Recent literature underscores the need for studies of family-based preventive interventions oriented toward public health objectives. This article illustrates a program evaluation approach for the study of family intervention outcomes in general populations. Thirty-three rural schools were randomly assigned to 1 of 3 conditions: the Preparing for the Drug-Free Years ...

OBJECTIVE: To identify learning needs and factors related to postdischarge use of continuous positive airway pressure (CPAP) ventilation. DESIGN: Exploratory descriptive correlational. SETTING: Metropolitan and rural clinics. SUBJECTS: Adult patients (N = 21) and family caregivers, one half 60 years or older. INSTRUMENTS: Family interviews, life satisfaction and quality, family ...

BACKGROUND: In the 1990s, the Residency Review Committee for Family Practice (RRCFP) and the American Board of Family Practice used the development of rural training programs as a strategy to bridge training experiences across urban referral centers and rural community hospitals. These programs are relatively small and attract trainees who ...

Intensive family preservation services in the United States have been extensively reported on and developed, but where the model has been "exported," programs are at a much earlier stage of development. Using information gained in an evaluation of a pilot Homebuilders-style program in the state of Victoria, Australia, this article ...

While researchers have begun to specify how features of students' immediate learning environments affect the development and use of self-regulation skills, relatively little attention has been paid to the role of the family context in fostering or impeding the development of these skills. This paper proposes a conceptual framework based ...

The authors focus on the development of a wraparound program at The Menninger Clinic. This program explores alternatives to long-term hospitalization and residential treatment and provides comprehensive community-based services. After describing the history and evolution of this program, the authors highlight its current components (i.e., diagnostic understanding; assessment of the ...

The teaching of behavioral science is an integral part of the education of family physicians. This paper presents a model of a program that integrates the teaching of behavioral science with residents' daily activities in their clinical placement. It outlines the format of the program, the curriculum, teaching methodologies, evaluation ...

This paper examines the extent to which two social model programs and one medical model program operating in the same county were able to establish links between their programs and the community at large. Emphasis on community and environment is a hallmark of social model programs, suggesting that more effective ...

It remains difficult to find appropriately trained physicians to work in isolated northern areas. Urban-based family medicine programs have not been able to provide appropriate training. The Northern Family Medicine Education (NorFam) Program of Memorial University of Newfoundland was created to fill this need. This paper reviews the NorFam Program ...

A 104-item questionnaire was utilized to assess the financial, family, educational, and psychosocial needs of 196 non-traditional students enrolled in physical or occupational therapy programs. Quantitative data were analyzed using descriptive statistics and analysis-of-variance procedures. Open-ended questions were analyzed using qualitative data analysis. Results indicated that 65% of the subjects ...

As health care systems are redefined in the 1990s, and as resources decrease, group work is effective as an intervention. Social workers from three acute care hospitals utilized group process as the primary theoretical framework to develop a four-week education/support program for renal patients and families. In collaboration with other ...

BACKGROUND: Numerous factors have been hypothesized to explain the steady decline of family physicians providing maternity care. Rather than exploring reasons for departure, we sought to learn why many family physicians choose to deliver babies. METHODS: A previously piloted questionnaire was mailed to 1300 family physicians who had attended continuing ...

This article profiles a pilot project in Huron County, Ontario, which merged two separate government-sponsored programs that provide support to families with disabled children into a single program delivered through a community agency. After almost ten years in operation, the program is working very well, but certain adjustments are necessary ...

In 1985, Wolverton and Bosworth published an often referenced study of family practice teaching behaviors. Their research identified 20 "most helpful" and 10 "least helpful" behaviors. In 1994 all United States Army family practice house officers were asked by survey to rate each of the original 38 Wolverton and Bosworth ...

OBJECTIVE: To determine whether family medicine residency training programs have formal policies regarding interactions between residents and the pharmaceutical industry, to identify existing practices, and to find out what issues in industry-physician interaction are addressed during the 2-year core curriculum training in Canada. DESIGN: Mailed survey using a questionnaire. SETTING: ...

Background and objectives: The Residency Assistance Program (RAP) in family practice was established in 1975 to provide consultative assistance to family practice residency program directors interested in enhancing the quality of their training programs. Since its inception, RAP activities have been monitored and policies approved by a project board, with ...

Background and objectives: Since their inception, family practice residency programs have been designed on a rotation-based format. It has been assumed that by having residents rotate through a series of educational experiences, they would assimilate the skills necessary to effectively serve as a family physician. An alternative approach is based ...

In most industrialized countries today, the death of a child is a rare phenomenon. When it occurs, however, it is usually within a hospital setting, after the child has received complex and often long-term medical care aimed at curing or controlling a serious disease. Thus, health professionals are increasingly exposed ...

Eighty-one percent of general dentists and 86 percent of pediatric dentists who are members of the local dental society in Spokane County, Washington, participated in a pilot program to provide dental care in private offices to children up to 5 years of age from low-income families served by the Medicaid ...

BACKGROUND AND OBJECTIVES: This study reports on a novel qualitative method for evaluating family practice training programs. Previous evaluation techniques have generally been quantitative in nature and have limited their scope to a few isolated elements of residency education. METHODS: A guest faculty, working in conjunction with local faculty, conducted ...

The professions of family therapy and law share many clients and areas of overlap. Law-related coursework in family therapy programs is typically limited to legal, ethical, and professional issues. However, students can also benefit from understanding other areas of overlap, such as divorce, child custody, and mediation. This article discusses ...

BACKGROUND AND OBJECTIVES: As health care institutions adopt policies on substance use and abuse and mandatory substance abuse testing in the workplace, applicants for house staff positions may become the subjects of testing as a requirement for acceptance into a residency program. This study attempted to learn what directors of ...

CONTEXT: Medical educators have had a growing sense that proficiency in physical diagnostic skills is waning, but few data have examined the question critically. OBJECTIVE, DESIGN, AND SETTING: To compare the cardiac auscultatory proficiency of medical students and physicians in training. A multicenter cross-sectional assessment of students and house staff. ...

A survey of 659 family support workers' regarding training and their provision of services for families with 10- to 15-year-olds showed that 30% to 50% rated their previous training as inadequate or poor, had inaccurate knowledge about young adolescent development, and felt they were doing an inadequate or poor job ...

BACKGROUND AND OBJECTIVES: Fiberoptic flexible sigmoidoscopy (FFS) is widely used by family physicians to evaluate abdominal problems and screen for colorectal cancer. We evaluated data on exams performed by family practice residents to determine the number of supervised procedures needed for technical proficiency at FFS. METHODS: We reviewed data recorded ...

OBJECTIVES: (1) To determine the perceived adequacy of residency training for current practice by Army family physicians; (2) to ascertain if differences exist by residency setting: medical center, medical activity, or civilian. METHODS: Surveys were mailed to the 334 family physicians in the Army in 1993. Training in various subject ...

A total of 197 family members of mentally ill adults in Indiana responded to a survey about their preferences for family psychoeducation programs, including type of information, format, presenter, frequency and length of educational programs, setting, and cost. The findings of the survey, which was sent only to persons who ...

197 American college students going to school in Oklahoma and 91 Chinese college students going to school in China participated. Chinese students from extended families (families with three generations) reported less loneliness than those from nuclear families. In the younger group (aged 18 to 20 yr.), Chinese students scored higher ...

Electronic medical records (EMRs) are increasingly replacing paper records, and many residency program directors are interested in incorporating EMR systems into their clinics. The authors describe their experiences implementing EMRs in their family practice residency programs; the four programs are the Eau Claire Family Practice Residency Program, the Galveston Family ...

Examinations constitute one of the principal methods by which professions assess minimal competence in aspiring practitioners. The Examination in Marital and Family Therapy is used by most states which regulate the profession. This article provides the rationale for the examination program, describes its development and maintenance, and presents the knowledge ...

The psychosocial orientation of fourth-year medical students planning careers in family medicine was compared to those selecting other specialties using the Physician Belief Scale. This scale has shown that practicing family physicians have a greater psychosocial orientation than those in other specialties such as internal medicine. The current study was ...

BACKGROUND AND OBJECTIVES: Many strategies have been used by academic institutions to address the shortage of rural family physicians. Fellowship training in rural family medicine represents one approach. METHODS: Tacoma Family Medicine developed a fellowship program of this type. Five years of operations are described, including applicants, educational outcomes, rural ...

BACKGROUND: The development of family medicine in Latin America is inhibited by limited resources. Successful strategies to promote the specialty include academic exchanges between countries. Short-term faculty development opportunities are needed for foreign academic family physicians. METHODS: After 2 years of unstructured visits by Latin American physicians planning to teach ...

The last decade has seen a dramatic increase in the literature addressing family therapy training and supervision (Liddle, Breunlin, & Schwartz, 1988; Morris & Chenail, 1995; Selekman & Todd, 1995; Thomas, 1994). Most of this literature, however, focuses on theory rather than practice. This paper presents a study of solution-focused ...

Primary monosymptomatic nocturnal enuresis (PMNE) is often not openly discussed in Asian societies. We report the parental view of PMNE in Singapore, its impact on patients and their families and the traditional beliefs and its influence on subsequent management. A screening questionnaire was used in evaluating 30 children enrolled in ...

The best known of the nation's welfare programs, Aid to Families with Dependent Children (AFDC), has from its inception reflected a tension between the desire to support children in poor, lone-parent families and the belief that parents should be held responsible for providing for themselves and their children. Against that ...

The authors measured perceived social support among patients and their families as a predictor of retention in an inpatient addiction rehabilitation program. After detoxification from all substances of abuse, 66 sequentially admitted inpatients gave demographic and diagnostic information and completed scales of perceived social support from the program and their ...

The Practice Research Center is a joint endeavor between Adelphi University Graduate School of Social Work and the Department of Social Work Services at Long Island Jewish Medical Center. This paper will describe the work of the research center from 1983 to date. This collaborative effort of agency and school ...

While research indicates that family intervention is of benefit to schizophrenia patients and their relatives, it remains unclear why it is beneficial. Methodologies developed in psychotherapy process research may be of use in answering this question. The present study examines the applicability of one such methodology to a clinically based ...

The DSM has largely become the common language of behavioral health which its authors intended. Although family systems theory resulted in part from the study of major mental illness, it later became distanced from considerations of individual psychopathology. No studies have assessed current practices and views within the field of ...

This paper presents a three-dimensional model for teaching questioning to those wishing to develop skills in couple and family therapy. The model breaks questions into their component parts of format (the style of the question: open, closed, forced choice, rating, or ranking); orientation (the person who is being inquired about: ...

This paper describes and evaluates a training program for parental educators to teach parenting classes for families with children 1 to 5 years of age. Six staff and parent volunteers from a family resource center participated. Evaluations of the training program showed improved knowledge and increased comfort in teaching parenting ...

Despite broad support for family preservation as a policy, an approach to service delivery, and a program model, sufficient knowledge has accumulated to warrant reconsidering the use of intensive family preservation programs in public child welfare practice. Based on an integrative review of the child maltreatment and family preservation literature, ...

PURPOSE: The emotional strains and anxiety experienced by a family system when a parent or significant adult member has cancer are well documented. Furthermore, the literature suggests a need for an intervention program for children whose parent or grandparent has cancer. The current article describes Quest, an intervention program for ...

OBJECTIVE: To study undergraduate learning of and current clinical practice on counseling to reduce road injuries and deaths. DESIGN: Questionnaire on high-risk clinical scenarios. SETTING: Canadian medical schools, one family medicine program, and a Toronto trauma centre. PARTICIPANTS: Three groups: 338 final-year medical students from 12 Canadian universities, 183 family ...

"The Advanced Life Support in Obstetrics (ALSO) Course is designed to assist health professionals in developing and maintaining the knowledge and skills they will need to effectively manage the emergencies which arise in obstetrics." Given the fact that the vast majority of military family physicians provide maternity care, often in ...

BACKGROUND AND OBJECTIVES: This study provides information on student factors associated with a career choice in family practice. METHODS: Information was used from multiple surveys completed by medical students, including the Premedical Questionnaire, the Matriculating Student Questionnaire, and the Graduation Questionnaire, as well as information from residency directors about residents ...

The National Health Insurance Program began in March 1995 in Taiwan. The success of the program depends largely on the operation of "Regionalization Medical Networks" which rely on family practice to provide cost-effective medical care. Instructional development activity needs to be addressed as the highest priority, to meet the impelling ...

Community health centers (CHCs), sponsored by US Public Health Service (USPHS) Section 330, represent successful models of the application of community-oriented primary care principles. Recently, increased interest has been shown in conducting medical education programs in CHCs. The USPHS has tried to facilitate this interest, particularly through its support of ...

Current changes in welfare policy are examined, and the likelihood that they will be unworkable or counterproductive is discussed. Based on knowledge and data from the articles in this special section, as well as other relevant research, policy and program recommendations are offered for welfare reform that would most effectively ...