Community Health Commons^™

Drug Abuse Prevention: Programming And Research Recommendations, C. Anderson Johnson, Steve Sussman

CGU Faculty Publications and Research

In this issue of American Behavioral Scientist, we describe the state-of-the-science of drug abuse prevention, including program evaluation and content suggestions, and major methodological and substantive challenges as we understand them at this late date in the twentieth century. These articles also suggest important areas for prevention research as we enter into the next century.

Community Participation In Health, Family Planning And Development Activities: A Review Of International Experiences, Abbas Bhuiya, Fatima Yasmin, Farida Begum, Ubaidur Rob

Reproductive Health

The family planning (FP)/maternal and child health (MCH) program in Bangladesh has achieved success in the recent past, mostly through a large-scale government service-delivery system with support and cooperation from donors and nongovernmental organizations. There is concern about the financial and social sustainability of the program. Other issues include achievement of replacement-level fertility within a stipulated period and improvement of MCH-FP service quality. It is widely believed that most of the concerns will be taken care of with effective community participation. Before activating community initiatives, it is worth carrying out action research. A literature review was completed from July to …

Stress And Stress Management: A Photonovel, M. Susan Jones, The Kentucky Partnership For Farm Family Health & Safety, Kay Carr, Deborah Williams

Nursing Faculty Publications

No abstract provided.

A Model Of Costs Of A Cbd Programme, Saumya Ramarao, John Townsend, M.E. Khan

Reproductive Health

This study is a collaborative effort of the Population Council, New Delhi, and the Centre for Development and Population Activities, New Delhi. Cost analysis is an analytical tool that provides program managers and planners with information about existing and potential programs. Existing programs can be evaluated for efficiency and effectiveness, while the resource requirements of future programs can be estimated. In the context of family planning (FP) programs, cost analysis provides policymakers and program managers with sufficient data on efficient ways to meet the demand for FP services with available resources. As FP programs mature and requirements for the resources …

Lessons Learned From A Community-Based Distribution Programme In Rural Bihar, S. Parveen, M.E. Khan, John Townsend, Bella C. Patel

Reproductive Health

The state of Bihar in North India ranks near the bottom of the Indian states in terms of its demographic situation. The infant mortality rate as of 1991 was 69 per 1,000, and the contraceptive prevalence rate as of 1990 was 26 percent. Bihar ranks near the bottom among other states of India in almost all indicators of social and economic development. One reason for its low performance is weak management. Besides poverty, a poor communications network and lack of proper infrastructure further make the implementation of programs difficult. Workers have misconceptions about FP methods, and educational activities are poorly …

Community-Based Aids Prevention And Care In Africa: Case Studies From Five African Countries, Ann Leonard

HIV and AIDS

The Population Council carried out a three-year project entitled “Community-Based AIDS Prevention and Care in Africa: Building on Local Initiatives.” Given the constraints faced by the health care infrastructure in responding to the AIDS crisis and the limitations of traditional educational approaches in motivating people to modify their sexual behavior, in the African context community-based AIDS prevention and care of those affected are the first line of defense against the infection. This project was developed to explore efforts by organizations in Africa dealing directly with the consequences of AIDS, to understand the essential components of effective community-based efforts for AIDS …

Predictors, Patterns And Levels Of Stress Amongst Group Workers In Community Support Units For Adolescents, Alan Lee

Theses: Doctorates and Masters

This study sets out to determine the patterns, predictors and levels of stress amongst forty two groupworkers employed as care givers in five community based support units known commonly as hostels for troubled and troublesome adolescents. To establish and fully assess work related stress amongst groupworkers, it was necessary to capture not only results from questionnaires, but also individual perceptions of stress. To accomplish this, groupworkers were invited to discuss the topic further in face to face interviews upon completion of the questionnaires. Particular themes emergert from the results that reflect some of the concerns held by the author prior …

Mental Health Crises As A Regional Problem, Roger A. Lohmann

Faculty & Staff Scholarship

Mental health crises are often presented and thought about as individual problems, activities going on only within the minds of individuals. This presentation considers mental health crisis as a regional problem. It discusses the four county region of North Central West Virginia which is the catchment area for Valley Community Mental Health Center. It is based on a study conducted by the author of the need for a revised and integrated crisis management system for the region.

Construct Validity Of Dimensions Of Adaptive Behavior: A Multitrait-Multimethod Evaluation., Alan W. Stacy, Keith F. Widaman, Sharon A. Borthwick-Duffy

CGU Faculty Publications and Research

The construct validity of four dimensions of adaptive and maladaptive behavior was investigated using the multitrait-multimethod matrix procedure of Campbell and Fiske (1959). Measures off our traits cognitive competence, social competence, social maladaption, and personal maladaption were obtained on a sample of 157 persons with moderate, severe, or profound mental retardation using each of three methods of measurement-standardized assessment instrument, day shift staff ratings, and evening shift staff ratings. Applying the Campbell and Fiske rules of thumb and recently proposed structural equation modeling techniques to the data demonstrated strong convergent validity, clear discriminant validity, and only moderate levels of method …

Cost-Benefit And Cost-Effectiveness Of Case Management For A Teen Pregnancy And Parenting Program, Susan Beth Willis

Theses Digitization Project

No abstract provided.

Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh

Reproductive Health

Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based …

A Descriptive Study Of Commitment Practices In A Selected Jurisdiction, Louis A. Pesnicak

Community & Environmental Health Theses & Dissertations

This study examines the application of commitment procedures in one urban community in Virginia. The study investigated: the concordance rates of clinical recommendation for treatment and the outcome of the commitment hearing. the time lapse between detention of an individual and the hearing outcome. the presenting symptomatology and outcome. and the pre-detention compliance to treatment and outcome. The study's findings showed a concordance rate of 64% between clinical recommendation and outcome. It provided no significant differences in symptomatology/outcome, compliance/outcome, and time lapse/outcome. The lack of any significant findings seems to suggest that application of commitment laws might benefit from institution …

Effects Of Program Implementation On Adolescent Drug Use Behavior The Midwestern Prevention Project (Mpp), C. Anderson Johnson, Mary Ann Pentz, Elizabeth A. Trebow, William B. Hansen, David P. Mackinnon, James H. Dwyer, Brian R. Flay, Stacey Daniels, Calvin Cormack

CGU Faculty Publications and Research

This study evaluated the relationship between level of program implementation and change in adolescent drug use behavior in the Midwestern Prevention Project (MPP), a school- and community-based program for drug abuse prevention. Trained teachers implemented the program with transition year students. Implementation was measured by teacher self-report and validated by research staff reports. Adolescent drug use was measured by student self-report; an expired air measure of smoking was used to increase the accuracy of self-reported drug use. Regression analyses were used to evaluate adherence; exposure, or amount of implementation; and reinvention. Results showed that all schools assigned to the program …

The Demand And Acceptance Of The Community Hospital Sponsored Satellite Clinic In The Southern California Area: A Feasibility Study, Genelda Annetta Tracy

Theses Digitization Project

No abstract provided.

Blue Ribbon Commission On The Regulation Of Health Care Expenditures, State Of Maine, 113th Legislature

Maine Collection

Blue Ribbon Commission on the Regulation of Health Care Expenditures

State of Maine, 113th Legislature (January, 1989)

Office of Policy and Legal Analysis, Room 101, State House--Sta. 13, Augusta, Maine 04333.

Contents: Preface / Executive Summary of Recommendations / Introduction and Background / Detailed Recommendations

Ua12/1 Apple Tips, Vol. I, No. 1, Wku Apple

WKU Administration Documents

Newsletter created by APPLE a planned program in life enrichment regarding drug and alcohol awareness programs.

Report Of The Commissioner's Task Force On Self-Destructive Behaviors And Teen Suicide, Department Of Mental Health And Mental Retardation

Maine Collection

Report of the Commissioner's Task Force on Self-Destructive Behaviors and Teen Suicide.

Susan B. Parker, Commissioner - Department of Mental Health and Mental Retardation, Augusta, Maine (December 1987).

Contents: Foreward / Task Force Members / Introduction / Characteristics of Self-Destructive Teens / Factors Contributing to Self-Destructive Behaviors / Findings and Recommendations / References

Tardive Dyskinesia: A Prevalence Study In An Outpatient Population, Virginia J. Ravizza

Community & Environmental Health Theses & Dissertations

The purpose of this prevalence study was to assess the occurrence of tardive dyskinesia among a chronically mentally ill sample of a suburban mental health clinic. The participants in this study were selected from clients of a suburban mental health clinic who agreed to participate in this prevalence study. There were 45 participants--17 males and 28 females.

The Abnormal Involuntary Movement Scale (AIMS) was selected as the instrument to measure the abnormal involuntary movements exhibited by the participants of the study on the day of testing. The testing occurred during a specific time period, June 8, 1987 to July 2, …

Evaluation Of Stress Management Program Participant Outcomes, Kanya Boondharm Sitanggang

Loma Linda University Electronic Theses, Dissertations & Projects

This study, conducted by a Health Maintenance Organization in Southern California, evaluated the impact of a stress management program in reducing stress/anxiety, stressors/hassles, and perception of stressors. Impact of the program in reducing negative coping mechanisms and increasing positive coping mechanisms as well as the retention of stress management training over a three month follow-up period was examined.

A quasi-experimental -- non-equivalent control group design was used. The experimental group consisted of 54 clients who registered for stress management classes. The control group consisted of 105 matched subjects selected from a larger group of 212. All subjects were tested prior …

The Effectiveness Of Stimulation Therapy For The Cognitively Impaired Elderly, Sylvia H. Old

Community & Environmental Health Theses & Dissertations

The effectiveness of stimulation therapy for the cognitively impaired elderly living in an institution was assessed. Residents with varying degrees of cognitive impairment were treated with twenty, thirty-minute daily periods of reality orientation, reminiscence, resocialization, remotivation, and other stimulating therapies and were compared with a control group_ receiving no intervention. Treatment effects were assessed with a variety of instruments reflecting functioning across several domains. Included were ability to perform both basic self-care functions and activities of daily living, cognitive performance, affect, and satisfaction with the care received and the living environment in the nursing home. The experimental group was divided …

Trends In Health Care Expenditures, Maine 1974-1978, Bruce Armstrong

Maine Collection

Trends in Health Care Expenditures, Maine 1974-1978

by Bruce Armstrong, Research Consultant

Maine Department of Human Services, Bureau of Health Planning and Development, Division of Data and Research, Augusta, Maine (August 1981).

Contents: Preface / Highlights / List of Tables and Figures / Yearly Tables / Trend Illustrations and Tabular Descriptions

Pre-Psychotherapy Characteristics Of Prematurely, Unilaterally Discontinuing Families At A Community Mental Health Center, Robert Lee Dyer

All-Inclusive List of Electronic Theses and Dissertations

This study was designed to investigate the ability to discriminate, at the point of intake, those families who unilaterally and prematurely discontinue psychotherapy before the fourth session at a community mental health center from those who remain in therapy longer.

Maine Mental Health Annual Review And Progress Report 1977, Department Of Mental Health And Corrections

Maine Collection

Maine Mental Health Annual Review and Progress Report 1977

State of Maine., Department of Mental Health and Corrections, Augusta, Maine, 1977.

George A. Zitnay, Commissioner

Contents: Preface / Administrative Part / Services and Facilities Part

The Ecology Of Stray Dogs: A Study Of Free-Ranging Urban Animals, Alan M. Beck

Purdue University Press Books

This readable contribution should be in the hands of any city or state agency dealing with dog problems or with public health problems. The book should also be of considerable interest to all ecologists, behaviorists, and biologists. This is a unique book in which the ecologist's methods are applied to understanding and possibly solving one of our urban problems. This fascinating small monograph is the work of a man who-armed with camera, tape recorder and thermometer and driving not a Land-Rover but a used sedan-studied free-ranging dogs among the bricks of Baltimore.

The Dietary Intake Of Preschool Children Attending The Public Health Clinics In San Bernardino, California, Glendover V. Brown

Loma Linda University Electronic Theses, Dissertations & Projects

Preschool children attending Well Baby Clinics directed by the Public Health Department of San Bernardino, California, were the sub jects in this study. The purpose of the study was (1) to compare the eating pattern and habits of the preschool children attending the San Bernardino Public Health Clinics, (2) to assess any differences in the dietary intake of the three major ethnic groups, namely, Mexican- Americans, Whites, and Blacks, and (3) to determine the adequacy of the dietary intake of the preschool children attending the San Bernardino Clinics. One hundred and seventy-seven subjects in this study included 51 Mexican-Americans, 74 …

Barriers To Attainment Of Health Care In West Central Maine : A Critique By The Poor, Health Facilities Planning Council

Maine Collection

Barriers to Attainment of Health Care in West Central Maine : A Critique by the Poor

"Conducted by the Health Facilities Planning Council, 11 Parkwood Drive, Augusta, Maine under contract to Maine Department of Health and Welfare, June, 1969."

Contents: Foreword / Table of Contents / Introduction / Map / Franklin County / Housing / Dental Rot / Franklin County Memorial Hospital / Family Planning / RN's / State Public Health Nurses / Unmet Health Needs / The Last Outpost / Home Visit in Farmington Falls / Home Visit in Industry / Home Visit in Rangeley Area / Conversations on …

Evaluation Of The Role Of Neighborhood Health Coordinators In A Comprehensive Neighborhood Health Services Project, Sharron Faye Easley

Dissertations and Theses

This study evaluates the role of the Neighborhood Health Coordinators (NHC's) within Kaiser Foundation's Comprehensive Neighborhood Health Services (CNHS) Project. This project was established in September 1967, under the provisions of the 1966 amendments to the Economic Opportunity Act, to provide and make readily available comprehensive medical care to low-income persons. In compliance with the stipulations of this Act, persons who reside in target areas, designated as depressed neighborhoods, were hired to serve as NHC's. These indigenous non-professionals serve as links or "gatekeepers" between the low-income persons enrolled in this program, and the Kaiser medical care facilities which include the …

Interview No. 14, Vincent Ravel, M.D.

Combined Interviews

Recounts immigration of family from Lithuania to U. S.; briefly sketches history of Jewish community in El Paso; father's role in founding Congregation of Mena Zion; arranged marriage of parents; opening of pawn shop in South El Paso, City Loan and Jewelry, by father and cousin Sam Ravel; shootings in El Paso at turn of century; purchase of ammunition, guns, and pistols by Pancho Villa; Columbus Raid; Pershing Expedition to Mexico; El Paso's red light district on Ninth Street in 1930s; physical examinations of prostitutes; comments on El Paso's recognition as health center for tuberculosis patients; recounts tuberculosis sanitoriums in …