title: Nursing case management and its role in perinatal risk reduction: development, implementation, and evaluation of a culturally competent model for African American women.
abstract: The authors outline the need for comprehensive perinatal services management for African American pregnant women, based on social/environmental stressors, and propose a workable model for delivery of services based on case management principles. The implications of case management as an intervention to ameliorate these stressors are discussed. Data from 5 years of comprehensive case management are included to support the effectiveness of case management as an intervention among high-risk women. Steps utilized to develop, implement, and evaluate case management are also discussed.
authors.affiliation: Women's Studies Program, California State University, Fresno 93740, USA.
authors.forename: J
authors.initials: J
authors.lastname: Gonzalez-Calvo
authors.forename: J
authors.initials: J
authors.lastname: Jackson
authors.forename: C
authors.initials: C
authors.lastname: Hansford
authors.forename: C
authors.initials: C
authors.lastname: Woodman
authors.forename: N S
authors.initials: NS
authors.lastname: Remington
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D019090:Case Management / Q000458:organization & administration*; D005260:Female; D006801:Humans; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care; D011247:Pregnancy; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk / Q000208:ethnology*; D015397:Program Evaluation; D011637:Public Health Nursing / Q000458:organization & administration*; D016746:Transcultural Nursing / Q000458:organization & administration*; D014504:Urban Health