Health providers and leaders in urban Milwaukee collectively acted to expand school-based health services to children attending Milwaukee Public Schools (MPS). This School-Based/School-Linked Health Centers' (SB/SLHCs) Collaboration was initiated to increase points of access for children, primarily to working-poor families, through mobilizing community resources among local leaders and statewide health systems. Systematic steps such as needs assessment, sharing data, seeking funds and prioritization of school-based sites facilitated the establishment of more than 30 additional SB/SLHCs. This has resulted in approximate 700% increase in school-based health care and health promotion services. This collaboration illustrates how communities and health care systems can effectively advocate and impact local services to benefit a population having high social risk factors. As welfare reform efforts evolve, SB/SLHCs have significantly advanced access to mainstream health services through effective local collaborations.

Adolescent↗

PubMedDate not supplied

Occupational stress and RANs.

This paper explores nurses' self-reported stress during a time of policy changes in the Northern Territory Health Department. It is argued that current research tends to associate nurses' stress with their personality or type of work, offering a psychological or occupational explanation. Little consideration is given to the complex structural subordination and ambivalence remote area nurses experience on Aboriginal settlements vis a vis their immediate superiors and clients. It is proposed that the nurses' self-reported stress can be partly accounted for by their marginal position between these two groups. The sociological concept of marginality can explain this.

Australia↗