Death rates among those referred to project services were lower within the first six months after enrollment, and the mortality rate difference was maintained throughout the first year. Death rate differences were related to specific long-term care services recommended and received, and to initial functional health status. (Author)

The Brookline Early Education Project (BEEP) is a demonstration model in which a public school system assumes responsibility for the health education of children from birth to five years. This early school health program was designed to work collaboratively with existing health care facilities in the community. (JN)

Need exists for an integrated community health system comprised of a unit within the health care delivery system concentrating on behavioral change and coordinating educational influences on the individual, and a second educational unit providing necessary health knowledge and debating and analyzing the whole system of health care provision. (MB)

Canada's community Health Representative Program trains Indians to act as teachers, organizers, promotors, and liaisons in health education among their own people. (MB)

Author discusses his working experiences in various types of therapeutic communities. He stresses the importance of interaction between patients, counselor and patient, and community and patient, and the need of the therapist or counselor to be open to self-examination and change. (WW)

Indianapolis looked to disc jockeys and the razzle-dazzle of prizes in mounting a remarkably effective campaign to innoculate its unprotected children. (Editor)

In a study of 702 pharmacists in 211 communities, an effort was made to determine the effect of a unit of education on the community pharmacist's ability and/or tendency to detect the early warning signs of cancer when manifested by patrons. The success of such a program is shown. (LBH)

Chaos theory, which attempts to understand underlying order where none is apparent, was applied to an interdisciplinary rural health training program for health professionals. Similar programs should anticipate systemic flux between order and chaos and pay attention to information flow, degree of diversity, richness of connectivity, contained…

Medical schools have increasingly ignored underserved communities' needs. Descriptions of five demonstration programs show how community-driven approaches to medical education involve academic and rural communities, select students from underserved areas, and train learners in undeserved communities. The approach also supports underserved…

Discusses the value of home-based mental health services for Indian families alienated from traditional support systems or resistant to the clinic setting. Examines historical factors relevant to dysfunctional Indian families, components of effective therapy, funding issues, and limits of confidentiality. Contains 14 references and 4 composite…

Between 1980 and 1988, 132 rural hospitals closed and as a result many rural towns also lost physicians, including 19 communities that were still without a physician 2 years after closure. Smaller, more remote towns had few physicians to begin with and were more likely than larger towns to lose physicians along with their hospitals. (LP)

The costs of outpatient training for medical residents in a community health center (CHC) are analyzed, based on a family practice residency of one medical school. The model used a computer spreadsheet program to determine the financial impact of the program on the CHC. Sensitivity analyses determined the effects of changing productivity, nursing…

Describes journal issue's framework and invited articles. Presents transactional approach to environmental stress, identifying and taxonomizing multilevel positive and negative outcomes experienced by elderly rural town residents. Describes contextual taxonomy, offering possible outcomes and relevance to other issues for rural psychologists and…

An interdisciplinary project provided ambulatory care clinical training for pharmacy and nursing students in community-based pharmacies, promoting early detection and medical follow-up of common health problems within the community. Students learned new clinical skills in patient health assessment, new diagnostic technologies, patient education…

Describes application of participatory model for creating school-based mental health services in a developing country. Describes process of identifying individual and cultural factors relevant to mental health. Discusses importance of formative research and collaboration with stakeholders to ensure cultural specificity of interventions, and the…