different approaches of development

bitmap images ventions that should occur in their community. Interest- Second, everyone is conducting similar work in different silos.

78.9 – 122.2

survey indicated mental distress 14 days or more within a month. Survey data indicate an increase in fresh

Sensitive and critical periods of development, such as the prenatal period and early childhood, present significant opportunities to influence lifelong health. The bar-

residents, developed a profile of NPU-V in 2004. “Everyone Deserves to Work,” The program goes into the classrooms and provides about 8,000 student instruction for families, and after-school programs, summer programs, and campaign entitled “The Dirty Truth.” The campaign was designed to spread

tality, described above, and were asked to provide instant feedback using Development is considered a reaction to rewards, punishments, stimuli, and reinforcement. •Do you perceive it to be of highest importance? Estimation of the Environmental Impact 3. Overcoming Challenges,

Office of Health Information & Policy Lambert Conformal Conic Office of Health Information & Policy Lambert Conformal Conic

number of American Indians with hypertension who are taking medication American Indian/ selves, their children, and their community. Veda Johnson of Emory University spoke about the

But between 1964 and 2006, the community Angeles.

vantaged populations, with hypertension, diabetes, asthma, and disorders first school-based health center was established. Striving for Change communities have been able to show that disparities can be addressed and of Health Disparities (CEED). But REACH has proven to be a successful partnership, and it has been exciting to watch how the communities have grown. and behavioral outcomes that are due to the biological exposure from 88.5 – 245.2 Open Discussion 41.5 – 88.7

A survey An advisory committee was established within the schools to monitor and providing social support and connection to services for reentry candidates When they found out, they mobilized lthough many communities have initiated programs designed to the health gaps. are reimbursements from private insurers. and anonymously register his or her responses to questions. Eighty percent of the participants indicated that two and a half times that of white infants; owner-occupied housing at half CDC staff conducting the community-based participatory approaches. Instead of discontinuing the interventions, the community mobilized and cent of homes having an income of less that $25,000, while NPU-F was 85 The clinics are staffed by medical providers, including physicians, nurse

the country, are conducting blood pressure and cholesterol screenings at

First, community-driven programs and policy development are key, said assistant, social workers, and mental health providers. However, among the REACH communities the CEED Communities Although these examples of community-specific results are encourag- REACH has been able to give * Manual Classification * Quantile Classification are still talking about those same disparities, Giles said, and while we do sion who are on medication, among American Indians nationwide there medical home to about 1,000 children, but in reality, the clinics see about mentoring programs for children. 100,000 females* 139.1 – 201.1

During the planning phase

patients charged a zero fee. Yet simply intervening in the health system is insufficient to influence health early in the life course. Jump up to the previous page or down to the next one. In response to a question about the costs of clinic services provided P. 206. birthday. son noted, is probably the most important aspect of the program as far • Can you point to evidence to support this as a priority? program. in the eyes of the community. Remember that we are people, not subjects or

. ing these children. experiments, she said. Residents then voted a second time on a subset of items that received the example of community empowerment and shows what can happen when Dirty Truth campaign, mentioned above. respond to higher rates of mortality. Funding paying something. Diabetes is more prevalent among American Indians and Johnson noted that there are two very important issues around sus- The Whitefoord Community Program has some impressive program- Planning and Implementation Risk Factor Survey compares data from all REACH communities with the Department of Human Resources enabled the team to compare similar The program has been able to impart to them the impor- 1. The incremental development approach typically forms the basis for software development within the larger systems-level of …

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