BACKGROUND Therapeutic alliance between clinicians and their patients is important in community mental healthcare. It is unclear whether providing effective interventions influences therapeutic alliance. AIMS To assess the impact of meeting previously unmet mental health needs on the therapeutic alliance between patients and clinicians. METHOD Secondary analysis of data from a longitudinal ...

Background Slovenian psychiatry is predominantly hospital based. A programme for the development of general community psychiatric services was proposed to improve access to and quality and comprehensiveness of psychiatric care according to the modern standards of delivery of psychiatric services. Aim The aim of the paper is to present the programme for developing community services that was pro...

The underutilization of mental health services by Latinos has been a growing concern in research and clinical practice. This has become increasingly important as the population of Latinos in the United States rapidly rises and the evidence that many are not receiving needed mental health services accumulates. To provide an understanding of the issues, this article provides an overview of risk f...

ABSTRACTThe article examines where older adults seek help in caring for a parent with dementia and the factors associated with their identification of community health and support services as sources of assistance. The authors conducted telephone interviews, using random digit dialing, of 1,152 adults aged 50 and over in the city of Hamilton. Respondents received a vignette that raised issues r...

CONTEXT The use of peer providers in family planning clinics has been proposed as a strategy that could better serve sexually active adolescent populations. METHODS Baseline and follow-up survey data from 1,424 female and 166 male adolescent clients of five California community health clinics were analyzed to assess the effectiveness of a peer provider model between 1996 and 1999. Multivariab...

The Court Report' was a prescription for more competence in child health care, more emphasis on prevention, and the integration of therapeutic and preventive child health services. These represented the underlying philosophy and spirit of Court that was accepted and commended,2 and recently re-affirmed3 as a starting point for alternative patterns of health services for children, after the reje...

The Mobilizing Action Toward Community Health (MATCH) articles in this issue of Preventing Chronic Disease discuss ideas, policies, and practices that can be used to produce a healthier population in the United States and globally. The articles pose the following questions: 1) How do we best measure long-term wellness at the population level?, 2) How do we provide incentives to organizations to...

The British Paediatric Association (BPA) has carried out a national survey of paediatric medical manpower in the hospital and community child health services. The results of the survey relating to England and Wales are presented and compared with Department of Health and Social Security (DHSS) manpower statistics. On the basis of the survey findings and current trends in the pattern of paediatr...

This paper describes core processes, components, and insights gained from a research internship offered through the University of Ottawa, Canada. The growing demand for high quality nursing research requires the development and implementation of strategies for enhanced research capacity. A three-month intensive internship was developed as a main feature of a nursing chair held by the first auth...

In October 2009, authors, staff, and guest experts from the Mobilizing Action Toward Community Health (MATCH) project and the Robert Wood Johnson Foundation, the project’s funder, met in Madison, Wisconsin to discuss metrics, incentives, and partnerships for population health improvement. Their essays were published in this and the previous 2 issues of Preventing Chronic Disease (www.cdc.gov/pc...