When a survey of students at Eisenhower Middle School in Everett, Washington indicated that they spent a good part of the school day feeling tired and hungry, that they felt unsafe in some areas of the school, and that worn-down facilities left many of them feeling depressed, the author and his staff concluded that, in order to improve the…

Presents an ethnographic analysis of the Puyallup Indian urban tribal health care system with emphasis on mental health issues. Merges anthropological theories and perspectives with the practical experience of providing culturally sensitive care within a multifaceted bureaucratic environment. Contains 146 references. (SV)

Many adolescents' health problems arise from preventable behaviors, such as unprotected sexual intercourse and the use of tobacco, alcohol, and illicit drugs. The 1992 Washington State Survey of Adolescent Health Behaviors (WSSAHB) was created in order to collect information on a variety of health behaviors among students in the state of…