Skip to main content
Public Health Reports logoLink to Public Health Reports
. 1991 Mar-Apr;106(2):186–191.

Boston's Codman Square Community Partnership for Health Promotion.

A L Schlaff 1
PMCID: PMC1580212  PMID: 1902312

Abstract

The Codman Square Community Partnership for Health Promotion is a program designed to promote changes in individual behavior and community relationships to reduce the morbidity and mortality associated with the many problems affecting poor, minority communities in the United States. Problems of particular concern to be addressed by the program include violence, injuries, substance abuse, acquired immunodeficiency syndrome (AIDS), infant mortality, child abuse and neglect, and cardiovascular disease. The failure of traditional health promotion approaches to poor communities has created a literature supporting community-based action directed at broad social forces. The Codman Square Community Partnership for Health Promotion uses a variety of models--community participation, community organization, empowerment education, and community-oriented primary care--to encourage new coalitions that can ameliorate the social isolation and health-averse social norms linked to poverty and poor health. The program uses local residents trained as lay health workers to deliver home-based health services and to help create the necessary partnerships, linkages, and communication networks to foster the reorganization of the community to better address its health problems.

Full text

PDF
186

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abramson J. H. Application of epidemiology in community oriented primary care. Public Health Rep. 1984 Sep-Oct;99(5):437–442. [PMC free article] [PubMed] [Google Scholar]
  2. Abramson J. H., Gofin R., Hopp C., Gofin J., Donchin M., Habib J. Evaluation of a community program for the control of cardiovascular risk factors: the CHAD program in Jerusalem. Isr J Med Sci. 1981 Feb-Mar;17(2-3):201–212. [PubMed] [Google Scholar]
  3. Becker M. H., Joseph J. G. AIDS and behavioral change to reduce risk: a review. Am J Public Health. 1988 Apr;78(4):394–410. doi: 10.2105/ajph.78.4.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Blendon R. J., Aiken L. H., Freeman H. E., Corey C. R. Access to medical care for black and white Americans. A matter of continuing concern. JAMA. 1989 Jan 13;261(2):278–281. [PubMed] [Google Scholar]
  5. Braithwaite R. L., Lythcott N. Community empowerment as a strategy for health promotion for black and other minority populations. JAMA. 1989 Jan 13;261(2):282–283. [PubMed] [Google Scholar]
  6. Chabot A. Improved infant mortality rates in a population served by a comprehensive neighborhood health program. Pediatrics. 1971 Jun;47(6):989–994. [PubMed] [Google Scholar]
  7. Des Jarlais D. C., Friedman S. R. Shooting galleries and AIDS: infection probabilities and 'tough' policies. Am J Public Health. 1990 Feb;80(2):142–144. doi: 10.2105/ajph.80.2.142. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Deuschle K. W. Community-oriented primary care: lessons learned in three decades. J Community Health. 1982 Fall;8(1):13–22. doi: 10.1007/BF01324393. [DOI] [PubMed] [Google Scholar]
  9. Egbuonu L., Starfield Child health and social status. Pediatrics. 1982 May;69(5):550–557. [PubMed] [Google Scholar]
  10. Fergusson D. M., Horwood L. J., Shannon F. T. Social and family factors in childhood hospital admission. J Epidemiol Community Health. 1986 Mar;40(1):50–58. doi: 10.1136/jech.40.1.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Frame P. S. Is community-oriented primary care a viable concept in actual practice? An affirmative view. J Fam Pract. 1989 Feb;28(2):203–206. [PubMed] [Google Scholar]
  12. Freudenberg N., Golub M. Health education, public policy and disease prevention: a case history of the New York City Coalition to End Lead Poisoning. Health Educ Q. 1987 Winter;14(4):387–401. doi: 10.1177/109019818701400402. [DOI] [PubMed] [Google Scholar]
  13. Freudenberg N. Shaping the future of health education: from behavior change to social change. Health Educ Monogr. 1978 Winter;6(4):372–377. doi: 10.1177/109019817800600404. [DOI] [PubMed] [Google Scholar]
  14. Friedman S. R., Des Jarlais D. C., Sotheran J. L., Garber J., Cohen H., Smith D. AIDS and self-organization among intravenous drug users. Int J Addict. 1987 Mar;22(3):201–219. doi: 10.3109/10826088709027425. [DOI] [PubMed] [Google Scholar]
  15. Gordis L. Effectiveness of comprehensive-care programs in preventing rheumatic fever. N Engl J Med. 1973 Aug 16;289(7):331–335. doi: 10.1056/NEJM197308162890701. [DOI] [PubMed] [Google Scholar]
  16. Gray A. M. Inequalities in health. The Black Report: a summary and comment. Int J Health Serv. 1982;12(3):349–380. doi: 10.2190/XXMM-JMQU-2A7Y-HX1E. [DOI] [PubMed] [Google Scholar]
  17. Green L. W. Modifying and developing health behavior. Annu Rev Public Health. 1984;5:215–236. doi: 10.1146/annurev.pu.05.050184.001243. [DOI] [PubMed] [Google Scholar]
  18. Grosse R. N., Auffrey C. Literacy and health status in developing countries. Annu Rev Public Health. 1989;10:281–297. doi: 10.1146/annurev.pu.10.050189.001433. [DOI] [PubMed] [Google Scholar]
  19. Haan M., Kaplan G. A., Camacho T. Poverty and health. Prospective evidence from the Alameda County Study. Am J Epidemiol. 1987 Jun;125(6):989–998. doi: 10.1093/oxfordjournals.aje.a114637. [DOI] [PubMed] [Google Scholar]
  20. House J. S., Landis K. R., Umberson D. Social relationships and health. Science. 1988 Jul 29;241(4865):540–545. doi: 10.1126/science.3399889. [DOI] [PubMed] [Google Scholar]
  21. Jenkins C. D., Tuthill R. W., Tannenbaum S. I., Kirby C. R. Zones of excess mortality in Massachusetts. N Engl J Med. 1977 Jun 9;296(23):1354–1356. doi: 10.1056/NEJM197706092962315. [DOI] [PubMed] [Google Scholar]
  22. Kark S. L., Abramson J. H. Community-focused health care: introduction. Isr J Med Sci. 1981 Feb-Mar;17(2-3):65–70. [PubMed] [Google Scholar]
  23. Kinne S., Thompson B., Chrisman N. J., Hanley J. R. Community organization to enhance the delivery of preventive health services. Am J Prev Med. 1989 Jul-Aug;5(4):225–229. [PubMed] [Google Scholar]
  24. Lefebvre R. C., Lasater T. M., Carleton R. A., Peterson G. Theory and delivery of health programming in the community: the Pawtucket Heart Health Program. Prev Med. 1987 Jan;16(1):80–95. doi: 10.1016/0091-7435(87)90008-9. [DOI] [PubMed] [Google Scholar]
  25. Madison D. L. The case for community-oriented primary care. JAMA. 1983 Mar 11;249(10):1279–1282. [PubMed] [Google Scholar]
  26. Marti-Costa S., Serrano-Garcia I. Needs assessment and community development: an ideological perspective. Prev Hum Serv. 1983 Summer;2(4):75–88. doi: 10.1300/J293v02n04_05. [DOI] [PubMed] [Google Scholar]
  27. McCord C., Freeman H. P. Excess mortality in Harlem. N Engl J Med. 1990 Jan 18;322(3):173–177. doi: 10.1056/NEJM199001183220306. [DOI] [PubMed] [Google Scholar]
  28. McDermott W., Deuschle K., Adair J., Fulmer H., Loughlin B. Introducing Modern Medicine in a Navajo Community. Science. 1960 Jan 22;131(3395):197–205. doi: 10.1126/science.131.3395.197. [DOI] [PubMed] [Google Scholar]
  29. McDermott W., Deuschle K., Adair J., Fulmer H., Loughlin B. Introducing Modern Medicine in a Navajo Community. Science. 1960 Jan 29;131(3396):280–287. doi: 10.1126/science.131.3396.280. [DOI] [PubMed] [Google Scholar]
  30. McLeroy K. R., Bibeau D., Steckler A., Glanz K. An ecological perspective on health promotion programs. Health Educ Q. 1988 Winter;15(4):351–377. doi: 10.1177/109019818801500401. [DOI] [PubMed] [Google Scholar]
  31. Minkler M. Building supportive ties and sense of community among the inner-city elderly: the Tenderloin Senior Outreach Project. Health Educ Q. 1985 Winter;12(4):303–314. doi: 10.1177/109019818501200310. [DOI] [PubMed] [Google Scholar]
  32. Mullan F. Community-oriented primary care: epidemiology's role in the future of primary care. Public Health Rep. 1984 Sep-Oct;99(5):442–445. [PMC free article] [PubMed] [Google Scholar]
  33. Mullan F., Kalter H. D. Population-based and community-oriented approaches to preventive health care. Am J Prev Med. 1988;4(4 Suppl):141–157. [PubMed] [Google Scholar]
  34. Mullan F. Sounding board. Community-oriented primary care: an agenda for the '80s. N Engl J Med. 1982 Oct 21;307(17):1076–1078. doi: 10.1056/NEJM198210213071710. [DOI] [PubMed] [Google Scholar]
  35. Nersesian W. S., Petit M. R., Shaper R., Lemieux D., Naor E. Childhood death and poverty: a study of all childhood deaths in Maine, 1976 to 1980. Pediatrics. 1985 Jan;75(1):41–50. [PubMed] [Google Scholar]
  36. Nutting P. A., Barrick J. E., Logue S. C. The impact of a maternal and child health care program on the quality of prenatal care: an analysis by risk group. J Community Health. 1979 Summer;4(4):267–279. doi: 10.1007/BF01319021. [DOI] [PubMed] [Google Scholar]
  37. Nutting P. A., Connor E. M. Community-oriented primary care: an examination of the US experience. Am J Public Health. 1986 Mar;76(3):279–281. doi: 10.2105/ajph.76.3.279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Nutting P. A., Strotz C. R., Shorr G. I., Berg L. E. Reduction of gastroenteritis morbidity in high-risk infants. Pediatrics. 1975 Mar;55(3):354–358. [PubMed] [Google Scholar]
  39. Nutting P. A., Wood M., Conner E. M. Community-oriented primary care in the United States. A status report. JAMA. 1985 Mar 22;253(12):1763–1766. [PubMed] [Google Scholar]
  40. Orlandi M. A. Community-based substance abuse prevention: a multicultural perspective. J Sch Health. 1986 Nov;56(9):394–401. doi: 10.1111/j.1746-1561.1986.tb05780.x. [DOI] [PubMed] [Google Scholar]
  41. Otten M. W., Jr, Teutsch S. M., Williamson D. F., Marks J. S. The effect of known risk factors on the excess mortality of black adults in the United States. JAMA. 1990 Feb 9;263(6):845–850. [PubMed] [Google Scholar]
  42. Palti H., Zilber N., Kark S. L. A community-orientated early intervention programme integrated in a primary preventive child health service--evaluation of activities and effectiveness. Community Med. 1982 Nov;4(4):302–314. doi: 10.1007/BF02548604. [DOI] [PubMed] [Google Scholar]
  43. Pincus T. Formal educational level--a marker for the importance of behavioral variables in the pathogenesis, morbidity, and mortality of most diseases? J Rheumatol. 1988 Oct;15(10):1457–1460. [PubMed] [Google Scholar]
  44. Puska P., Nissinen A., Tuomilehto J., Salonen J. T., Koskela K., McAlister A., Kottke T. E., Maccoby N., Farquhar J. W. The community-based strategy to prevent coronary heart disease: conclusions from the ten years of the North Karelia project. Annu Rev Public Health. 1985;6:147–193. doi: 10.1146/annurev.pu.06.050185.001051. [DOI] [PubMed] [Google Scholar]
  45. Rifkin S. B. Primary health care, community participation and the urban poor: a review of the problems and solutions. Asia Pac J Public Health. 1987;1(2):57–63. doi: 10.1177/101053958700100211. [DOI] [PubMed] [Google Scholar]
  46. Rose G. Sick individuals and sick populations. Int J Epidemiol. 1985 Mar;14(1):32–38. doi: 10.1093/ije/14.1.32. [DOI] [PubMed] [Google Scholar]
  47. Strecher V. J., DeVellis B. M., Becker M. H., Rosenstock I. M. The role of self-efficacy in achieving health behavior change. Health Educ Q. 1986 Spring;13(1):73–92. doi: 10.1177/109019818601300108. [DOI] [PubMed] [Google Scholar]
  48. Waitzkin H. The social origins of illness: a neglected history. Int J Health Serv. 1981;11(1):77–103. doi: 10.2190/5CDV-P4FE-Y6HN-JACD. [DOI] [PubMed] [Google Scholar]
  49. Wallerstein N., Bernstein E. Empowerment education: Freire's ideas adapted to health education. Health Educ Q. 1988 Winter;15(4):379–394. doi: 10.1177/109019818801500402. [DOI] [PubMed] [Google Scholar]
  50. Weitzman S. Use of epidemiology in primary care. Isr J Med Sci. 1983 Aug;19(8):739–741. [PubMed] [Google Scholar]
  51. Winder A. E. The mouse that roared: a case history of community organization for health practice. Health Educ Q. 1985 Winter;12(4):353–363. doi: 10.1177/109019818501200402. [DOI] [PubMed] [Google Scholar]
  52. Wise P. H., First L. R., Lamb G. A., Kotelchuck M., Chen D. W., Ewing A., Hersee H., Rideout J. Infant mortality increase despite high access to tertiary care: an evolving relationship among infant mortality, health care, and socioeconomic change. Pediatrics. 1988 Apr;81(4):542–548. [PubMed] [Google Scholar]
  53. Wise P. H., Kotelchuck M., Wilson M. L., Mills M. Racial and socioeconomic disparities in childhood mortality in Boston. N Engl J Med. 1985 Aug 8;313(6):360–366. doi: 10.1056/NEJM198508083130605. [DOI] [PubMed] [Google Scholar]

Articles from Public Health Reports are provided here courtesy of SAGE Publications

RESOURCES