Assumptions	Mission/Ministry Model™	Marketplace Model™	Access Model™
Task	Ministry of reconciliation, health, healing and wholeness, process of discipleship.	Offers a commodity, service .	Redistribution, emancipation, getting legislation passed. Community process.
View of community	Defined by parish	Social problems that need to be solved	System of priviledges
Change strategy	Inside to outside. Spiritual transformation.	Outside to inside, with information and resources persons will make good decisions.	Know the enemy or oppressor and organize to exert pressure. Dilute authority.
Role of parish nurse or health minister	Steward of the faith. Enabler. Independent practice* *ANA/HMA Standards of Practice for PN	Technical expert, mobilizes resources	Activist/advocate Community/public health nurse, advanced practice
Power structure	Parish leadership	Sponsoring agency. Agency to whom outcomes are reported.	Political
Boundary	Defined by parish	Total community or segment, ie. persons with mental illness.	Deprived segments
Conception of client	Parishner or parish designated	Consumer	Victims/oppressed
Program evaluation	Transformation	Entitlement Utilization focus	Empowerment

Copyright 2000 by Sybil D. Smith