The Process:Identify the “neighborhood” of your assigned aggregate clinical site. Using a map, drive through the area, talk with residents, and identify objective data which will help define the community, the trends, stability and changes which may affect the health of the people living there.
Boundaries:Does the neighborhood have a name? are there sub-communities? Are there Boundaries–economic,
man-made, and industrial?
Housing:Age of homes, style, size of lots, single or multifamily dwellings, signs of disrepair, vacant buildings?
Environment: Does the neighborhood show signs of decay?Is there trash, abandoned cars, poor drainage?
Are streets in good repair?Are their sidewalks?
Schools: Locate the elementary, secondary and high schools.Are there other facilities for advanced education
or training?
Stores: What supermarkets or neighborhood stores are nearby?How do people travel there?What other types of
shopping services are seen?
Parks and Recreation:Do you see areas within the neighborhood?Who uses it?What seem to be the
neighborhood hangouts?
People: What people do you see on the streets?What race/ethnic/social groups are prominent?How are the
people dressed?What are they doing?
Health and Social Services:Are there social agencies, clinics, other health care providers?How far do residents
travel to obtain these services?
Protective Services:How accessible are fire and police protection to the area?Do residents feel that they are protected?


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