Public health leadership in five Kentucky Appalachian counties.
This article reviews the steps taken by the Gateway District Health Department (consensus building, stakeholder analysis, and strategies) in the development of an integrated health/mental health services delivery program for families and children in five elementary schools located in two remote Appalachian counties of eastern Kentucky, the Rural Outreach Program for Elementary Students (ROPES). Though several problems in achieving this collaborative effort are described, "turf" and "trust" were never issues because of a 10-year history of collaboration between the health department, provider agencies, and the schools.
Eddison
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D001061:Appalachian Region; D002648:Child; D002662:Child Health Services; D003159:Community-Institutional Relations; D006801:Humans; D007373:Interinstitutional Relations; D007629:Kentucky; D007857:Leadership; D011635:Public Health Administration / Q000379:methods; D012424:Rural Population