But Dr. Smitherman advised against the program being directed by the students, rather than the community. You work with the community leadership. Their leadership should develop and own the educational program. Urban health is influenced considerably by behavior and environmental conditions - social, economic, and religious. The medical model alone is inadequate.
Health is more than the provision of medical services.
You cannot stop youth violence through the medical model alone. Yet, urban practices are filled with patients who present the after-effects of violent injury. You can't motivate a person. People motivate themselves. You provide the support.