The Kentucky Homeplace Project: Family Health Care Advisers in Underserved Rural Communities

The Kentucky Homeplace Project (KHP) is a state‐legislated program designed to address well‐documented deficits in the health status of and health resources available to many of Kentucky's rural residents. Since its inception in 1994, the KHP has served approximately 80,000 clients, primarily t...

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Bibliographic Details
Published in:The Journal of rural health 2001-06, Vol.17 (3), p.179-186
Main Authors: Schoenberg, Nancy E., Campbell, Karen A., Garrity, John E., Snider, Lyle B., Main, Karen
Format: Article
Language:English
Subjects:
Access to Health Care
Allied Health Personnel
Community Health Services
Cultural Relevance
Family Health
Health Communication
Health Promotion
Health Services Accessibility
Health Status Indicators
Home Care Services - organization & administration
Home Visits
Humans
Indigenous Personnel
Intervention
Kentucky
Kentucky - epidemiology
Medically Underserved Area
Medically Underserved Areas
Organizational Case Studies
Paraprofessional Personnel
Patient Education
Prevention
Rural Areas
Rural Health Services - organization & administration
State Programs
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Summary:The Kentucky Homeplace Project (KHP) is a state‐legislated program designed to address well‐documented deficits in the health status of and health resources available to many of Kentucky's rural residents. Since its inception in 1994, the KHP has served approximately 80,000 clients, primarily through home visits by trained, locally residing paraprofes‐sionals known as family health care advisers. These family health care advisers employ culturally appropriate strategies to meet immediate needs as well as to foster long‐term client empowerment and the adoption of health prevention strategies. This descriptive examination of KHP provides information regarding (a) the advantages of the program, with specific attention to its orientation toward provision of culturally appropriate health services; (b) the disadvantages of KHP, including competing budgetary priorities and its vulnerability to local economic and political trends; and (c) the potential application of similar programs for other rural, difficult‐to‐reach populations.
ISSN:0890-765X
1748-0361
DOI:10.1111/j.1748-0361.2001.tb00955.x