Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

Improvement in health service delivery and health education was made in La Plata County, Colorado, by hiring seven health aides and a nurse-health coordinator to run a fifth- and tenth-grade health course involving physical exams, field trips, classroom instruction, and inservice training of teachers. (MB)

Service integration attempts to provide coordinated service delivery systems for the uncoordinated mix of programs such as income support programs (food stamps, Medicaid, and Temporary Assistance for Needy Families) and employment, child care, child welfare, and training programs that exist at the local level throughout the United States by…