===================================================================== ==== #1142 Date: Thu, 27 Jun 1996 12:37:54 -0400 From: William LivingoodSubject: Re: Name Game Mike & Others who care to respond: In reading your message and many of your similar messages, I get the impression that you are encouraging the use of social marketing analysis to develop strategies to advance the profession of health education. I believe this is a unique idea, and other approaches may be even more effective in advancing the profession. However, you and I and many others can agree that we would like to advance the status of the profession of health education in society. I have a few questions about the use of social marketing. Would we use social marketing analysis to determine who we are? What happens if the outside consultants decide that you and I are out but all MDs and nurses are in? After we decide who makes up this profession, do we then use social marketing to decide how to advance the profession or do we leave it to the members of the profession to determine the best approach for developing and advancing the profession? Bill Livingood ===================================================================== ==== #1143 Date: Thu, 27 Jun 1996 14:45:10 -0400 From: "Molly Laflin, PhD" Subject: Self-Esteem and Drug Abuse Well, I had planned to stay out of this, but I just changed my mind. The problem with self-esteem is that there are perhaps hundreds of definitions of it and there are certainly that many measures. The measures don't tend to correlate well with each other, thus they are actually measuring different things. Self-esteem is too broad a concept and has proven to be a poor research topic. But no matter how it is measured there is little evidence that school based programs can change it, and it tends to account for little variance in health behaviors (e.g., it accounts for less than 1% of the variance in drug abuse). An article that lays out these problems quite clearly is "Is There a Relationship between Self-Esteem and Drug Use?" I have included the abstract below. I am willing to send reprints of the actual article to anyone who asks. Molly Laflin Is There a Relationship between Self-Esteem and Drug Use? Methodological and Statistical Limitations of the Research Schroeder, D., Laflin, M., and Weis, D. (1993). The Journal of Drug Issues 23(4), 645-665 Partial funding for the project was provided by grants G00872 0259 and S 184 A 90084 -89B from the U.S. Department of Education. ABSTRACT Although a causal connection between self-esteem and drug use might make intuitive sense, a critical evaluation of the research calls this causal relationship into question. The most fatal flaw in the "low self-esteem causes drug use" argument is the fact that only a very small proportion of the variance in drug use is associated with self-esteem across a variety of definitions of self-esteem. In addition, the literature is fraught with methodological and statistical problems that severely limit the conclusions that can be drawn. Methodological problems examined in the article include: (1) measurement of self-esteem, (2) measurement of drug use and abuse, (3) inclusion of confounding variables, and (4) tendency to infer causality from correlational data. Statistical problems explored are: (1) differences between the results of studies employing multivariate and bivariate statistics, (2) failure to report strength of association indices, (3) inflated experimentwise error rate when conducting numerous statistical analyses, (4) failure to collapse several highly correlated variables into fewer factors, (5) tendency to misinterpret statistical data, and (6) reporting insufficient statistical information to allow readers to draw their own conclusions. We conclude that the scientific evidence relating self-esteem and drug use is insufficient to justify making self-esteem enhancement the cornerstone of drug prevention efforts. ********************************************************************** Molly Laflin, Ph.D., Professor, School of HPER, 215 Eppler North, Bowling Green State University Bowling Green, Ohio 43403 419-372-0301 phone, fax & voice mail, email = mlaflin@bgnet.bgsu.edu ===================================================================== ==== #1144 Date: Thu, 27 Jun 1996 15:49:07 -0600 From: Marilyn Massey Subject: Re: The Myth of Self-Esteem (fwd) Bob, I have read Nathanial Branden's The Six Pillars of Self-Esteem, and I like what he says about the self-efficacy aspect of self-esteem. In addition, an extremely interesting discussion regarding the depression "epidemic" in this country and its relationship to self-esteem is included in Martin Seligman's excellent book entitled The Optimistic Child. Seligman espouses the "doing-well" approach for fostering self-esteem in children, and his book covers techniques for changing pessimism into optimism and changing helplessness into mastery. Regards, Marilyn Marilyn S. Massey, EdD, CHES Assistant Professor of Health Dept. of HPER - Texas Tech University Box 43011, Lubbock, TX 79409-3011 Ph. 806 742-2332 Fax 806 742-1688 unmsm@ttacs.ttu.edu Visit our Web site at http://www.ttu.edu/~hper > >On Wed, 26 Jun 1996, Bob Collins wrote: >Hi Margo, > >I too am intrigued by and interested in this discussion of high and low >self-esteem. But I'm more interested in the concept of "healthy >self-esteem". Two aspects of self-esteem that are often not included in >definitions or discussions are "a sense of personal efficacy >(self-efficacy) and a sense of personal worth (self-respect). One of the >researcher, author, speakers I've found to have a useful perspective on >self-esteem issues is Nathaniel Branden. He gave a keynote speech at the >first International Conference on Self-Esteem in August, 1990 in Oslo, >Norway, titled, "What is Self-Esteem". His speech is available from: > The Branden Institute for Self-Esteem > P.O. Box #2609 > Beverly Hills, CA 90213 > >He has also published a book addressing his thirty some years of clinical >experience and research on self-esteem, titled, "The Six Pillars of >Self-Esteem", publisher is Bantam Books. > >Another source of research info on this topic is Robert Reasoner. He can >be reached at 360-437-0300. > >In 1991 I put together a 35 page annotated bibliography >of self-esteem literature that may interest some of you. It is >copyrighted by the Comprehensive Health Education Foundation. If >interested contact: > > Robert Collins > The Center for Studies in Health Education > University of Washington > 1107 NE 45th Street, Suite 215 > Seattle, WA. 98105 > Phone: 206-545-3586 > >I'd be interested in any references others may have on this topic. >Thanks. Bob > >Bob Collins 206-545-3586 >Center for Studies in Health Education collinsb@u.washington.edu >University of Washington> ===================================================================== ==== #1145 Date: Thu, 27 Jun 1996 14:19:40 -0700From: Elaine Tencati Subject: Job postings Does anyone have a master list of the best places to post health education job announcements? I know that some SOPHE chapters have job banks and of course there is always The Nation's Health. Recommendations for other great spots? i understand the HEEF has a job bank - how can I reach them? I plan to give this info to someone with a great job to post. I'll make sure it gets posted here as well. Thanks - Elaine Tencati Elaine Tencati, MPH, CHES Stanford Center for Research in Disease Prevention 1000 Welch Road, Palo Alto, CA 94304 Phone: (415) 725-4899 Fax: (415) 725-6906 tencati@scrdp.stanford.edu ===================================================================== ==== #1146 Date: Thu, 27 Jun 1996 16:40:16 -0500 From: Donna Stauber Subject: Re: FW: FW: Textbook: Introduction to Health Education and Health Promotion Are health educators afraid of for profit organizations? What is wrong with someone profiting from health education products if they are suggested by educators and experts in the field? I am confused. I thought that was why networking was so vital to our field. Seems to me that this is a way of working together to find the best materials to educate those future health educators or others who are interested in improving their own health behavoirs.I agree that we don't want the magazine freebies or spam advertised on the HEDIR mail directory but in my opinion there is a need for places where you can learn about effective health education materials. ds Donna Stauber, Ph.D.,CHES Product Development Coordinator WRS Group, Inc.-Health Edco 701 N. New Rd. Waco, Texas 76710 Phone- 817-776-6461 ext. 612 Fax- 817-754-8023 ===================================================================== ==== #1147 Date: Thu, 27 Jun 1996 17:02:35 -0700 From: Margo Harris Subject: Help from the Past Some time ago, someone posted information about the Social Marketing = Conference offered at the University of South Florida. If you are not = on summer vacation, would you resend that information or at least the = name and contact info for the coordinator. I know it's over for this = year, but several of us would like to get on the mailing list for '97. = Thanks. Sorry for misplacing the old post. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com ===================================================================== ==== #1148 Date: Fri, 28 Jun 1996 10:30:22 -0400 From: Mimi Kiser Subject: Faith Community Partnerships Health education colleagues, Again, in my efforts to keep you posted on the potential role of the faith communities/congregations as partners in community health promotion, here is a cross-posting from our Interfaith Health Practices listserv. YOurs, Mimi Kiser Interfaith Health Program The Carter Center A Report for the Interfaith Health Program at The Carter Center: FAITH COMMUNITY A STRONG PRESENCE IN RECENT CONFERENCE ON COMMUNITY HEALTH by Susan Baird Kanaan Last week, a meeting on Building Bridges Between the Public and Private Sectors for Community Health Improvement brought together some 120 people from more than 75 local, state and national organizations working on community health. The faith community was well represented -- both in numbers, with at least 20 present, and more importantly in the tone, content and outcomes of the meeting. Mimi Kiser of the Interfaith Health Program called the event a unique opportunity for the faith community to build a partnership with health leaders. She and others hailed the manifold evidence that the health world is honoring the faith communitys contributions to community health and seeing the potential for partnerships with it. This convergence is part of a full-blown movement that Leonard Duhl, a founder of the healthy cities movement, characterized (quoting Jonas Salk) as one of the good epidemics, spreading rapidly and developing distinctively in every community. Just returned from the United Nations Habitat II conference in Istanbul, he attested to the international nature of this movement. The first Building Bridges conference was held in Atlanta in November 1995 and laid the foundation for the more recent activities. Both that meeting and the June 20-22 one, held in Washington, D.C., were organized by the Leadership Action Forum, whose participants represent private and public entities including business, health professional groups, the faith community, academia, and national, state and community health agencies organizations. The Centers for Disease Control and Prevention and the Hospital Research and Education Trust (part of the American Hospital Association) have played major leadership and support roles, with funding from the Robert Wood Johnson Foundation and the W.K. Kellogg Foundation, among others. Four faith-based organizations were represented on the 27-person Steerin g Committee: the Congress of National Black Churches, the National Church Nurses Convention of America, the Catholic Health Association of the U.S., and InterHealth. In addition to helping plan the meeting, they played active roles in it, along with representatives of the United Methodists, the National Council of Churches, and other church organizations. Several impinging sectors also were represented at the conference -- education, agriculture and the environment -- and discussions turned often to the importance of building more and stronger connections to all sectors concerned with community well-being. Outstanding keynote speeches and panel discussions provided the philosophical framework and the real-world grounding for the conference. In addition to the heads of several federal agencies and programs, speakers included Christopher Gates, President of the National Civic League; Barbara Aranda-Naranjo, MSN, who directs a program for mothers with AIDS in southern Texas; Richard Davidson, President of the American Hospital Association; Dr. Caswell Evans of the Los Angeles Department of Health; and Rev. Harlene Harden of the Developing Communities Project in Chicago. A centerpiece of the meeting was a Declaration signed by participants, on behalf of their dozens of organizations, to express solidarity around a shared mission to work toward aligning the priorities of the public and private sectors with those of communities to develop solutions to community health problems and improve quality of life. The document acknowledges a set of shared values, including the need to collaboratively address the root causes of health problems, and lays out an agenda based on a broader definition of health that includes the physical, mental, social, and spiritual. Recent church burnings cast a shadow over the meeting, but also provided a powerful example of a redemptive response to crisis. One speaker noted that it is no accident that the perpetrators have chosen churches, because of their power to mobilize and empower people. The national mobilization for community healing in response to the fires and the need for a similar response to the national health crisis was a recurrent theme. Perhaps the most important process to take place during the meeting was the work of eight action teams on focused action agendas. The teams titles say a lot about the meetings content and outcomes, and point to some criteria for assessing its future impact: + Identifying best practices or models that work with non-traditional/diverse partners + Developing ways to facilitate communications between the public health perspective and the bottom line perspective + Developing community-wide health improvement learning skills + Strengthening the role of the faith community in community health partnership + Forwarding the agenda for community renewal: next steps in growing the movement + Best practices for community generated prevention and health promotion strategies + Developing community health report cards + Training for health professionals [changed to health workforce] for community organization and development Although some new initiatives emerged from these discussions, most action items were aimed at consolidating, supporting, extending and linking existing programs and models -- an emphasis of the entire meeting. Such was the case for the goals formulated by the faith community partnership group. After initially wondering if they would be more effective by distributing themselves among all the teams, the faith groups members found themselves drawn to exploring the nature of their shared motivation, learning more about the resources and experiences represented among them, developing strategies for strengthening them and mobilizing more of the faith community to work for community health, and helping build bridges from the faith community to others. They agreed that three aspects of the faith community have special relevance for its contributions to community health improvement: its organizational structures; its ability to mobilize groups and have an impact on the lives of individuals; and, most importantly, its shared theological motivation. The group was enriched by the variety of Catholic and Protestant organizations participating, and they all agreed that even greater diversity within the faith/health coalition would be desirable in the future. (This theme was echoed in the conference as a whole: a celebration of the wealth ofperspectives and experiences present, together with a desire to involve morevoices in future conversations.) What follows is another list worth a thousand words -- the outcome of several hours of discussion by the faith community partnership group about what needs to be done over the long term to strengthen the role of the faith community in community health partnership. The group selected the first three items as its priorities for immediate action, and made specific commitments for implementation. 1. Resources: identify hands-on materials, covering such things as good models and best practices, to be augmented later with training in how to use the resources. 2. Clarify the terms, structures and cultures of the faith community to help the health world build bridges to and communicate with it. (A draft framework will be posted on IHP-NET, with an invitation to provide input.) 3. Issue a press release about this meeting and the resources of the Carter Center (e.g., IHP-NET), for dissemination throughout the faith community. 4. Disseminate resources to the faith and public health communities where they can do the most good, avoiding the hourglass phenomenon in which most information stays on top and little trickles down to the community 5. Develop cooperative funding initiatives and strategies. 6. Focus on initiatives that support change at the local level. 7. Build bridges between providers and congregations (e.g., between religious-owned providers and their own congregations) 8. Reshape the training of religious and health professionals. 9. Collect and disseminate scripturally-based stories about the health/faith connection from all traditions. 10. Develop a mechanism for informing faith community constituencies, government and the public at large about faith organizations public policy positions on health issues, and generally about the relationship between policy issues and health. 11. Consider the advocacy implications of health issues. 12. Find common ground areas within the faith community, while recognizing and lifting up the areas where there is no agreement and sanctifying the differences. 13. Identify an issue that can galvanize everyone (e.g., youth and tobacco, hungry children, health issues of children in poverty, child immunizations). The conjunction of faith and health in the Building Bridges conference stimulated deep and far-reaching discussions, not only in the faith community group but also in the larger assemblies. Certainly, the organizers goal of having the faith communitys voice affect the agenda-setting process was accomplished. Virtually every presenter acknowledged the important roles of the faith community in community health promotion -- roles in articulating the values of personhood and community, in calling people to healthy behaviors, in providing ongoing care, and in leading and supporting dynamic community programs. One outcome of the meeting was the decision to join forces with the Coalition for Healthier Cities and Communities, which can provide an ongoing structure for joint efforts and carry forward the work of the Leadership Action Forum. The task for the faith community will be to sustain its place in the partnership as it moves ahead. ....................................... Follow-up information: For more information on the Building Bridges conference or to supply information for action item #1, contact Mimi Kiser at the Interfaith Health Program, at 404/420-3848 or by e-mail at mkiser@emory.edu. Those who have not yet subscribed to IHP-NET can do so by sending an e-mail message with only the following statement in the body: Subscribe ihp-net Send this message to MAJORDOMO@synasoft.com. No subject is necessary for the message. ===================================================================== ==== #1149 Date: Fri, 28 Jun 1996 14:06:46 -0600 From: Robyn Housemann Subject: Re: CHES Exam I've spent the last couple of weeks reviewing all of your comments regarding CHES certification. I am currently a Ph.D. student in Health Services Research and I am about to begin my dissertation research. I minored in Behavioral Science/Health Education and I have a concentration in Organizational Psychology. I worked for almost 15 years before deciding to return to school for my MPH and Ph.D. And, I am a full time researcher now. I do not plan to be a "health educator" in the traditional sense. However, I do plan to do research (and consult) at the organizational and community level and I am particularly interested in the environmental factors which support or inhibit healthy behaviors. Your conversations have not convinced me that I would benefit from this certification. I have spoken with other doctoral students and faculty who have taken the exam and passed without much effort. It is also an expensive endeavor for a student on a limited budget. The expense of taking the exam is only part of it, remaining certified appears to be costly as well. I understand that you have to be willing to pay for things that are meaningful to you, but I could get 3 or 4 journal subscriptions with that amount of money and a lot less effort. Maybe this certification is more appropriate for those without advanced degrees and for those who will be practicing health educators?? Again, I am still not sure if this is worth my while. I guess if it increases my chances of getting a faculty position, then it is worth it. I'd appreciate some guidance from those of you in similar situations. Thanks Robyn A. Housemann, MPH Prevention Research Center at Saint Louis University houseman@wpogate.slu.edu ===================================================================== ==== #1150 Date: Mon, 1 Jul 1996 13:04:58 -0400 From: "Donald B. Ardell" Subject: A Second Opinion Mimi Kiser of the Interfaith Health Program (The Carter Center) states, "Again, in my efforts to keep you posted on the potential role of the faith communities/congregations as partners in community health promotion, here is a cross-posting from our Interfaith Health Practices listserv" and proceeds to provide us with "A Report for the Interfaith Health Program at The Carter Center: FAITH COMMUNITY A STRONG PRESENCE IN RECENT CONFERENCE ON COMMUNITY HEALTH by Susan Baird Kanaan. Fair enough. As health educators, we do well to consider all manner of strategies to advance health status, and to leave stones unturned of any kind seems unwise. On the other hand, some of us consider "faith" an unpromising notion that, like unproven remedies, can delay, obscure or substitute altogether for more efficacious approaches to recovery from illness states or, in this case, self-efficacy, optimal personal functioning and similar states associated with what Halbert L. Dunn termed high level wellness beginning in the 1950's. With all due respect to Mimi Kaiser and the Carter Center, in my efforts to keep you posted on the potential role of rationality as a partner in community health promotion, I submit this cross-posting (excerpt) from a secularhumanist listservice from one Richard Russell of Madison, WI. entitled "Faith?" It is part of a much longer piece on which the author has requested feedback, so feel free to request the entire article from Richard, if interested. His address is RSRMadison@aol.com FAITH? You want to promote FAITH??? Faith is the stupidest decision-making tool possible. Why on Earth could you possibly want to ally yourself with it? Why should ANY rational human have a single good thing to say about faith? I append herewith Part 1 of the article which I have just submitted to "The Freethought Exchange" for publication in the July / August issue and which expands upon the foregoing sentiments. (snip--a lengthy assessment of evidence such as personal testimony, reason, confidence, trust, chance, obedience and hope precedes the following): (8) Faith. Last and least we come to faith, defined by the dictionary as "unquestioning belief". In the epistle of Paul to the Hebrews (11:1-3) we read "1Now faith is the substance of things hoped for, the evidence of things not seen. 2For by it the elders obtained a good report. 3Through faith we understand that the worlds were framed by the word of God, so that things which are seen were not made of things which do appear." Right. H. L. Mencken wrote: "Faith may be defined briefly as an illogical belief in the occurrence of the impossible.". In short, faith is belief in something despite the absence of any evidence for it, and frequently despite evidence to the contrary. Given this, faith ought to be the decision-making tool of last resort. And indeed it is for most people most of the time; but (surprise!) it is the 1 most favored by the priesthood. If there were any evidence at all to support a conclusion, if there were any more reliable decision-making technique available, the priests would use it. They use faith only to support conclusions for which there is no credible evidence and no reason to believe in their truth, validity, efficacy, or efficiency. Suppose you're standing on the edge of a busy highway and want to cross to the other side. Why not plug your ears, close your eyes, and just walk across at some random time, having faith that you'll make it unscathed to the opposite side? That would be stupendously dumb, wouldn't it? But that's the way faith works. The only time it's ever applied is when there's no good reason for doing what faith would lead you to do. Recognizing this, the priest class spends a tremendous amount of energy and effort extolling faith as a decision-making tool. "Faith, hope, and charity" get a lot of good press from Paul in 1 Corinthians 13:13, a staple of wedding ceremonies, and the idea that "Faith can move mountains." (same book, 13:2) is widely quoted (tho without naming the specific mountain that gave rise to the aphorism). "Have faith!" and "Keep the faith, baby!" are common catchphrases (tho I prefer the cynical variant on the latter: "Keep the baby, Faith."). Lutherans in particular make a fetish of labelling their buildings with the word "faith", but religionists of all denominations regularly praise faith from the pulpit. Adolf Hitler called this technique "the big lie". Say it over and over, shout it from the rooftops, make songs about it, praise it fulsomely at every turn, and pretty soon everybody will take it for granted, as part of the cultural background, without ever questioning it. Nonetheless, you have to be an idiot to take anything on faith. As it happens, billions qualify. ____________ Donald B. Ardell (407) 823-2453 (fax 3411) 9901 Lake Georgia, Orl 32817 A signature should be about three lines, according to custom. A few days ago, my latest book arrived, so I am extending this norm just a bit to 30 lines! Why? In order to plug THE BOOK OF WELLNESS: A SECULAR APPROACH TO SPIRITUALITY, MEANING AND PURPOSE! Published by Prometheus Books in Amherst, NY, the BOW features 100 interesting commentaries from thoughtful health promoters throughout the U.S., Canada and Australia. Their statements respond to one or more of the ten outrageous propositions I created about meaning and purpose (M&P), and the connections I make between varied beliefs and prospects for wellness lifestyles. The contents include: * A dedication to Charles Cochrane, a very good friend and colleague who died last year, and a group of performers (Monty Python) for their movie "The Meaning of Life." * A preface addressed to two of YOUR "meaning of life" views and the full title that I would have preferred for this book if I had had my way about it. * An introduction that explains what the BOW is about and what it does NOT attempt to address, why I am fascinated with this topic, ways in which M&P views impact lifestyle, and the link between M&P & happiness. * A discussion of spirituality, and why I'm against it! Well, sort of. * A listing of alternatives to spirituality. * Assumptions about THE meaning of life and the search for M&P. * A summary in each chapter concerning "what to make of it all" and tips for finding meaning personally and tips for helping others do the same. * A variety of tests and quizzes for promoting self-awareness about current and desirable aspects of M&P. * A summary of my six favorite books on the topic of meaning in life. * A listing of thirty-three additional books on the subject. * A short bio on each of the 100 contributors. To order, call 1 800 421-0351; for a review copy for possible use in a college class or magazine/journal book review, call 1 800 853-7545. ===================================================================== ==== #1151 Date: Mon, 1 Jul 1996 10:46:35 -0700 From: Margo Harris Subject: Names and Fears On top of Donna Stauber's question about what are we afraid of, Bill = shared this thought. I'm not sure anyone said a social marketing = analysis would be done, but let's say it was. Bill, your comment sort = of said, "let's not ask the question/do the research because we might = not like the outcome." Perhaps that's not what you meant. The analysis = might be really productive and helpful and we (health educators) might = even win! We are not all risk takers, but the health education profession is = changing around us, the health world (care, communication, education, = information, promotion--that was alphabetical!) is changing around us on = a day-to-basis. We can stand pat or we can take risks and ask hard = questions to improve and define the profession. I think you know my = bias. I'm willing to surrender "exclusivity" for collaboration and = participation in a fascinating health world. Do I have fears? Oh YES! = But we can't let fear stop us from participating. Margo PS...There was a great story about MCI in the Wall Street Journal. They = hired a marketing consultant to advise them on a move out of the = Washington, DC area. The consultant's advice was ignored, and the CEO = moved the division to Colorado Springs. The results have been = challenging, not what MCI expected, and some say has lost the = competitive edge for the company in the engineering division plus market = share. Margo Harris Harris Training & Consulting Services htcs@halcyon.com ---------- From: William Livingood[SMTP:blivingo@esu.edu] Sent: Thursday, June 27, 1996 9:37 AM To: Multiple recipients of list HEDIR Subject: Names and Fears Mike & Others who care to respond: In reading your message and many of your similar messages, I get the impression that you are encouraging the use of social marketing analysis to develop strategies to advance the profession of health education. I believe this is a unique idea, and other approaches may be even more effective in advancing the profession. However, you and I and many others can agree that we would like to advance the status of the profession of health education in society. I have a few questions about the use of social marketing. Would we use social marketing analysis to determine who we are? What happens = if the outside consultants decide that you and I are out but all MDs and nurses are in? After we decide who makes up this profession, do we then use social marketing to decide how to advance the profession or do we leave it to the members of the profession to determine the best approach for developing and advancing the profession? Bill Livingood ===================================================================== ==== #1152 Date: Mon, 1 Jul 1996 14:27:28 -0500 From: Terry Wessel Subject: Call for Proposals Southern District AAHPERD Convention New Orleans, LA February 12-16, 1997 Proposal Submission Deadline: August 1, 1996 You must be a current member of AAHPERD and register for the SD convention in New Orleans to present. further information or a proposal form contact: Beverly F. Mitchell Kennesaw State College Dept. of HPER 1000 Chastain Rd. Kennesaw, GA 30144 Phone: 770-423-6417 FAX: 770-423-6561 E-mail: bmitchel@kscmail.Kennesaw.Edu Join us for a great convention in an exciting location, with informative sessions and super people! Sincerely, Terry Wessel, Ed.D., CHES Past Vice President of Health Division, SDAAHPERD Dept. of Health Sciences James Madison University Harrisonburg, VA ------- =_aaaaaaaaaa-- ===================================================================== ==== #1153 Date: Mon, 1 Jul 1996 14:10:14 -0500 From: Bob McDermott Organization: USF College of Public Health Subject: Social Mktg & Health Ed As many of you know we host a social marketing and public health conference at the University of South Florida every year. There are several well known scholars in social marketing, many of whom have strong links with health ed and professional health organizations. It is always a pleasure to see them participating in our annual meeting. They could certainly offer some worthwhile remarks about the role of SM to help move the profession along. Not only are several principles of SM quite relevant to advancing the health profession, it is important that we step back and look at some of the ways we violate principles of marketing AND social marketing as the profession evolves. I'll give just a few examples that come to mind and then I'll jump out of the way: o We aren't sure who are "customers" are. o We might be guilty of putting ourselves ahead of our customers. o We know little about how our "product" is received, or even what our product is. The product also changes. o We identify ourselves with behavioral models that promote individual change, but promote social change to a much lesser extent. o We ignore the segmentation of our audience much of the time. o We don't know how to make ourselves attractive to other health professionals, to CEOs, or to the public-at-large. That is, we have limited useful knowledge about how to promote ourselves. o We suffer from low professional self-esteem. o We haven't figured out how to link price and promotion and place with our product. o Within our profession we have numerous factions and segments, some of which are taking the profession toward a "wellness" concept, some to a "health promotion" concept, some to a "medical mouthpiece" model, and others, as well as the "education" concept that is more or less traditional. o We do not recognize many of the inherent weaknesses in our practice or our professional preparation. o Many of the most important things that potentially could tie or unify the profession are beyond the reach of too large a number of our fellow practitioners (e.g., attending professional conferences, accessing CEU opportunities, etc.) ===================================================================== ==== #1154 Date: Mon, 1 Jul 1996 14:16:09 -0500 From: Bob McDermott Organization: USF College of Public Health Subject: Re: Help from the Past Date sent: Thu, 27 Jun 1996 17:02:35 -0700 Send reply to: From: Margo Harris Subject: Help from the Past Originally to: HEDIR To: Multiple recipients of list HEDIR Some time ago, someone posted information about the Social Marketing = Conference offered at the University of South Florida. If you are not = on summer vacation, would you resend that information or at least the = name and contact info for the coordinator. I know it's over for this = year, but several of us would like to get on the mailing list for '97. = Thanks. Sorry for misplacing the old post. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com REPLY------> Ginger Phillips USF College of Public Health 13201 Bruce B. Downs Blvd. Tampa, FL 33612 813/ 974-4867 ===================================================================== ==== #1155 Date: Mon, 1 Jul 1996 13:35:34 -0700 From: Margo Harris Subject: Re: Social Mktg & Health Ed Well said, Bob. Margo ===================================================================== ==== #1156 Date: Mon, 1 Jul 1996 19:37:01 -0400 From: "John Canfield. M.Ed., C.H.E.S." Subject: Re: A Second Opinion Bill, I think you may have missed the boat on this one. Mimi Kiser's employer and the Carter Center are networking with churches, synogoges, temples, and other faith organizations to help improve the health status of its members and the surrounding communities. They are not using faith as a decision-making tool. They are reaching out to the local community using the faith organizations as gatekeepers. It is community empowerment and a community outreach (for lack of a better word) strategy. They are able to reach more people and open more doors for prevention and education than without the faith communities help. They are working WITH the faith communities in partnership, rather than "doing something TO the community." Also the tone of your E-mail appeared hostile. I don't know if that was the intention, but it seemed that way to me and I am very difficult to irritate especially when it comes to spirituality. If you disagree, disagree politley. We, as health educators, need to open doors to the community, not shut them. I hope you understand my point. John Canfield, M.Ed., C.H.E.S. Director of Education AIDGWinnett Jccanfield@aol.com ===================================================================== ==== #1157 Date: Mon, 1 Jul 1996 23:31:00 EST From: Isabel Burk Subject: faith FROM: Burk, Isabel TO: SMTP:HEDIR@SIUCVMB.BITNET SUBJECT: faith Date: 07-01-96 23:30 EST PRIORITY: Dear Don, Perhaps you are right that some consider "faith" an unpromising notion. But with all due respect to you and others who disregard "faith" let us remember that there are many times for many people around the world when faith provides strength, patience, endurance and belief in one's abilities and potential. " in my efforts to keep you posted on the potential role of rationality" It is my belief that faith is not rational, but is a deeply held internal value. I'm not speaking of purely religious faith alone, but also faith in its broadest sense. Faith in one's abilities; faith in the truth; faith in the skills of a highly trained physician; faith in the good intentions of others, and so on. Rationality provides a structure and purpose for health promotion and wellness; faith may provide the courage to begin or the patience to persevere in the face of obstacles. Faith may encourage others to join and to celebrate wellness! There is certainly room for both faith and rationality. Speaking personally, I'd opt for faith with rationality as a winning equation for wellness. ****Faith is the sense of life, that sense by virtue of which man does not destroy himself, but continues to live on. It is the force whereby we live.----Leo Tolstoy**** Isabel Burk ***************************************************************************** .oooO ( ) Oooo. \ / ( ) (__) \ / Courage is rightly esteemed the first of human qualities, (__) because...it is the quality that guarantees all others. Winston Churchill Isabel Burk 914-248-2458 ***914-962-6819 (fax) Burk112w@wonder.em.cdc.gov ***************************************************************************** ===================================================================== ==== #1158 Date: Tue, 2 Jul 1996 09:02:41 EDT From: "Stu Fors (University of Georgia)" Subject: Re: Self-Esteem and Drug Abuse In-Reply-To: Message of Thu, 27 Jun 1996 14:45:10 -0400 from RE: the self-esteem issue. Dave Hayes and I looked at this issue in '89-90 and published a piece in the J.Sch. Health in 1990 about Self-Esteem and School Health Education. We concluded from our look at the literature that SE was an elusive construct that had specific dimensions that in many cases had to be measured separately (eg - school, home, peer). There was no consistent evidence that a specific curriculum could have a meaureable effect on self-esteem. stu fors Dept of health prom and behavior Univ. of Georgia ===================================================================== ==== #1159 Date: Tue, 2 Jul 1996 09:07:26 CDT From: Barb Giloth Subject: Re: CHES Exam In-Reply-To: Message of Fri, 28 Jun 1996 14:06:46 -0600 from I am in a DrPH program and am just starting my dissertaion research. I have 20 years experience in health education and was grandfathered in as a CHES. At t his point in time I do not need a CHES certification and don't expect that in the near future, given my credentials and experience that I would need it. I c hose to become a CHES and choose to remain one because I want to participate in the development of the profession. I have been involved in teaching a health promotin class and have begun incorporating information about the certification into that class. It provides an opportunity to engage people just evtering the field. My belief is that as the certification develops there will be advanced levels that will have more meaning for those with experience and advanced degr ees. I also, by the way, discuss the controversies surrounding the development of the certification. Continued discussions as we have been having are very im portant as ways to engage people in debate about the future of the profession, educate others about the current CHES program, and continue active problem solv ing about the weaknesses of this program. ===================================================================== ==== #1160 Date: Tue, 2 Jul 1996 11:23:32 -0400 From: Mimi Kiser Subject: Clarify "Faith Community" When one posts a long message, there is always the risk of readers missing the point for reasons not necessary to describe. Don Ardell's response was such a far out misunderstanding that I feel it is necessary to follow-up with this clarification. The work that we have been doing here at The Carter Center for the last 4 years under the leadership of Dr. Bill Foege is based on a foundation of both the science of prevention and the value-based, social justice-oriented decision-making processess utilized by public health and faith communities. The many factors (sense of meaning, coherence, social support, locus of control, religious practices, etc.) now known to be associated with positive individual health outcomes along with the emerging broader understanding of the socio-enviromental determinants of population-based health outcomes make it evident that partnerships with congregations are critical to improving the health of communities. This is true at both behavioral and policy levels. Congregations (approximately 330,000 in the US) are the most viable voluntary associations today in America. Last week in DC, several representatives of this sector, came to the table with health leaders to discuss their role in the work of creating healthy cities/healthy communities. We see this effort and also the formation of the APHA Caucus on Public Health and the Faith Community to be landmark steps in the much needed shift toward a community-based, prevention oriented "health" system in this country. Mimi Kiser Interfaith Health Program The Carter Center ===================================================================== ==== #1161 Date: Tue, 2 Jul 1996 09:01:23 +0000 Comments: Authenticated sender is From: Grady Cash Subject: Remote Participation in Wellness Conference Bob McDermott wrote: > o Many of the most important things that potentially could tie or > unify the profession are beyond the reach of too large a number of > our fellow practitioners (e.g., attending professional conferences, >>>>>>>>>>>>>>>>>>>>>>>>>^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ As the Internet grows, we will be able to reduce some of these limitations by remote participation in conferences. The week of July 14-20, 1996, several organizations will combine resources to provide daily news coverage of the National Wellness Conference . Each year, over 1,500 wellness professionals gather at Stevens Point, Wisconsin for this conference. Onsite reporters from several organizations will provide conference updates almost hourly each day, including summaries of key presentations. Those who cannot attend will have access to articles and digital photos shortly after each event. We hope to allow web visitors to post questions to reporters or even to conference presenters via an online discussion group. The primary coverage of this event will be at Welltech International's web site at at http://www.welltech.com. My wife and I will be reporting for Welltech and will provide related coverage from my web site - the Center for Financial Well-Being at http://www.ns.net/cash/ - of my presentations at the conference. Other organizations are involved, but I don't know all the details yet. At a minimum, I anticipate web sites in St. Louis, Stevens Point, and Sacramento will be hyperlinked for the conference. More information will be available next week and during the Conference itself. We hope that you will visit with us remotely at the National Wellness Conference the week of July 14-20 via one of the above web sites. Your constructive comments will help us improve these health education efforts for our next remote conference. - - - - - - - - - - - - - Grady Cash, M.Ed., CFP cash@cashwellness.com Center for Financial Well-Being http://www.ns.net/cash/ "Building healthier attitudes towards money." ===================================================================== ==== #1162 Date: Tue, 2 Jul 1996 12:52:13 -0400 From: Dreadswim@AOL.COM Subject: Re: The Myth of Self-Esteem (fwd) But if people are really, really serious about the research on self-estem, take a look at: Peggy Orenstein, School Girls: Young Women, Self-Esteem, and the Confidence Gap, NY: Doubleday, 1994. Judith Rodin, Body Traps: Breaking the Binds that Keep You From Feeling Good About Your Body, NY, Morrow, 1992. And most importantly: Richard Weissbourd, The Vulnerable Child: What Really Hurts America's Children and What We Can Do About It, Reading, MA: Addison-Wesley, 1996. ===================================================================== ==== #1163 Date: Tue, 2 Jul 1996 13:05:20 -0400 From: Dreadswim@AOL.COM Subject: Re: Self-Esteem and Drug Abuse Take a look at the work of Richard Weissbourd, The Vulnerable Child: What Really Hurts America's Children and Whatr We Can Do About It. Reading, MA, Addisonb-?Wesley, 1996. ===================================================================== ==== #1164 Date: Tue, 2 Jul 1996 13:15:03 -0400 From: Dreadswim@AOL.COM Subject: Re: A Second Opinion I would say to Russell "Get a 'Faith,'" and start by reading something simple like the June 254 issue of Time on "Faith And Healing: Can spirituality promote health?" ===================================================================== ==== #1165 Date: Tue, 2 Jul 1996 13:26:54 -0400 From: Dreadswim@AOL.COM Subject: Re: faith Henry Ford observed, "Whether you believe you can, or whether you believe you can't, you're absolutely right." Countless individual stories of exceptional achievement and numerous research stories of exceptional achievement and numerous research studies have confirmed the power of self-fulfilling prophecies. (See June 24, 1996 Time Article "Faith and Healing"). Belief -- or nonbelief -- in a future possibility dynamically influences results. Soren Kierkegaard, the Danish philosopher, continually challenged people to make what he calle da "leap of faith," to tap their hidden resources of creativity and work toward making their dreams come true. Is this not what health education is all about? ===================================================================== ==== #1166 Date: Tue, 2 Jul 1996 14:10:18 EDT From: "Stu Fors (University of Georgia)" Subject: Re: faith In-Reply-To: Message of Tue, 2 Jul 1996 13:26:54 -0400 from "dreadswim" comments on the issue of faith, but when we discuss this issue we need to clarify "faith in onesself"(self efficacy) in relation to faith or belief in an external figure and/or a heaven and hell, for example. I am not clear from which direction all this discussion cometh. For example, does the Carter Center "faith and health" project require a faith in a certain God/god or religious practice or is acceptance of the spiritual dimension of humanity (with or without a diety) adequate? stu fors uga Athens, GA ===================================================================== ==== #1167 Date: Tue, 2 Jul 1996 11:32:41 -0700 From: Margo Harris Subject: Faith Thoughts ------ =_NextPart_000_01BB6821.C5659940 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable I don't think you can work long with people who battle chronic illness = and discount the power of faith. You see people place their faith in = their doctors, medical treatment, or whatever in conjunction with their = religious/spirititual beliefs. I often think faith is a remarkably = strong motivator (if not the strongest) in terms of compliance. For = several years, I've watched a patient comply with an amazing and tedious = pumping process to reduce lymph fluid collecting in her arm following = modified mastectomy. The procedure requires a 7 day/week commitment for = a minimum of 2 hours. Her faith drives her to be compliant more than = any other factor in her medical regimen. =20 On the other hand, my thoughts are quite different about people who = replace health care with faith only. Just a thought. Margo ===================================================================== ==== #1168 Date: Tue, 2 Jul 1996 15:43:56 -0700 From: Margo Harris Subject: Faith Thoughts I don't think you can work long with people who battle chronic illness and discount the power of faith. You see people place their faith in=20 their doctors, medical treatment, or whatever in conjunction with their religious/spirititual beliefs. I often think faith is a remarkably=20 strong motivator (if not the strongest) in terms of compliance. For several years, I've watched a patient comply with an amazing and tedious = pumping process to reduce lymph fluid collecting in her arm following modified mastectomy. The procedure requires a 7 day/week commitment for a minimum of 2 hours. Her faith inspires her to be compliant more than=20 any other factor in her medical regimen. On the other hand, my thoughts are quite different about people = who replace traditional or alternative health care with faith only. The specific post dealt with harnessing the power of the faith = community. In the past this incredible resource was underutilized. = Some of my colleagues at the ALA worked with the Black Churches to = attack the smoking issue in black youth. I also saw a recent ad in the = Journal of Health Education for a publication called, Renewing the = Partnership: The Mainline Church in Support of Public Education. I = have no information about that publication, but wonder if others have = reviewed it. I was a bit puzzled in the book description where it = noted: "The guide focuses on the historic relationship and common = values shared between public education and the Protestant mainline = church, and offers suggestions for educators on how to involve = supportive clergy. Does that suggest that the Protestants are the only = ones included in the guide? That seems rather limited if it is the = case. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com ===================================================================== ==== #1169 Date: Tue, 2 Jul 1996 16:14:39 -0700 From: Donna Holberg Kuttner Subject: Re: A Second Opinion >Bill, > >I think you may have missed the boat on this one. > >Mimi Kiser's employer and the Carter Center are networking with churches, >synogoges, temples, and other faith organizations to help improve the health >status of its members and the surrounding communities. They are not using >faith as a decision-making tool. They are reaching out to the local >community using the faith organizations as gatekeepers. It is community >empowerment and a community outreach (for lack of a better word) strategy. > They are able to reach more people and open more doors for prevention and >education than without the faith communities help. They are working WITH the >faith communities in partnership, rather than "doing something TO the >community." > >Also the tone of your E-mail appeared hostile. I don't know if that was the >intention, but it seemed that way to me and I am very difficult to irritate >especially when it comes to spirituality. If you disagree, disagree >politley. We, as health educators, need to open doors to the community, not >shut them. > >I hope you understand my point. > >John Canfield, M.Ed., C.H.E.S. >Director of Education >AIDGWinnett >Jccanfield@aol.com Excellent point, Bill. For some people, the faith community is the only point of access for health education information. If this information is linked to the teachings of the faith, perhaps we have a better chance of having some success. Are there any data which support this assumption? Donna ------------------------------------------------- Donna Holberg Kuttner, PhD, CHES dkuttner@proaxis.com If it contains chocolate, it can't be bad. ------------------------------------------------- ===================================================================== ==== #1170 Date: Tue, 2 Jul 1996 19:56:24 -0400 From: Dreadswim@AOL.COM Subject: Re: faith I like what Peter Occhiogrosso (A Critique of Impure Reason: What Is Spirituality?" has to say about "spirituality" has to say: "The word 'spirit,' which comes from the Latin for 'breathing,' connotes both the sense of vital force and of something invisible. And so by extension, spirituality can refer not merely alongside visible, material reality, but also as the animiating force of the physical, which is inextreicably bound to it. . .For my purpose, the word 'spiritual' is preferable to 'religious' because it is not limited to the denotation of an organized communal practice." This should be the way in which we deal with it in health education. . .what a jolt. . . ===================================================================== ==== #1171 Date: Wed, 3 Jul 1996 14:40:00 EST From: Isabel Burk Subject: Thought for Wednesday, Jul 3, 1996 (fwd FROM: Burk, Isabel TO: SMTP:HEDIR%SIUCVMB.BITNET@UBVM.C SUBJECT: Thought for Wednesday, Jul 3, 1996 (fwd Date: 07-03-96 14:39 EST PRIORITY: Funny thoughts for Independence Day, courtesy of the International Counselors' Network. Enjoy! Isabel What might have happened if government bureaucracy were as entrenched then as it is now. Think about it. ---------------------------------------------------- The Court of King George III London, England July 10, 1776 Mr. Thomas Jefferson c/o The Continental Congress Philadelphia, Pennsylvania Dear Mr. Jefferson: We have read your "Declaration of Independence" with great interest. Certainly, it represents a considerable undertaking, and many of your statements do merit serious consideration. Unfortunately, the Declaration as a whole fails to meet recently adopted specifications for proposals to the Crown, so we must return the document to you for further refinement. The questions which follow might assist you in your process of revision: 1. In your opening paragraph you use the phrase "the Laws of Nature and Nature's God." What are these laws? In what way are they the criteria on which you base your central arguments? Please document with citations from the recent literature. 2. In the same paragraph you refer to the "opinions of mankind." Whose polling data are you using? Without specific evidence, it seems to us the "opinions of mankind" are a matter of opinion. 3. You hold certain truths to be "self-evident." Could you please elaborate. If they are as evident as you claim then it should not be difficult for you to locate the appropriate supporting statistics. 4. "Life, Liberty, and the pursuit of happiness" seem to be the goals of your proposal. These are not measurable goals. If you were to say that "among these is the ability to sustain an average life expectancy in six of the 13 colonies of at last 55 years, and to enable newspapers in the colonies to print news without outside interference, and to raise the average income of the colonists by 10 percent in the next 10 years," these could be measurable goals. Please clarify. 5. You state that "Whenever any Form of Government becomes destructive of these ends, it is the Right of the People to alter or to abolish it, and to institute a new Government...." Have you weighed this assertion against all the alternatives? What are the trade-off considerations? 6. Your description of the existing situation is quite extensive. Such a long list of grievances should precede the statement of goals, not follow it. Your problem statement needs improvement. 7. Your strategy for achieving your goal is not developed at all. You state that the colonies "ought to be Free and Independent States," and that they are "Absolved from All Allegiance to the British Crown." Who or what must change to achieve this objective? In what way must they change? What specific steps will you take to overcome the resistance? How long will it take? We have found that a little foresight in these areas helps to prevent careless errors later on. How cost-effective are your strategies? 8. Who among the list of signatories will be responsible for implementing your strategy? Who conceived it? Who provided the theoretical research? Who will constitute the advisory committee? Please submit an organization chart and vitas of the principal investigators. 9. You must include an evaluation design. We have been requiring this since Queen Anne's War. 10. What impact will your problem have? Your failure to include any assessment of this inspires little confidence in the long-range prospects of your undertaking. 11. Please submit a PERT diagram, an activity chart, itemized budget, and manpower utilization matrix. We hope that these comments prove useful in revising your "Declaration of Independence." We welcome the submission of your revised proposal. Our due date for unsolicited proposals is July 31, 1776. Ten copies with original signatures will be required. Sincerely, Management Analyst to the British Crown ---------------------------------------------------- ===================================================================== ==== #1172 Date: Fri, 5 Jul 1996 18:00:06 -0500 From: William London Organization: American Council on Science & Health Subject: Fwd: Course material, Hlth Ed Philosophy A special issue of PRIORITIES FOR LONG LIFE AND GOOD HEALTH with a symposium section on "Life, Liberty and Public Health" has just been published. The symposium would be an excellent choice for assigned supplemental reading in undergraduate or graduate courses on the political and philosophical foundations of health education. Instructors might want to use it as a basis for discussion of these and other important questions: 1. What public health services are appropriate for government to provide? 2. Do contemporary public health practices intrude unreasonably on personal liberty? 3. In trying to protect people from their own "behavioral risk factors," do public health professionals actually contribute to public health problems? (PRIORITIES is the quarterly magazine of the American Council on Science and Health [ACSH]. ACSH is a nonprofit, tax exempt consumer education consortium directed and advised by some 250 American and Canadian physicians and scientists. ACSH addresses all aspects of preventive medicine with particular interest on human health concerns associated with food, nutrition, chemicals, pharmaceuticals, lifestyle, the environment. In addition to publishing PRIORITIES, ACSH produces newspaper op-ed pieces and peer-reviewed reports on important public health topics. ACSH staff appear frequently on television and radio programs and are often cited in newspapers and magazines.) The symposium takes as its starting point Jacob Sullum's provocative essay "What the Doctor Orders," which appeared originally in the January 1996 issue of REASON magazine. The article is reprinted in PRIORITIES in its entirety. In his essay, Sullum, who is Senior Editor of REASON, questions the wisdom, the propriety and the effectiveness of various actions that governments have taken or might take to modify personal lifestyles in the interest of public health. The appearance of the article in REASON prompted a letter to the editor of that magazine from William M. London, EdD, MPH (ACSH's Director of Public Health) and Elizabeth M. Whelan, ScD, MPH (ACSH's President). The ACSH letter and a response to it from Mr. Sullum were both published in the April issue of REASON. The letter and Mr. Sullum's response will be reprinted in the special issue of PRIORITIES. The symposium also includes seven essays in response to Mr. Sullum's REASON article. The essays include: 1. "Seeking Equilibrium in a Problem-Driven Field" by Harvey V. Fineberg, MD, PhD, Dean of the Harvard School of Public Health, 2. "Rx: A Strong Dose of Moderation" by Lawrence W. Green, DrPH, Director of the Institute of Health Promotion Research and a professor in the Department of Halth Care and Epidemiology at the University of British Columbia, 3. "'Health Education as Freeing': Developing Decision Makers" by Jerrold S. Greenberg, EdD, Professor of Health Education at the Department of Health Education, University of Maryland and current AAHPERD scholar, 4. "Rights, Ethics, and the Question of Lifestyle Factors" by John Higginson, MD, FRCP, Clinical Professor of Community Medicine, Georgetown University Medical Center, 5. "The Public Doctor Orders Bad Medicine" by Jane M. Orient, MD, an internist in private practice in Tucson, AZ and Executive Director of the Association of American Physicians and Surgeons, 6. "Sound Epidemiology and the Human Condition Equation" by R. T. Ravenholt, MD, MPH, President of Population Health Imperatives, Seattle, WA, 7. "Questioning the 'Vision of the Anointed`" by Philip Cole, MD, DrPH, Professor of Epidemiology, School of Public Health, University of Alabama at Birmingham An eighth commentator, former U.S. Surgeon General C. Everett Koop, MD, graciously agreed to address three questions concerning issues raised by Sullum's essay. We present the three questions and Dr. Koop's brief answers to them as a sidebar to the longer responses. Coming full circle, the symposium concludes with Jacob Sullum's own response to the commentaries. The price of a one-year subscription to Priorities is $25.00 or a "list price" of $6.25 per issue. College bookstores or instructors may order copies of the special symposium issue at a "wholesale" price of $5.00 per copy, prepaid. If you are interested in receiving a single review copy of the special symposium issue of PRIORITIES to consider for course adoption, please fill out a hard copy of the order form below and send it along with your check in the amount of $2.50 (to cover postage and handling expenses) made out to "American Council on Science and Health." William M. London, EdD, MPH Director of Public Health American Council on Science and Health 1995 Broadway, 2nd Floor New York, NY 10023 ORDER FORM For "Life, Liberty and Public Health" Issue of PRIORITIES NAME_____________________________________________________________ COLLEGE OR UNIVERSITY________________________________________________ ADDRESS___________________________________________________________ _________________________________________________________________ CITY or TOWN_______________________________________________________ NAME OF COURSE FOR ADOPTION CONSIDERATION_______________________________ COURSE NUMBER_____________________________________________________ SEMESTERS OR QUARTERS OFFERED_________________________________________ ANTICIPATED NUMBER OF STUDENTS PER SEMESTER OR QUARTER___________________ Enclosed is my check in the amount of $2.50 made out to the American Council on Science and Health as prepayment for one review copy of the special "Life, Liberty and Public Health" issue of PRIORITIES. _________________________________________________________________ (your signature) ____I am also interested in freelance writing opportunities offered by the American Council on Science and Health. My resume or c.v. is enclosed. -- ----------------------------------------------------------------------- The American Council on Science and Health 1995 Broadway, 2nd Floor New York, NY 10023-5860 Tel: 212/362-7044 Fax: 212/362-4919 ----------------------------------------------------------------------- ===================================================================== ==== #1173 Date: Mon, 8 Jul 1996 09:10:17 -0500 From: "Mark J. Kittleson, Ph.D." Subject: Graduate standards The AAHE/SOPHE Joint Committee for the Development of Graduate Level Preparation Standards met for the last time this past weekend to finalize the project that culminated in the National Congress last February in Dallas. Being on this committee for the past 4 years has been a most interesting and professionally challenging association...one that I will not forget. I believe it is most appropriate that the profession recognize the efforts put forth by this committee. I believe it is worthy to identify these individuals who have put forth such effort: Steve Stewart (James Madison U) and Margaret Smith (formerly with Oregon State) were our co-chairs...not an easy task with us...they did a great job. Other members included: Evelyn Ames, Western Washington U Bill Cissell, Texas Woman's U Don Calitri, E. Kentucky U Mary Hawkins, N.C. Central U Doug Hippler, Chesterfield, MO Don Read, Worchester State College Bill Livingood, E. Stroudsburg U James Robinson, Texas A & M U Carl Peter, formerly of Western Illinois U now residing in Lexington, KY Ruth Richards, formerly with UCLA Elaine Vitello, SIUC Pat Evans, Council for Education for Public Health Pat Mail, representing the National Commission of Health Education Credentialing, INC Aileen Frazee, AAHE Both AAHE/SOPHE made monetary committments to this effort. It is hoped that the results of the work of this committee will see a higher level of graduate programs in health education. The final product will be forthcoming within a few months. ===================================================================== ==== #1174 Date: Mon, 8 Jul 1996 10:28:24 -0400 From: "Carolyn Parks (U of North Carolina at" Subject: More on Spiritual Health Assessments From: IN%"n-friberg@bethel.edu" 20-JUN-1996 12:09:50.83 To: IN%"CPARKS@SOPHIA.SPH.UNC.EDU" CC: Subj: RE: Can anyone help? Carol Parks, UNC School of Public Health Concerning your request for info on people who have worked up assessment issues for spiritual life and health care, get in touch with Rev. Gary Berg, 1203 7th Ave N., St Cloud, MN 56303. He has a software program that does a very good job of this, and is using it daily at the V.A. Hospital in St Cloud. He has written this up in the Journal of Pastoral Care, 49:4 (Winter, 1995), and the Journal of Health Care Chaplaincy 6:1 (1994). Hope this helps. Prof. Nils C. Friberg n-friberg@bethel.edu Bethel Theological Seminary St. Paul, MN 612-638-6176 ===================================================================== ==== #1175 Date: Mon, 8 Jul 1996 10:30:52 -0400 From: "Carolyn Parks (U of North Carolina at" Subject: Spiritual Assessments Info From: IN%"MTNBRK@aol.com" 20-JUN-1996 21:25:03.58 To: IN%"CPARKS@SOPHIA.SPH.UNC.EDU" CC: Subj: RE: Can anyone help? Carol Parks, UNC School of Public Health Yes, Project Health, an inner city program promoting "Well-Being" in Atlanta asks a whole series of questions based on the research in psychoneuroimmunology that shows higher levels of wellness among people who: Practice forgiveness rather than harboring anger and resentment Have close, loving relationships Regularly do things for others Value and interact with the environment Report an intimate relationship with God Pray or meditate regularly See God as in control of their lives You have to be careful in framing these questions. Many people confuse religious involvement with spiritual wellness and they are not the same. You may find a large body of literature on "Extrinsic - Intrinsic" religious orientation very interesting and helpful. This research basically demonstrates what has always been obvious - you may actively and prominently participate in religion, but not have anything that is really wellness of spirit going on inside ... your actions are just to look good to others. Let me know if we can help you in any way. Good luck! Melanie Adair - Project Health ===================================================================== ==== #1176 Date: Mon, 8 Jul 1996 10:38:23 -0400 From: "Carolyn Parks (U of North Carolina at" Subject: More on spriritual assessments From: IN%"guilpat@charlie.cns.iit.edu" "Pat Guilbeault" 23-JUN-1996 18:28:42. 30 To: IN%"CPARKS@SOPHIA.SPH.UNC.EDU" CC: IN%"ihp-net@synasoft.com" Subj: RE: Can anyone help? Carol Parks, UNC School of Public Health Write to George Fitchett at Rush Presbyterian St.Luke's Medical Center in Chicago. ===================================================================== ==== #1177 Date: Mon, 8 Jul 1996 09:38:47 -0700 From: Margo Harris Subject: Promotion of Public Health It's been exciting to see the increased effort to promote "Public = Health" and the work of state and local health departments. The = messages on this list during Public Health Week were a part of what I = noticed. The SOPHE Mid-Year offered a great video from the state of = Kansas that focused on the definition and benefits of public health in = KS. It was a great, upbeat production. July 1 marked CDC's 50th anniversary with a special MMWR edition (June = 28, 1996/Vol.45/No.25) focused on this anniversary and a special = perspective on CDC's role.=09 I then received a copy of a new publication from Channing L. Bete, Inc. = called "Public Health--Working for a healthy community." In a = "RealStyle" print format, again the remarkable story of public health is = told. I know some colleagues who are reluctant to use Bete = publications, citing illustrations, price, etc. In my practice, the = irony has always been that when the publications get in to the hands of = the "client" they are well accepted and read! If you haven't seen this = publication, you may want to take a look. If you have a local Bete rep, = give him/her a call. If not, call the company directly for a = sample--800/343-1649. If you're a Pacific Northwest "customer", your = rep is Don Rickel (no relation to the comedian!) and you can ask for Don = directly when you call the 800#. No, I get no commission! I just like = their materials. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com ===================================================================== ==== #1178 Date: Mon, 8 Jul 1996 20:29:11 -0500 From: Donna Stauber Subject: 1996 Edition 3 Health Edco Catalog Hope everyone's holiday week-end was restful and fun. I need your assistance. Would those of you that received an edition 3 Health Edco catalog with a white cover and a brain in a beer mug on the front, please look on the next page after page 34 and let me know if the next page begins with HEALTH EDCO NEWS headline and a letter from me? We have had several complaints from health educators that did not receive this version. Thank you for your help!!! Donna Stauber, Ph.D.,CHES Product Development Coordinator WRS Group, Inc.-Health Edco 701 N. New Rd. Waco, Texas 76710 Phone- 817-776-6461 ext. 612 Fax- 817-754-8023 ===================================================================== ==== #1179 Date: Tue, 9 Jul 1996 10:04:00 EST From: BURK112W@WONDER.CDCWONDER.EM.CDC.GOV Subject: Truancy Manual (1) (fwd) Follow up on truancy program highlights ... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Russell A. Sabella, Ph.D. rasabe01@ulkyvm.louisville.edu Educational & Counseling Psychology (502) 852-0625 School of Education University of Louisville "Argue for your limitations Louisville, KY 40292 and they might be yours." ----------------------------Original message---------------------------- LAST WEEK, THE PRESIDENT announced a two-part effort to support schools & communities in preventing truancy. First, the Department of Education is sending a *Manual to Combat Truancy* to every school district in the U.S. Second, the Department is inviting applications under a new $10 million discretionary grant program (on truancy). Below is the full text of the manual. (It's too long for one message, so we've divided it into two). Tomorrow, we'll send you a summary of the notice inviting applications (grant program) & where you can get additional information about it. Kirk Winters & Peter Kickbush U.S. Department of Education kirk_winters@ed.gov peter_kickbush@ed.gov ================================================================= MANUAL TO COMBAT TRUANCY The Problem of Truancy in America's Communities July 1996 ================================================================= Truancy is the first sign of trouble; the first indicator that a young person is giving up and losing his or her way. When young people start skipping school, they are telling their parents, school officials and the community at large that they are in trouble and need our help if they are to keep moving forward in life. Research data tells us that students who become truant and eventually drop out of school put themselves at a long term disadvantage in becoming productive citizens. High school dropouts, for example, are two and a half times more likely to be on welfare than high school graduates. In 1995, high school dropouts were almost twice as likely to be unemployed as high school graduates. In addition, high school dropouts who are employed earn much lower salaries. Students who become truant and eventually drop out of high school too often set themselves up for a life of struggle. Truancy is a gateway to crime. High rates of truancy are linked to high daytime burglary rates and high vandalism. According to the Los Angeles County Office of Education, truancy is the most powerful predictor of juvenile delinquent behavior. "I've never seen a gang member who wasn't a truant first," says California District Attorney Kim Menninger. Truancy prevention efforts should be a part of any community policing effort to prevent crime before it happens. * During a recent sample period in Miami more than 71 percent of 13 to 16 year-olds prosecuted for criminal violations had been truant. * In Minneapolis, daytime crime dropped 68 percent after police began citing truant students. * In San Diego, 44 percent of violent juvenile crime occurs between 8:30 a.m . and 1:30 p.m. While no national data on the extent of truancy exists, we know that in some cities unexcused absences can number in the thousands each day. In Pittsburgh, for example, each day approximately 3,500 students or 12 percent of the pupil population is absent and about 70 percent of these absences are unexcused. In Philadelphia, approximately 2,500 students a day are absent without an excuse. In Milwaukee, on any given school day, there are approximately 4,000 unexcused absences. Combating truancy is one of the first ways that a community can reach out quickly to a disaffected young person and help families that may be struggling with a rebellious teenager. This guide seeks to offer parents, school officials, law enforcement agencies and communities a set of principles to design their own strategies to combat truancy and describes successful models of how anti-truancy initiatives are working in communities across the nation. =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Users' Guide to Deterring Truancy =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Each school and each community need to decide which steps to take to reduce truancy. These decisions should be made with the active involvement of parents, educators, law enforcement personnel, juvenile and family court judges, and representatives from social service, community, and religious organizations. The communities that have had the most success in deterring truancy not only have focused on improving procedures -- such as those that accurately track student attendance -- but each also has implemented a comprehensive strategy that focuses on incentives and sanctions for truants and their parents. Below are five primary elements of a comprehensive community and educational strategy to combat truancy. 1. Involve parents in all truancy prevention activities Parents play the fundamental role in the education of their children. This applies to every family regardless of the parents' station in life, their income, or their educational background. Nobody else commands greater influence in getting a young person to go to school every day and recognizing how a good education can define his or her future. For families and schools to work together to solve problems like truancy, there must be mutual trust and communication. Many truancy programs contain components which provide intensive monitoring, counseling and other family-strengthening services to truants and their families. Schools can help by being "family-friendly" and encouraging teachers and parents to make regular contact before problems arise. Schools may want to consider arranging convenient times and neutral settings for parent meetings, starting homework hotlines, training teachers to work with parents, hiring or appointing a parent liaison, and giving parents a voice in school decisions. 2. Ensure that students face firm sanctions for truancy School districts should communicate to their students that they have zero tolerance for truancy. State legislatures have found that linking truancy to such items as a student's grades or driver's license can help reduce the problem. Delaware, Connecticut, and several other states have daytime curfews during school hours that allow law enforcement officers to question youth to determine if their absence is legitimate. In a few states, including New York, a student with a certain number of unexcused absences can be failed in his or her courses. A Wisconsin judge may, among other options, order a truant to attend counseling or to attend an education program designed for him or her. 3. Create meaningful incentives for parental responsibility It is critical that parents of truant children assume responsibility for truant behavior. It is up to each community to determine the best way to create meaningful incentives for such parents to ensure that their children go to school. In some states, parents of truant children are asked to participate in parenting education programs. Some other states, such as Maryland and Oklahoma, have determined that parents who fail to prevent truancy can be subject to formal sanction or lose eligibility for certain public assistance. Communities can also provide positive incentives for responsible parents who ensure their child's regular school attendance. Such incentives can include increased eligibility to participate in publicly funded programs. Local officials, educators and parents, working together, can make a shared commitment to assume responsibility for reducing truancy -- and can choose the incentives that make the most sense for their community. 4. Establish ongoing truancy prevention programs in school Truancy can be caused by or related to such factors as student drug use, violence at or near school, association with truant friends, lack of family support for regular attendance, emotional or mental health problems, lack of a clear path to more education or work, or inability to keep pace with academic requirements. Schools should address the unique needs of each child and consider developing initiatives to combat the root causes of truancy, including tutoring programs, added security measures, drug prevention initiatives, mentorship efforts through community and religious groups, campaigns for involving parents in their children's school attendance, and referrals to social service agencies. Schools should also find new ways to engage their students in learning, including such hands-on options as career academies, school-to-work opportunities, and community service. They should enlist the support of local business and community leaders to determine the best way to prevent and reduce truancy. For example, business and community leaders may lend support by volunteering space to house temporary detention centers, establishing community service projects that lead to after school or weekend jobs, or developing software to track truants. 5. Involve local law enforcement in truancy reduction efforts In order to enforce school attendance policies, school officials should establish close linkages with local police, probation officers, and juvenile and family court officials. Police Departments report favorably on community-run temporary detention centers where they can drop off truant youth rather than bring them to local police stations for time-consuming processing. When part of a comprehensive anti-truancy initiative, police sweeps of neighborhoods in which truant youth are often found can prove dramatically effective. ===================================================================== ==== #1180 Date: Tue, 9 Jul 1996 10:07:00 EST From: BURK112W@WONDER.CDCWONDER.EM.CDC.GOV Subject: Truancy Manual (2) (fwd) Some interesting programs concerning truancy worth reading ... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Russell A. Sabella, Ph.D. rasabe01@ulkyvm.louisville.edu Educational & Counseling Psychology (502) 852-0625 School of Education University of Louisville "Argue for your limitations Louisville, KY 40292 and they might be yours." ----------------------------Original message---------------------------- =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Model Truancy Reduction Initiatives =-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-= Each community needs to determine how it will reduce and deter truancy. Below are descriptions of truancy programs being used in communities around the country which employ some or all of the elements described above. Milwaukee, Wisconsin ~~~~~~~~~~~~~~~~~~~~ Program elements: Parents, police, and the school system focus on the causes of truancy in the Truancy Abatement and Burglary Suppression (TABS) initiative in Milwaukee. Attendance is taken every period in all high schools. Local police officers pick up truant students and bring them to a Boys and Girls Club for counseling. Parents are called at home automatically every night if their child did not attend school that day. If the parent is not supportive of regular school attendance, then the district attorney is contacted. Results: In a recent sample of students who went through the TABS process, 73 percent returned to school the next day, 66 percent remained in school on the 15th day, and 64 percent still are in school 30 days later. Since the TABS initiative began, daytime burglary in Milwaukee has decreased 33 percent, and daytime aggravated battery has decreased 29 percent. Aquine Jackson, Director of the Parent and Student Services Division of the Milwaukee Public Schools, says, "I think the TABS program is so effective because it is a collaboration among...the Milwaukee Public Schools, the Milwaukee Boys and Girls Clubs, the Milwaukee Police Department, and the County Sheriff, and because it is now a part of state statute that police officers can stop students on the street during school hours." Rohnert Park, California ~~~~~~~~~~~~~~~~~~~~~~~~ Program elements: The Stop, Cite and Return Program is designed to reduce truancy and juvenile crime in the community and to increase average daily attendance for the schools. Patrol officers issue citations to suspected truants contacted during school hours, and students are returned to school to meet with their parents and a vice principal. Two citations are issued without penalty; the third citation results in referral to appropriate support services. Results: Due in large part to this initiative, the daytime burglary rate is 75 percent below what it was in 1979. Haynes Hunter, who has worked in different capacities on the issue of truancy in Rohnert Park for over 15 years, says the program is effective because it is a "high visibility" effort. "Being on the street, being in contact with the kids makes them aware of the fact that we care. We want them to get their education." New Haven, Connecticut ~~~~~~~~~~~~~~~~~~~~~~ Program elements: The Stay in School Program targets middle school students who have just begun to have problems. Targeted students go to truancy court, at which a panel of high school students question them and try to identify solutions. After court, youth and attorney mentors are assigned to each student for support. The student and the court sign a written agreement, and after two months, students return to the court to review their contract and report on their progress. Results: Denise Keyes Page, who recruits and trains mentors for this initiative, says "This program works because it harnesses the power of peer pressure. Truants are judged and mentored by their peers, instead of just by adults who may seem distant and unconnected. Our program uses both the carrot and stick approaches, providing both supportive mentorship and real courtroom accountability to truant students. One of the evolving strengths of the program is that not only are we providing support to the truant, but we are serving as a resource to their parents." Atlantic County, New Jersey ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Program elements: The Atlantic County Project Helping Hand receives referrals from six Atlantic City and four Pleasantville elementary schools for youth in K through eighth grades who have five to 15 days of unexcused absences. A truancy worker meets with the youth and family to provide short-term family counseling, usually up to eight sessions. Referrals for additional social services are made on an as needed basis. If the family fails to keep appointments, home visits are made to encourage cooperation. Once a truancy problem is corrected, the case is closed and placed on an aftercare/monitoring status with contact made at 30, 60, and 90 day intervals to ensure that truancy does not persist. Results: During the past school year, 84 percent of the students who participated in the Atlantic County program had no recurrence of truancy. Colleen Denelsback of project Helping Hand says that "our philosophy is one of early intervention, both at the age level and the number of unexcused absences. We stress that the earlier intervention takes place, the greater the chance for positive outcomes. Early intervention will prevent truancy and later delinquency." Oklahoma City, Oklahoma ~~~~~~~~~~~~~~~~~~~~~~~ Program elements: The THRIVE (Truancy Habits Reduced Increasing Valuable Education) initiative is a comprehensive anti-truancy program spurred by an ongoing community partnership of law enforcement, education, and social service officials. Police bring a suspected truant to a community-run detention center where, within one hour of arrival, officials assess the youth's school status, release the youth to a parent or relative, and refer the family to any needed social service agencies. Parents are notified by the district attorney of potential consequences for repeat behavior. Parents who harbor youth with 15 days of consecutive unexcused absences are subject to misdemeanor charges. Results: Since THRIVE's inception in 1989, the Oklahoma City Police Department reports a 33 percent drop in daytime burglary rates. Tom Steemen, the parent of a student who went through THRIVE, says, "The first I heard of the program was when my son was caught and taken to the center. I was real glad to know they had something like THRIVE." His son Ken, age 15, says, "THRIVE shook me up. I knew (while in the police car) just how wrong I was." Norfolk, Virginia ~~~~~~~~~~~~~~~~~ Program elements: The Norfolk, Virginia school district uses software to collect data on students who are tardy, cut class, leave grounds without permission, are truant but brought back to school by police, or are absent without cause. Each school has a team composed of teachers, parents, and school staff that examines the data to analyze truancy trends. For example, a team may try to pinpoint particular locations where truant students are found during school hours and then place additional monitors in these locations. A team may also notice certain months when truancy is prevalent and then design special programs to curb truancy during those months. Results: Ann Hall of the Norfolk Public Schools says, "Attendance has improved at all levels of schools since 1992 - two percent at the elementary and secondary levels. The overall district average is up one percent. This is significant in that legal attendance is at the 93rd percentile. Tighter attendance policies, grading practices, and teamwork have lead to this improvement...There are few, if any, teachers complaining that discipline and law violations are not being handled consistently throughout the district. This is a marked improvement over the report that was made in the teacher satisfaction survey conducted in 1988." Marion, Ohio ~~~~~~~~~~~~ Program elements: The Community Service Early Intervention Program focuses on potential truants during freshman year. Referred students are required to attend tutoring sessions as directed, give their time to community service projects, and participate in a counseling program. In addition, students are required to give back to the Intervention initiative by sharing what they have learned with new students in the program and by recommending others who might benefit. Parental participation is required throughout the program. Upon completion of the six-week sequence, school records relative to truancy are nullified. If the student fails the program, formal court intervention is the next step. Results: Of the 28 students who took part in the program this semester, 20 have improved attendance records and will pass freshman year. The eight who did not improve their attendance records either moved from the school district or were removed from the school for failure to meet attendance requirements. Misty Swanger, Community Educator for this initiative, saw a general improvement in the grades and behavior of the students. Executive Director Christine Haas says, "This program is a combination of early intervention and early attention. As long as the child knows that someone is watching out for them and taking an interest in them, they will not be truant. The attention factor is very important. It creates success." The intervention program has already identified 100 ninth grade students with truancy problems to work with in the coming year. Peoria, Arizona ~~~~~~~~~~~~~~~ Program elements: In Operation Save Kids, school officials contact the parents of students with three unexcused absences. Parents are expected to relay back to school officials steps they have taken to ensure their children regularly attend school. When students continue to be truant, cases are referred to the local district attorney. To avoid criminal penalty and a $150 parent fine, youth are required to participate in an intensive counseling program, and parents must attend a parenting skills training program. Results: Since Operation Save Kids began two years ago, daytime juvenile property crime rates have declined by 65 percent. Truancy citywide has been cut in half. "Look at today's truant, and you're looking at tomorrow's criminal," says Assistant City Attorney Terry Bays Smith. Bakersfield, California ~~~~~~~~~~~~~~~~~~~~~~~ Program elements: A consortium of school districts in Kern County, California has formed the Truancy Reduction Program. Local schools reach out to youth with a history of truancy through parent contact, peer tutoring, and mentoring services. Persistently truant youth are referred to the County Probation Office. Probation officers visit parents at home one-on-one, check on the youth at school weekly, and in the majority of cases refer youth and their families to one or more needed social service agencies. The County Probation Office and local school continue to track the youth for a full year before making referral to the local District Attorney's Office. Results: "The majority of graduates of the Truancy Reduction Program's first year no longer present a truancy problem," according to the Kern County Public Schools Coordinator, Steve Hageman. Over a fifth of that 1994 class had perfect school attendance records in the year following their participation. =-=-=-=-= Resources =-=-=-=-= The U.S. Department of Justice provides federal funding to states to implement local delinquency prevention programs, including programs that address truancy. Many of these programs address risk and protective factors. A large portion of the funding has come from the Juvenile Justice and Delinquency Prevention Act Formula Grants Program that is administered by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs. For more information contact the Juvenile Justice Clearinghouse, 1-800-638-8736. Under a jointly-funded project, the Department of Justice and the Department of Education have developed a training and technical assistance project to help communities develop or enhance truancy prevention/intervention programs and programs that target related problems of youth out of the education mainstream. Training and technical assistance will be made available to 10 jurisdictions through a competitive application process in 1996. For more information contact Ron Stephens at the National School Safety Center, 805-373-9977. For more information about the information presented in this guide, please call the U.S. Department of Education Safe and Drug Free Schools Office at 202-260-3954. ------------------------------------------------------ Prepared by the U.S. Department of Education with input from the U.S. Department of Justice and in consultation with local communities and the National School Safety Center. ------------------------------------------------------ Kirk Winters Office of the Under Secretary U.S. Department of Education kwinters@inet.ed.gov ===================================================================== ==== #1181 Date: Tue, 9 Jul 1996 11:03:33 -0400 From: Health Literacy Subject: Literacy, Health and the Law A NEW BOOK!!! "Literacy, Health and the Law", 75 pp, $20 Advocating for Patients and Health Care Providers: An Exloration of the Law and the Rights of Marginal Readers in the Health Care System * A man struggles to understand his surgical consent form. He gives up and simply signs the form. * An elderly woman misreads the prescription label and takes the wrong dose of medication. Who is responsible? The rushed and overworked health care provider? The patient? "Literacy, Health and the Law", an exploratory paper commisioned by the Health Literacy Project, discusses ramifications for health care providers serving low literate populations, offers suggestions on how to make changes in patient/provider communication patterns. Contents: - Legal considerations when communicating with health care consumers who have low literacy skills * Informed consent and case law: Patient comprehension * Communication Risk: case law involving therapeutic drugs * Regulatory frmework: Patient communcations - Improving communications with health care consumers who have low literacy skills * Recommendations for system-wide change * Recommendations for individual providers Authors: The book is a collaboration of the Health Literacy Project and Consulting Attorneys: Editor, Wendy Brandes,Esq., Sarah Furnas, RN, Frank M. McClellan, Esq., Julie Haywood, Esq., Janet Ohene-Frempong, MS, RD, and Marilou Taylor-Watson, RPh, Esq. * Health Literacy Project (HLP) is a patient and professional education program of the Health Promotion Council of Southeastern PA. The HLP helps to improve communication between health care providers and their low income African-American, Latino and Asian patients. The project is funded by Willian Penn Foundation and the Health Dept. of PA. The book is now available from the Health Literacy Project, please contact: Patricia Benjamin 311 S. Juniper St. Rm.308 Philadelphia, PA 19107 215-546-1276 215-545-1395(fax) e-mail: hlphpc@libertynet.org ===================================================================== ==== #1182 Date: Tue, 9 Jul 1996 12:29:26 -0400 From: "Donald B. Ardell" Subject: A Quiz Dear folks: Not everyone attends the National Wellness Conference and, believe it or not, some who do fail to attend my sessions. Therefore, for the benefit or amusement of those in either of the above categories, the following quiz is offered fyi. Comments are welcomed. It's simply designed to introduce a few of the issues that will be addressed in the session on peer education and to give everyone an opportunity to become involved in the workshop. If you feel the need to obtain a scoring code that reveals the correct answers based on extensive double-blind, cross- over trials of a longitudinal, horizontal and dignified nature, well, this could be arranged (for a price). Enjoy. Peer Education Session - A Questionnaire July 16, 1996 - NATIONAL WELLNESS CONFERENCE Donald B. Ardell 1. Do you believe that there is excessive emphasis on disease, dysfunction, doctors, dread, death, desperation, depression, dolor, despair and other words beginning with the letter "D" at wellness conferences in general and at this, THE National Wellness Conference in particular? A. Yes!_____ B. No!_____ C. What? Are You Crazy?_____ 2. Are wellness peer education programs in universities, hospitals and/or corporate workplaces overly focused on risk assessment and the abatement of negative attitudes, feelings and behaviors? In addition, is the health promotion movement actually less oriented to wellness than to medical training, traditional health education and a potpourri of holistic remedies, flaky "new age" quackery (e.g., therapeutic no-contact "touch") and a motley mix of unscientific, irrational mysticism masquerading as "mind/body integration?" A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 3. Is there a need for a change in peer education? Specifically, should the focus of peer-driven wellness programming be on such matters as a creative blend of skeptical inquiry, scientific standards for beliefs of all manner, respect for and applications of rational processes and a predisposition toward having a good laugh at our human foibles and vulnerabilities and, of course, the embrace and promotion of genuine wellness! A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 4. Getting into the spirit of the times, a call is made for a 12-step approach to basic wellness peer education programming in order to facilitate a transition to a genuine wellness-based wellness movement as we near the Year 2000. Do you agree with the basic idea of a modified version of the famous, time-tested but (according to the workshop leader) deeply-flawed Alcoholics Anonymous 12-steps and 12-traditions? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 5. Do you agree that peer wellness educators should advocate rejecting normalcy and moderation in order to promote a philosophy of genuine wellness worthy of the challenges and opportunities for the good and examined, healthy, exciting and meaningful life in the coming millennium? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 6. Do you think there is a need to promote a wellness approach to recovery from normalcy, or what could be called a rational alternative to cultures of dependency, cult-like adoration of celebrity experts and victimization models? A wellness-based model would feature such neglected qualities as competency, independence, skepticism and critical thinking, personal accountability and free will, joy and attention to lifestyles of excellence and passion. A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ For additional information along these lines, write for a sample copy of the ARDELL WELLNESS REPORT at 9901 Lake Georgia Drive, Orlando, FL 32817 or call Don at (407) 823-2453 or FAX 823-3411 or e-mail as follows: ardell@pegasus.cc.ucf.edu ===================================================================== ==== #1183 Date: Tue, 9 Jul 1996 16:20:48 U From: Shelly Masur Subject: Health Education Journals Subject: Time:4:17 PM OFFICE MEMO Health Education Journals Date:7/9/96 I am going to make a break from lurking to ask the opinions of this group. Other than Health Education Quarterly and the Am J of Public Health, what top two Health Education/Health Communcation Journals would you recommend? Thanks. ===================================================================== ==== #1184 Date: Tue, 9 Jul 1996 18:12:50 -0400 From: Dreadswim@AOL.COM Subject: Re: Graduate standards A thank you to Mark Kittleson for sharing his thoujghts via "The Committe." What a true learning experience for me to be associated with such people. To borrow a quote from Ken Keyes A Conscious Person's Guide to Relationships, "The opportunity to work with another human being is one of life's greatest gifts." I had the opportunity to do so with a "group" of wonderful human beings. For me, effective relationships include a measure of valuable frustration: They provoke us to confront our contradictions and develop beyond previous limitations. This, to me, was what I took away from that four year learning experience. Alas, time stays, WE go - Dobson. ===================================================================== ==== #1185 Date: Tue, 9 Jul 1996 17:00:48 -0500 From: "Cunnien, Renae D., Ph.D." Subject: Health Education Journals *** Reply to note of 07/09/96 16:59 From: Renae D. Cunnien, Ph.D. Patient Education 2-8138 or 2-8644 The Journal of Health Education, published by AAHE........ ===================================================================== ==== #1186 Date: Tue, 9 Jul 1996 17:23:59 -0500 From: Bob McDermott Organization: USF College of Public Health Subject: Re: Health Education Journals Date sent: Tue, 9 Jul 1996 16:20:48 U Send reply to: From: Shelly Masur Subject: Health Education Journals Originally to: HEDIR List To: Multiple recipients of list HEDIR Subject: Time:4:17 PM OFFICE MEMO Health Education Journals Date:7/9/96 I am going to make a break from lurking to ask the opinions of this group. Other than Health Education Quarterly and the Am J of Public Health, what top two Health Education/Health Communcation Journals would you recommend? Thanks. REPLY------> I'm going to enjoy this frenzied dialogue. It could go on for years, especially if people give the rationale for their choices. ===================================================================== ==== #1187 Date: Tue, 9 Jul 1996 15:39:57 -0700 From: Margo Harris Subject: Re: Health Education Journals I have a split answer! I often recommend the Journal of Health = Education. I was recently given a copy of the Journal of Health = Communication. Based on reading one issue (Vol 1/No 1, January-March = 1996), I was interested but haven't subscribed. While I have recently = subscribed, I have not yet received my first issue of Social Marketing = Quarterly. I would be interested in others comments about those last = two mentions. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com ---------- ===================================================================== ==== #1188 Date: Tue, 9 Jul 1996 19:59:33 -0400 From: "Lawrence W. Green" Subject: Re: Graduate standards Mark et al.: Thanks to all of you for your service on this joint committee and your perserverance in keeping the candle burning. An historical footnote: Peter Cortese as President of AAHE and I as President of SOPHE in early 1980s created this and several other joint committees during a period when we thought it might be possible to forge a merging of the two health education organizations. That was an idea whose time is not likely to come in my career span, but the joint committees have done good work on behalf of the profession in ethics, professional preparation and a few other areas that now escape my alleged mind, but of which someone will remind us. Thanks to all who kept the ecumenical spirit alive for more than a decade. --Larry At 09:10 AM 7/8/96 -0500, Mark J. Kittleson, Ph.D. wrote: >The AAHE/SOPHE Joint Committee for the Development of Graduate Level >Preparation Standards met for the last time this past weekend to finalize >the project that culminated in the National Congress last February in >Dallas. Being on this committee for the past 4 years has been a most >interesting and professionally challenging association...one that I will not >forget. I believe it is most appropriate that the profession recognize the >efforts put forth by this committee. I believe it is worthy to identify >these individuals who have put forth such effort: > >Steve Stewart (James Madison U) and Margaret Smith (formerly with Oregon >State) were our co-chairs...not an easy task with us...they did a great job. > >Other members included: > >Evelyn Ames, Western Washington U >Bill Cissell, Texas Woman's U >Don Calitri, E. Kentucky U >Mary Hawkins, N.C. Central U >Doug Hippler, Chesterfield, MO >Don Read, Worchester State College >Bill Livingood, E. Stroudsburg U >James Robinson, Texas A & M U >Carl Peter, formerly of Western Illinois U now residing in Lexington, KY >Ruth Richards, formerly with UCLA >Elaine Vitello, SIUC >Pat Evans, Council for Education for Public Health >Pat Mail, representing the National Commission of Health Education >Credentialing, INC >Aileen Frazee, AAHE > >Both AAHE/SOPHE made monetary committments to this effort. > >It is hoped that the results of the work of this committee will see a higher >level of graduate programs in health education. The final product will be >forthcoming within a few months. > > Lawrence W. Green Institute of Health Promotion Research University of British Columbia 2206 East Mall, Room 324 Vancouver, BC Canada V6T 1Z4 (604) 822-5776 July 1996 (604) 731-1974 Fax: (604) 822-9210 ===================================================================== ==== #1189 Date: Wed, 10 Jul 1996 00:08:41 -0500 From: Dawna Wright please unsubscribe. ===================================================================== ==== #1190 Date: Wed, 10 Jul 1996 08:37:08 -0500 From: "Steven R. Furney 245-2561" Subject: Re: 1996 Edition 3 Health Edco Catalog In-Reply-To: <01I6UK6LL9WM94DOA5@swt.edu> Donna, My copy , 1996 Edition 3, has the Health Edco News and your letter following page 34. By the way, nice picture on page 2, very distinguished. Steve Furney Professor and Health Education Director Southwest Texas State University ===================================================================== ==== #1191 Date: Wed, 10 Jul 1996 10:28:07 -0400 From: "Donald B. Ardell" Subject: Schubert's "HMO Symphony #4 (fwd) A commentary from a doctor about the state of the state of American medicine posted by LafferWBII@aol.com in the Secular Humanist list service fyi and enjoyment. Schubert's "HMO Symphony #4" The president of a large managed health care facility also served on the board of his community's symphony orchestra. Finding that he could not go to one of the concerts, he gave his tickets to the company's director of health care cost containment. The next morning, he asked the director whether he had enjoyed the performance. Instead of the usual polite remarks, the director handed him a memo which read as follows: "The undersigned submits the following comments and recommendations relative to the performance of Schubert's "Unfinished Symphony" by this city's symphony orchestra as observed under actual working conditions: A. The attendance of the conductor is unnecessary for the public performances. The orchestra has obviously practiced and has the "prior authorization" from the conductor to perform at a predetermined level of quality. Considerable savings could be realized by merely having the conductor critique the orchestra's performance in retrospective fashion, at a "peer review meeting". B. The four oboe players had nothing to do for considerable periods. Their number should be reduced and their work should be spread out over the whole orchestra, thus eliminating peaks and valleys of activity. C. The twelve violins played identical notes with identical motion. This is unnecessary duplication of services. The staff of this section should be drastically cut, with the consequent savings. If a large volume of sound is required, it can currently be obtained by electronic amplification, which has reached high levels of reproductive quality. D. Much effort was devoted to playing 16th notes. This seems an excessive refinement, as most listeners are unable to distinguish such rapid playing. It is recommended that all notes be rounded up to 8th. This will allow use of trainees and lower grade musicians without loss of quality. E. No useful purpose is served by repeating with horns the passages already handled by strings. If such redundancy were eliminated, duration of the concert could be reduced from 2 hours to about 20 minutes. This would lead to substantial savings in salaries and overhead. It is unfortunate that Schubert had no experience in cost containment. Had he used what we now know about it, he would have probably finished this symphony. Respectfully submitted," (signature) Walter Laffer LafferWBII@aol.com "The whole problem with the world is that fools and fanatics are always so certain of themselves, but wiser people so full of doubts. " - Bertrand Russell ===================================================================== ==== #1192 Date: Wed, 10 Jul 1996 12:07:30 -0700 From: Margo Harris Subject: On the WEB today I recently received a mailing from Avicenna Systems Corporation = announcing a new medical information supersite on the World Wide Web. = Of course I had to visit. I was invited to join Avicenna's online = healthcare community for free, unlimited access to: Medline Pharmaceutical Databases Outcomes Databases Clinical References Publications Medical Companies and Products Public Health Professional Associations Conferences and Conventions Healthcare Providers Clinical Trials Medical Specialties Medical Schools Lifestyle How could I not visit? If you want to visit, travel to = http://www.avicenna.com I'd welcome any thoughts/comments after your visit. Avicenna is located = in Cambridge, MA. Anyone know who sponsors this site? They note that = some services are limited to licensed healthcare professionals. Margo Margo Harris Harris Training & Consulting Services htcs@halcyon.com ===================================================================== ==== #1193 Date: Wed, 10 Jul 1996 15:47:14 -0400 From: "Donald B. Ardell" Subject: Another Quiz - The Meaning of Life! Dear Folks, Appreciate all the good feedback (private) on the peer education quiz. There are 24 hours left (before departure)--maybe some will have comments/suggestions/reactions/whatever on another quiz designed for a workshop at the National Wellness Conference on meaning and purpose as a wellness issue. Comment or not--enjoy. Don Wellness and Humanism: An Alternative Approach to Spirituality Based on Ten Meaning and Purpose In Life Propositions (7/18/96--10:00-11:30 a.m.) 1. Do you agree with those who hold that there is no compelling evidence to believe there is such a thing as "the" meaning of life, that is, an all-encompassing purpose for human existence? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 2. Are you comfortable talking about your reasons for being, that is, your purposes or ideas concerning why you're here and what your life's all about? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 3. Do you think it's a good idea to introduce meaning and purpose (M&P) issues into wellness and related programs? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 4. Is it possible for you to discuss M&P without giving in to a need, tendency, mission or other inclination to try to persuade people to adopt points of view that you consider true/desirable? A. Yes!_____ B. No!_____ C. What? Are You Crazy?___ 5. Should the diversity concept be interpreted to support tolerance for ideas and values as well as race, gender, and other dimensions of a self-evident, physical and fixed variety? A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ 6. Do you think dogmas and creeds do more harm than good? A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ 7. Have your ideas about M&P changed much over the years? A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ 8. Is it likely that insufficiently satisfying M&P could be a health risk as harmful as smoking, high cholesterol, excessive body fat, high blood pressure, listening to Rush Limbaugh, etc.? A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ 9. Do you suppose there might be a link between the capacity of employees to find and express aspects of M&P in their work and one or more critical performance variables (e.g., good morale, performance as team member, quality communications, courtesy to others, ability to find work satisfying)? A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ 10. Is there still M&P to be discovered as the years go by despite the absence of "Calvin and Hobbes" and "The Far Side?" A. Yes!_____ B. No!_____ C. What? Are You Crazy?__ Note: These questions are adapted from The Book of Wellness: A Secular Approach to Spirituality, Meaning and Purpose. To order, call Prometheus Books (800) 421-0351 or (407) 823-2453. ===================================================================== ==== #1194 Date: Wed, 10 Jul 1996 17:04:36 -0500 From: Bob McDermott Organization: USF College of Public Health Subject: HEDIR CLUTTER It's here again. ===================================================================== ==== #1195 Date: Wed, 10 Jul 1996 18:46:16 -0400 From: Dreadswim@AOL.COM Subject: Re: Health Education Journals My all time best our: Common Boundary: Between Spirituality and Psychotherapy New Age Journal It is my opinion that the Journal of Health education is entry level at best. ===================================================================== ==== #1196 Date: Thu, 11 Jul 1996 11:21:15 -0400 From: Paul Pinciaro Subject: Re: HEDIR CLUTTER It never went away! ===================================================================== ==== #1197 Date: Thu, 11 Jul 1996 15:10:56 PDT From: norm eburne Organization: Western Oregon State College Subject: Re: HEDIR CLUTTER Look out, here come the clutter police again! ===================================================================== ==== #1198 Date: Thu, 11 Jul 1996 17:59:12 -0400 From: MICHAEL DAVID BALLARD Subject: Distance Learning/Internet Dear Colleagues: During the fall Semester, I will be teaching a Substance Use and Abuse class via distance learning (compressed video). If you have previous experience with this delivery system, I would appreciate suggestions/recommendations to enrich the class. Respectfully yours, Michael D. Ballard. Ed.D., CHES Assistant Professor Department of HPER Morehead State University 201 Laughlin Health Building Morehead, KY 40351 m.ballar@morehead-st.edu ===================================================================== ==== #1199 Date: Fri, 12 Jul 1996 10:38:31 -0600 From: Amy Eyler Subject: referencing Internet Does anyone know if it's acceptable and/or how to reference a citation from an Internet article? Has this been adressed anywhere? Thanks. Amy Eyler Eylera@wpogate.slu.edu ===================================================================== ==== #1200 Date: Fri, 12 Jul 1996 08:45:02 -0800 From: Mark Fulop Subject: Re: On the WEB today Margo, Hello, it has been a while since we chatted and I hope your summer is going well. I stopped by the site you posted to the HEDIR (>http://www.avicenna.com) and was not really impressed. The layout was great but how many of these sites do we need? I could probably list 2-3 other site that have medline for "free." And how many listings for CNN and the Wall Street front page do we need? What I am concerned about is the same question you ask. " Anyone know who sponsors this site? " The fact that this group does not put up a clear who we are section leads me to doubt the credebility of the group because the bottom line is that they are out to make a buck. And with the internet you make money in one of three ways: 1) Charging people money to access your site, 2) Charging advertisers or 3) collecting information on those accessing your site and selling that information in some form (mailing labels, demographics, etc) This group appears to be interested in the latter two which raises two electronic age questions. 1) how unbiased will the information at the site be if it is heavily subsidized by the medical industry, and 2) how much privacy are we willing to give up in this electronic age in the name of free access to information like medline? I guess my first evaluation criteria of a web site is to look at the "disclosure" of the sponsoring agency. I look for 1) the explicitly stated use of any information that I give on line, 2) a full statement of sponsorship relationships (i.e., between the site and advertisers, and 3) a clear understanding of the agencies mission and goals. If I cannot find these three things I would not use the site in the future. Hence, yoiur site of the week does not get a bookmark on my browser. Increasingly these issues will become important in the discussion of networked health information as it continues to multiply with each group trying to carve out a market niche. _________________________________________________ Mark Fulop, MPH, CHES fulop@mail.sdsu.edu Co-Director, College Health 2000 A Health Promotion Collaborative 5500 Campanile Drive San Diego, CA 92182-4701 Phone: 619.594.2869 FAX: 619.594.5613 http://shs.sdsu.edu/ch2000/chhome.html Projects affiliated with San Diego State University ===================================================================== ==== #1201 Date: Fri, 12 Jul 1996 11:23:20 CST From: Bill Cissell Subject: SOPHE ADVOCACY COMMITTEE Repaort on Surgeon General's Report on Physical Activity Hedirs, particularly SOPHE members, We wanted to alert you that the Surgeon General's Report on Physical Activity was released yesterday. Details of the report can be accessed on a daily basis at the following URLs: * CDC/Surgeon General's Report http://www.cdc.gov * National Coalition for Promoting Physical Activity http://www.ncppa.org/ncppa We are working with CDC so that you will receive a full copy of the report, the Executive Summary, an "At a Glance" fact sheet, and a press kit with primary messages for difficult audiences such as the elderly, women, adolescents and school-age children. We also will be rreceiving multiple copies of some of these documents and will forward them through the Advocacy Tree for diatribution to chapter members in coming weeks. Following is a press release to be disseminated immediately. SOPHE PROVIDES 10 TIPS TO CHANGE FOR HEALTH AND FITNESS WASHINGTON, DC -- The Society for Public Health Education (SOPHE) congratulates the U.S. Surgeon General and the Department of Health and Human Services on today's landmark release of Physical Activity and Health: A Report of the Surgeon General. The report is a major compendium of the latest scientific evidence on the role of physical activity in promoting health and preventing disease. "This Surgeon General's Report will be a watershed in changing the way employers, schools, communities, health insurers, health professionals and the general public view physical activity," predicted Ellen Capwell, PhD, CHES, (Certified Health Education Specialist), SOPHE President and Deputy Chief, Bureau of Health Risk Reduction at the Ohio Department of Health. "We need to create plicies and environments that are conducive to Americans becoming more physically active--as well as encourage and reward such behaviors--to achieve long-term gains in our nation's health. "An important first step," Capwell continued, "will be for Congress to provide increased resources to