For decades, community-centered social services have been promoted as an admirable ideal. Yet the concept of decentralized services delivered where people live has proved to be an elusive ideal as well, with the promise of empowerment often giving way to disinterest and apathy.

Community-Based Interventions examines the reasons community programs tend to founder and proposes a realistic framework for sustained success. The book's theoretical, philosophical and political foundations begin with the importance of context, as in local knowledge and community self-definition and engagement. Innovative, often startling, approaches to planning, design and implementation begin with the recognition that communities are not "targets" or "locations" to be "fixed," but social realities whose issues require concrete answers. The variety of examples described in these chapters demonstrate the power of community interventions in providing effective services, reducing inequities and giving individuals greater control over their health, their environment and in the long run, their lives. Included in the coverage:

• Redefining community: the social dimensions.
• A new epidemiology to inform community work.
• The role of research in designing community interventions.
• The conceptual flow of a community-based project.
• Building autonomy through leadership from below.
• Relating social interventions to social justice.

Attuned to the current era of health and mental health reform, Community-Based Interventions represents a major step forward in its field and makes an inspiring text for social workers, clinical social workers, public health administrators and community activists.

John W. Murphy has a PhD in sociology from Ohio State University. For the past thirty years he has been writing on and working in community-based projects in both the United States and several countries in Latin America. Most recently he worked on a project in Ecuador that was devoted to building a health center in a poor community. Currently he is a professor of sociology at the University of Miami. He is co-author of Symbolization of Globalization, Development and Aging (in production).