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(Stroke. 1974;5:115.)
© 1974 American Heart Association, Inc.

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X. Community Health Services for Stroke

COMMUNITY HEALTH SERVICES STUDY GROUP; MAYNARD I. SHAPIRO M.D.¹; RUTH ATKINS ²; WILLIAM R. BONIFACE M.D.³; LYDIA S. HOLLEY R.P.T., M.P.H.⁴; EVELYN M. MCNAMARA A.C.S.W.⁵; CHARLES P. OLINGER M.D.⁶; WILLIAM J. PEEPLES M.D., M.P.H.⁷; PATRICIA A. REGAN R.N., M.S.⁸; CARLOS VALLBONA M.D.⁹; COURTNEY B. WOOD M.D., M.P.H.¹⁰; CHARLES M. WYLIE M.D., DR. P.H.¹¹

¹ Clinical Associate Professor of Medicine (Family Practice), Chicago Medical School; Past President, American Academy of Family Physicians; Director, Department of Physical Medicine and Rehabilitation, and Vice President for Academic Affairs, Jackson Park Hospital, 7531 Stony Island Avenue, Chicago, Illinois 60649
² Senior Comprehensive Health Coordinatior, Comprehensive Health Planning Agency, Health Services Administration--City of New York 305 Broadway, Room 102, New York, New York 10007
³ Assistant Professor in Neurology and in Child Psychiatry, University of Cincinnati College of Medicine, Cincinnati General Hospital, Cincinnati, Ohio 45229
⁴ Associate Professor of Health Administration, University of North Carolina School of Public Health, Chapel Hill, North Carolina 27514
⁵ Assistant Director, Division of Continuing Health Care, American Hospital Association, 840 North Lake Shore Drive, Chicago, Illinois 60611
⁶ Associate Professor of Neurology, Department of Neurology, University of Cincinnati College of Medicine, and Cincinnati General Hospital, Cincinnati, Ohio 45229
⁷ Assistant Professor of Radiology, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205
⁸ Associate Professor of Nursing, Boston College, Chestnut Hill, Massachusetts 02167
⁹ Professor and Chairman, Department of Community Medicine, Professor of Rehabilitation, Baylor College of Medicine, 1200 Moursund, Houston, Texas 77025
¹⁰ Associate Professor of Community Medicine, Mount Sinai School of Medicine of the City University of New York, 3.40 East 17th Street, New York, New York 10003
¹¹ Professor of Public Health Administration, University of Michigan School of Public Health, Ann Arbor, Michigan 48104

Requests for reprints should be directed to: Joint Committee for Stroke Facilities, 1776 K Street, N.W., Suite 1010, Washington, D.C. 20006

The Section developed by the Community Health Services Study Group proved to be a difficult, yet important, segment of the "Guidelines." They have worked diligently to prepare a document which will give communities stimulation, information, and direction in achieving the goals of identifying persons at high risk, preventing stroke, improving care of stroke patients, and providing continuity of care, particularly after the life-threatening phase of illness. The awesome responsibilities facing various health workers and community agencies in after-care are detailed. It is i this area that concerted effort can make an important contribution, particularly in those instances where disability is severe and support from many sources is essential.

Although no blueprint can be outlined in a manner which will be universally applicable, this description of facilities and services, if applied imaginatively, should be useful to health planners, hospital trustees, civic leaders, health professionals, and educators in mounting community programs for prevention of stroke and comprehensive care of persons who suffer a stroke.