“…Examples of GSL programs are health clinics conducted by United States nurses and doctors in a poor community in Kingston, Jamaica (Walsh, 2004) and immersion placements in developing countries, such as Ecuador (Bentley & Ellison, 2007) and Nicaragua (Kollar & Ailinger, 2002;Riner & Becklenberg, 2001). Examples of local initiatives include health care programs among low-income families (Hamner, Wilder, & Byrd, 2007) and community-dwelling seniors (Lutz, Herrick, & Lehman, 2001), developmental screening services for at-risk youth (Kushto-Rees, Maguire, Silbert-Flagg, Immelt, & Shaefer, 2007), a health needs assessment service in a homeless family shelter (Hunt & Swiggum, 2007), a school health service for low-income, neighborhood grade school children (Lough, 1999), and a school-based adolescent health promotion program for economically disadvantaged black and Hispanic communities (Juhn et al, 1998).…”