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14 books match the query 'Community health services'

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Community Health Centers

A Movement and the People Who Made It Happen

Lefkowitz, Bonnie

Rutgers University Press, 2007

The aftermath of Hurricane Katrina has placed a national spotlight on the shameful state of healthcare for America's poor. In the face of this highly publicized disaster, public health experts are more concerned than ever about persistent disparities that result from income and race.

This book tells the story of one groundbreaking approach to medicine that attacks the problem by focusing on the wellness of whole neighborhoods. Since their creation during the 1960s, community health centers have served the needs of the poor in the tenements of New York, the colonias of Texas, the working class neighborhoods of Boston, and the dirt farms of the South. As products of the civil rights movement, the early centers provided not only primary and preventive care, but also social and environmental services, economic development, and empowerment.

Bonnie Lefkowitz-herself a veteran of community health administration-explores the program's unlikely transformation from a small and beleaguered demonstration effort to a network of close to a thousand modern health care organizations serving nearly 15 million people. In a series of personal accounts and interviews with national leaders and dozens of health care workers, patients, and activists in five communities across the United States, she shows how health centers have endured despite cynicism and inertia, the vagaries of politics, and ongoing discrimination.

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Community Organizing and Community Building for Health and Social Equity, 4th edition

Meredith Minkler and Patricia Wakimoto

Rutgers University Press, 2022

The fourth edition of Community Organizing and Community Building for Health and Social Equity provides both classic and recent contributions to the field, with a special accent on how these approaches can contribute to health and social equity. The 23 chapters offer conceptual frameworks, skill- building and case studies in areas like coalition building, organizing by and with women of color, community assessment, and the power of the arts, the Internet, social media, and policy and media advocacy in such work. The use of participatory evaluation and strategies and tips on fundraising for community organizing also are presented, as are the ethical challenges that can arise in this work, and helpful tools for anticipating and addressing them. Also included are study questions for use in the classroom.

Many of the book’s contributors are leaders in their academic fields, from public health and social work, to community psychology and urban and regional planning, and to social and political science. One author was the 44th president of the United States, himself a former community organizer in Chicago, who reflects on his earlier vocation and its importance. Other contributors are inspiring community leaders whose work on-the-ground and in partnership with us “outsiders” highlights both the power of collaboration, and the cultural humility and other skills required to do it well.

Throughout this book, and particularly in the case studies and examples shared, the role of context is critical, and never far from view. Included here most recently are the horrific and continuing toll of the COVID-19 pandemic, and a long overdue, yet still greatly circumscribed, “national reckoning with systemic racism,” in the aftermath of the brutal police killing of yet another unarmed Black person, and then another and another, seemingly without end. In many chapters, the authors highlight different facets of the Black Lives Matter movement that took on new life across the country and the world in response to these atrocities. In other chapters, the existential threat of climate change and grave threats to democracy also are underscored.

View the Table of Contents and introductory text for the supplementary instructor resources. (https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2022/02/04143046/9781978832176_optimized_sampler.pdf)

Supplementary instructor resources are available on request: https://www.rutgersuniversitypress.org/communityorganizing

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Community Organizing and Community Building for Health and Welfare

Edited by Meredith Minkler

Rutgers University Press, 2012

The third edition of Community Organizing and Community Building for Health and Welfare provides new and more established ways to approach community building and organizing, from collaborating with communities on assessment and issue selection to using the power of coalition building, media advocacy, and social media to enhance the effectiveness of such work.

With a strong emphasis on cultural relevance and humility, this collection offers a wealth of case studies in areas ranging from childhood obesity to immigrant worker rights to health care reform. A "tool kit" of appendixes includes guidelines for assessing coalition effectiveness, exercises for critical reflection on our own power and privilege, and training tools such as "policy bingo." From former organizer and now President Barack Obama to academics and professionals in the fields of public health, social work, urban planning, and community psychology, the book offers a comprehensive vision and on-the-ground examples of the many ways community building and organizing can help us address some of the most intractable health and social problems of our times.

Dr. Minkler's course syllabus: Although Dr. Minkler has changed the order of some chapters in the syllabus to accommodate guest speakers and help students prep for the midterm assignment she uses, she arranged the actual book layout in a way that should flow quite naturally if instructors wish to use it in the order in which chapters appear.

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Community-Engaged Research for Resilience and Health, Volume 4

Edited by Kelli E. Canada and Clark M. Peters

University of Minnesota Press, 2022

Promoting resilience in underserved populations.

The fourth volume in the Interdisciplinary Community-Engaged Research for Health series departs from the traditional view of resilience driven by individuals and reconstructs it to hinge on the community of context. Editors Kelli E. Canada and Clark Peters identified six scholar-practitioner teams who worked to promote resilience in communities across the nation facing health crises and other structural barriers to health, such as low socioeconomic positions, structural racism, and discrimination. This research is part of a two-pronged approach to public health, intending to increase resilience and communities’ internal support while simultaneously reducing barriers to health care access.

The efforts featured in Community-Engaged Research for Resilience and Health highlight community-based solutions, points of strength, and sources of resilience to help communities that are struggling to survive and thrive in the face of adversity. Whether these communities are facing opioid addiction or other substance abuse issues, domestic violence, armed conflict, trauma, or cultural discrimination, the editors and contributors in this volume share examples of Community-Based Participatory Research (CBPR) practices where through a collaborative partnership, the community actively participates in every aspect of the alongside the interdisciplinary research team. What transpires demonstrates how researchers and communities come together to turn adversity into improved health through resilience-focused programs and interventions.

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Crossing the Gap

Healing Epidemics and Inequalities in a Divided City

David A. Ansell, MD

University of Chicago Press, 2026

A doctor, a disinvested neighborhood, and a radical experiment to close America’s death gap.

Two girls are born in the same Chicago hospital. Their neighborhoods—just seven train stops apart—will shape their futures and help determine how long they live. One will celebrate her eighty-fifth birthday. The other will die before sixty-five.

This is the death gap: lives lost too soon. Crossing the Gap asks how a city with world-class hospitals can tolerate an epidemic of premature death—and tells the story of the people fighting to end it.

In his landmark book The Death Gap, physician and health equity leader David A. Ansell exposed how structural racism and poverty shorten lives. He moves beyond diagnosis in Crossing the Gap to explore what happens when a major medical center joins forces with pastors, community organizers, residents, and young leaders on Chicago’s West Side to redefine what a hospital owes its neighbors. Part medical memoir and part urban chronicle, Crossing the Gap follows groundbreaking initiatives such as West Side United and the Sankofa Wellness Village as they confront decades of disinvestment and work to build healthier communities.

Through stories of collaboration, courage, conflict, and community leadership, Ansell shows how neighborhood voices, rigorous data, and moral imagination can transform health systems from bystanders into partners for change—not just in one city but throughout the nation.

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Doctors Serving People

Restoring Humanism to Medicine through Student Community Service

Eckenfels, Edward J

Rutgers University Press, 2008

Today's physicians are medical scientists, drilled in the basics of physiology, anatomy, genetics, and chemistry. They learn how to crunch data, interpret scans, and see the human form as a set of separate organs and systems in some stage of disease. Missing from their training is a holistic portrait of the patient as a person and as a member of a community. Yet a humanistic passion and desire to help people often are the attributes that compel a student toward a career in medicine. So what happens along the way to tarnish that idealism? Can a new approach to medical education make a difference?

Doctors Serving People is just such a prescriptive. While a professor at Rush Medical College in Chicago, Edward J. Eckenfels helped initiate and direct a student-driven program in which student doctors worked in the poor, urban communities during medical school, voluntarily and without academic credit. In addition to their core curriculum and clinical rotations, students served the social and health needs of diverse and disadvantaged populations. Now more than ten years old, the program serves as an example for other medical schools throughout the country. Its story provides a working model of how to reform medical education in America.

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Doing Good

Racial Tensions and Workplace Inequalities at a Community Clinic in El Nuevo South

Natalia Deeb-Sossa

University of Arizona Press, 2013

Throughout the “New South,” relationships based on race, class, social status, gender, and citizenship are being upended by the recent influx of Latina/o residents. Doing Good examines these issues as they play out in the microcosm of a community health center in North Carolina that previously had served mostly African American clients but now serves predominantly Latina/o clients. Drawing on eighteen months of experience as a participant- observer in the clinic and in-depth interviews with clinic staff at all levels, Natalia Deeb-Sossa provides an informative and fascinating view of how changing demographics are profoundly affecting the new social order.

Deeb-Sossa argues persuasively that “moral identities” have been constructed by clinic staff. The high-status staff—nearly all of whom are white—see themselves as heroic workers. Mid- and lower-status Latina staff feel like they are guardians of people who are especially needy and deserving of protection. In contrast, the moral identity of African American staffers had previously been established in response to serving “their people.” Their response to the evolving clientele has been to create a self-image of superiority by characterizing Latina/o clients as “immoral,” “lazy,” “working the system,” having no regard for rules or discipline, and being irresponsible parents.

All of the health-care workers want to be seen as “doing good.” But they fail to see how, in constructing and maintaining their own moral identity in response to their personal views and stereotypes, they have come to treat each other and their clients in ways that contradict their ideals.

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Fighting For Our Lives

New York's AIDS Community and the Politics of Disease

Chambré, Susan M

Rutgers University Press, 2006

In the first decade of the AIDS epidemic, New York City was struck like no other. By the early nineties, it was struggling with more known cases than the next forty most infected cities, including San Francisco, combined.

Fighting for Our Lives is the first comprehensive social history of New York's AIDS community-a diverse array of people that included not only gay men, but also African Americans, Haitians, Latinos, intravenous drug users, substance abuse professionals, elite supporters, and researchers. Looking back over twenty-five years, Susan Chambré focuses on the ways that these disparate groups formed networks of people and organizations that-both together and separately-supported persons with AIDS, reduced transmission, funded research, and in the process, gave a face to an epidemic that for many years, whether because of indifference, homophobia, or inefficiency, received little attention from government or health care professionals.

Beyond the limits of New York City, and even AIDS, this case study also shows how any epidemic provides a context for observing how societies respond to events that expose the inadequacies of their existing social and institutional arrangements. By drawing attention to the major faults of New York's (and America's) response to a major social and health crisis at the end of the twentieth century, the book urges more effective and sensitive actions-both governmental and civil-in the future.

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Healing the Body Politic

El Salvador's Popular Struggle for Health Rights from Civil War to Neoliberal Peace

Smith-Nonini, Sandy

Rutgers University Press, 2010

Incorporating investigative journalism and drawing on interviews with participants and leaders, Sandy Smith-Nonini examines the contested place of health and development in El Salvador over the last two decades. Healing the Body Politic recounts the dramatic story of radical health activism from its origins in liberation theology and guerrilla medicine during the third-world country's twelve-year civil war, through development of a remarkable "popular health system," administered by lay providers in a former war zone controlled by leftist rebels. This ethnography casts light on the conflicts between the conservative Ministry of Health and primary health advocates during the 1990s peace process--a time when the government sought to dismantle the effective peasant-run rural system. It offers a rare analysis of the White Marches of 2002û2003, when radicalized physicians rose to national leadership in a successful campaign against privatization of the social security health system. Healing the Body Politic contributes to the productive integration of medical and political anthropology by bringing the semiotics of health and the body to bear on cultural understandings of warfare, the state, and globalization.

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Health Extension

Community-Based Healthcare and the Future of Cooperative Extension

Cheryl L. Eschbach

Michigan State University Press, 2024

Health Extension: Community-Based Healthcare and the Future of Cooperative Extension explores innovation in extension health programs, engaged scholarship promoting research-based information in communities, and the evaluation and documentation of community programs and their impacts. This volume provides land-grant and university-based colleagues up-to-date information on using the Cooperative Extension System (CES) for community engagement in healthcare while also familiarizing those outside CES and the academy with a roadmap for improvement. The contributions of a diverse array of scholars challenge the status quo in extension programs by characterizing the introspection, understanding, creativity, partnerships, and leadership that will be required to improve lives and communities in the twenty-first century. This perspective underscores the role of CES as foundational to the future of Health Extension and offers an alternative to approaches that utilize the CES as a model without the accompanying advantages of history, community embeddedness, and sustainability.

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Health Networks

Can They Be the Solution?

Thomas P. Weil

University of Michigan Press, 2001

Thomas P. Weil believes that the formation of health networks, or integrated delivery systems, represents a more sophisticated attempt to restructure America's health system than those previously undertaken. He argues that this is so because integrated delivery systems require the application of established business principles and well-researched clinical acumen to the delivery of medical care services. This book evaluates whether recently formed health networks can generate enough fiscal savings to provide greater access to and quality of health care despite the current trend of cutbacks in reimbursement from Medicare and managed care plans.
Unfortunately, most hospitals that have formed alliances with a previous competitor or nearby teaching facility have found that they are not yet achieving the savings originally forecast. Weil finds that these shortcomings often have been caused by the difficulties in achieving a strategic fit between two partners, in finding a middle ground when differences in culture and values surface, and in implementing operational efficiencies. The book concludes with a discussion of a number of ways in which networks might cut costs in the future.
Health Networks will be of interest to medical practitioners and administrators, as well as to students in health services management programs.
Thomas P. Weil is President, Bedford Health Associates, Inc., management consultants for health and hospital services.

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Just Care

Messy Entanglements of Disability, Dependency, and Desire

Akemi Nishida

Temple University Press, 2022

Just Care is Akemi Nishida’s thoughtful examination of care injustice and social justice enabled through care. The current neoliberal political economy has turned care into a business opportunity for the healthcare industrial complex and a mechanism of social oppression and control. Nishida analyzes the challenges people negotiate whether they are situated as caregivers, receivers, or both. Also illuminated is how people with disabilities come together to assemble community care collectives and bed activism (resistance and visions emerging from the space of bed) to reimagine care as a key element for social change.

The structure of care, Nishida writes, is deeply embedded in and embodies the cruel social order—based on disability, race, gender, migration status, and wealth—that determines who survives or deteriorates. Simultaneously, many marginalized communities treat care as the foundation of activism. Using interviews, focus groups, and participant observation with care workers and people with disabilities, Just Care looks into lives unfolding in the assemblage of Medicaid long-term care programs, community-based care collectives, and bed activism. Just Care identifies what care does, and asks: How can we activate care justice or just care where people feel cared affirmatively and care being used for the wellbeing of community and for just world making?

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