Issues in the development of community health education programs for rural areas include: (1) knowledge of disease processes; (2) health care intervention; (3) systems intervention; (4) ethics for change; and (5) program implementation. (JN)

The required first-year clerkship in family and community medicine at the University of Massachusetts Medical School is discussed. The goals and objectives and the teaching methods used to implement the program are described. It is suggested that community medicine clerkships belong in the first year of the curriculum. (Author/MLW)

Describes a project at Fort Riley, Kansas, combining military, community and private resources and stressing parent education and problems of isolation and self-concept. (SS)

The National Cancer Institute created the Appalachia Leadership Initiative on Cancer, composed of four similar projects that focus on increasing screening for cervical and breast cancer among low-income, older women. The program relies on community coalitions that develop innovative grass roots methods to spread the message about the importance of…

Discusses the following topics concerning violence against women: (1) its scope; (2) its impact on women; (3) the community services provided in response to the violence; (4) clinical treatment of victims; and (5) violence prevention. Presents a research agenda that addresses the gaps in existing literature. (JS)

The Medical University of South Africa (Medunsa) was founded to address underrepresentation of blacks in health professions and inadequate health care in the homelands. It trains most allied health professionals in the country, emphasizing community service and preventive medicine. Medunsa and American health professions schools can learn from…

A small town designed a health clinic to entice a health care practitioner to locate in the town, increase the town's economic feasibility, generate local jobs, and stimulate business in the downtown. The design is important to achieving these goals by continuing and enhancing the town's character. (TD)

Alternate reasons for conducting program evaluation in community health care (CHC) settings and their relationships with information needs were explored in a survey of 136 CHC decision makers. Major reasons for conducting program evaluation included accreditation, true evaluation, and pseudoevaluation. Information needs were predictors of true…

The article describes implementation of the PATCH (Planned Approach to Community Health) model in an urban African-American community. It presents recommendations reflecting lessons learned in that community and notes four components crucial to such a community-based public health effort. (SM)

By the 21st century, there will be 5 new challenges for health education. Shifts in demographics, conceptions of family, and levels of activism will demand new thinking. Health educators must provide powerful leadership to pave the way. Approaches based on a new perception of health education are presented. (SM)

Outlines factors that have influenced the approach of fully integrating children and family services into the fabric of their community and culture. Describes how school-based mental health services provide the foundation for the actualization of the interagency systems. States that significantly better outcomes have been noted from this model…

Healthy Families Alaska is a program that identifies families at risk of having children with poor health outcomes and provides intensive paraprofessional home visitation services specific to individual family needs and culturally relevant to Native families. Program goals, elements of effective home visitations, enrollment procedures, service…

A study of 150 children and adolescents with reactive attachment disorder found that inpatient admission was related to limited psychosocial strengths, previous hospitalization, and history of sexual abuse. Most children admitted to inpatient care were rural and had never received community-based services. Implications for public health education,…

In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive…

Academic exchanges between the U.S. and other countries around the world are increasing and teaching students abroad is part of this trend. China is in its initial stage of developing gerontology education and is in great need of new concepts and ideas for dealing with its rapidly aging population. This paper discusses the challenges and rewards…