actively cooperates with health professionals in planning health services and trainings,…

A methodology is presented for collection of cost data in evaluation of community-level health interventions that coincides with the intervention implementation. The seven discrete steps of the analysis are described, and the Minimal Contact Education for Cholesterol Change study is used as an example of how the strategy is used. (SLD)

Describes the expanded school mental health (ESMH) programs that have developed over the past decade. These programs augment existing services provided by schools and help assure that a comprehensive range of services (assessment, prevention, case management, and treatment) are available to youth in special and regular education. Shares…

An education and screening program is described that teaches pregnant women about child abuse and domestic violence in an attempt to break the family cycle of abuse. Using a family centered approach, the Child Protection Center Program offers a model for social workers and medical providers to address the needs of abused children and battered…

This introduction to the evaluation component of the Circles of Care initiative includes background on the nature of the initiative, Center for Mental Health Services support for developing systems of care for youth with emotional disturbances, and an overview of the systems of care approach. The prevalence, unique challenges, and the historical,…

The assessment of community needs was one of the key foundations of the Circles of Care planning effort. Grantees identified a range of needs at the child, adolescent, family, programmatic, and community levels. This information, along with an emphasis on the importance of each community's history and culture, served as an important guide for each…

Purpose: The correlation between organizational unit managers' leadership styles and the level of organizational learning in their units was tested. Design/methodology/approach: A positive correlation was hypothesized between transformational leadership and organizational learning as manifested by organizational learning mechanisms--OLMs (the…

Substance abuse treatment has been demonstrated to be effective in reducing not only substance use, but also the economic, health, and social costs associated with substance abuse. This document examines how health care reform can preserve and enhance community substance abuse services. The cost effectiveness of funding substance abuse prevention…

Acquired Immune Deficiency Syndrome (AIDS) is undisputedly the most significant public health problem facing the Black community today. From the outset, it was apparent that the disease disproportionately affected Blacks. In 1981, when AIDS was first identified, 21.5 percent of the first 107 cases were Blacks and Hispanics. This report discusses…

The demand for long term care is growing as the population in need of services becomes older and frailer, and as the nature of the family, the economy, and the health care system changes. To investigate the long term care system, its characteristics, trends, financing, policies, availability, and quality of care, 700 health care professionals,…

Describes a training program concerned with providing students with knowledge and skills in child advocacy for the treatment of severely disturbed children and for providing services to a black and disadvantaged population. (Editor/PG)