For families who might otherwise be isolated--socially, economically, and/or geographically--home visitation can be a highly beneficial family support service. Drawing on her experiences with Family Connections, a home visitation initiative serving families with children birth to age 5, in Fresno County, California, Bouhebent conveys best…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Nineteen staff and clients in a Native American healing lodge were interviewed regarding the therapeutic approach used to address the legacy of Native American historical trauma. On the basis of thematic content analysis of interviews, 4 components of healing discourse emerged. First, clients were understood by their counselors to carry pain,…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

An audit was carried out to gain an overview of the profound and multiple learning disabilities (PMLD) population in a local health trust to inform current and future service provision. An overview of the issues faced in developing clear defining criteria is presented. Published definitions of PMLD were used to identify clients from data held on…

This article proposes a framework for embedding prevention services into community sectors-of-care. Community sectors-of-care include both formal and grassroot organizations distributed throughout a community that provide various resources and services to at-risk children and their families. Though the child population served by these…

As the healthcare landscape in West Virginia evolves, West Virginia's health professions programs are working closer together than ever to improve citizen's health and access to care. In particular, the state's three academic health centers, the Joan C. Edwards School of Medicine at Marshall University, the West Virginia School of Osteopathic…

The School Health Assessment, Planning, and Evaluation Project (SHAPE) was a systematic survey to determine the health status of the New York City school population prior to a major reorganization of school health services planned for the 1984-85 school year. It comprised 6,282 pupils attending 12 public and non-public schools. Over 30 percent of…

THE SOCIAL AND MEDICAL PROBLEM TODAY HAS SHIFTED FROM PROVIDING FOR THE EMERGENCY MEDICAL NEEDS OF THE INDIGENT SICK TO RAISING THE LEVEL OF LOWER CLASS PARTICIPATION IN THE BENEFITS OF MODERN MEDICINE. GREATER ATTENTION IS BEING FOCUSED ON MEDICAL DEPRIVATION SUFFERED BY LARGE SEGMENTS OF THE POPULATION WHO DO NOT SHARE EQUALLY IN MEDICAL…

Popular education is a mode of teaching and learning which seeks to bring about more equitable social conditions by creating settings in which people can identify and solve their own problems. While the public health literature offers evidence to suggest that popular education is an effective strategy for increasing empowerment and improving…

Proceedings from a 1980 symposium on the delivery of education and health services to handicapped children are summarized. Topics briefly addressed include funding, leadership and responsibility, communication and trust, and coordination and collaboration strategies. Fifteen conference recommendations are listed, including that each level of…

The focus of this study was to qualitatively evaluate worker's attitudes about clinical supervision. It is believed that poor attitudes toward clinical supervision can create barriers during supervision sessions. Fifty-one participants within a social services organization completed an open-ended questionnaire regarding their clinical supervision…

Government agencies in the District of Columbia are developing occupational health services in non-industrial activities. Institutional evaluation encompasses heating, ventilation, lighting, biological contaminants, lead, mercury, radiation, and noise levels. Worker safety education and management co-operation in controls implementation and…

This study examines the patterns of health service use among Rhode Island's Southeast Asian refugees, using Medicaid/Refugee Medical Assistance data. It was found that this group has a lower rate of health service utilization than the general Rhode Island population. Following the 3-month initial resettlement period during which mandatory health…