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Research note: Identifying "at risk" persons in community based research.

J W Murphy, J J Pilotta

    Sociology of Health & Illness
    |February 9, 1987
    PubMed
    Summary

    Community-based research requires sensitivity to community self-perception, not just technical data. This approach ensures accurate identification of individuals and communities clinically

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    Area of Science:

    • Public Health Policy
    • Community-Based Participatory Research (CBPR)

    Background:

    • The 1963 Community Mental Health Act mandates community-based social planning in the U.S.
    • Current policy research often prioritizes technical aspects over community sensitivity.
    • The definition of 'clinically at risk' is a contentious issue in public health.

    Purpose of the Study:

    • To outline the principles of community-based research.
    • To apply these principles to the analysis of 'clinically at risk' definitions.
    • To advocate for research methods that align with community self-perception for valid data.

    Main Methods:

    • Review of general tenets of community-based research.
    • Application of these tenets to the concept of clinical risk assessment.
    • Critique of purely technical approaches to need identification.

    Main Results:

    • Standard technical definitions of 'clinically at risk' may not reflect community realities.
    • Community sensitivity is crucial for accurate need identification.
    • A community-centered approach enhances the validity of research data.

    Conclusions:

    • Policy research must integrate community perspectives to be effective and ethical.
    • Redefining 'clinically at risk' requires incorporating community self-perception.
    • Community-based research ensures that identified needs are relevant and actionable.

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