Emerging research tests the impact of United States Medicaid home and community-based (HCBS) waiver policy on outcomes for people with intellectual and developmental disabilities; however, this body of work has yet to be synthesized. We conducted a scoping review to establish what is known about the impact of Medicaid HCBS policy on the lives of…

Purpose: The present article provides a narrative review of Australia's approach toward acquired brain injury (ABI) and proposes how Australia and the United States can collaborate to improve service delivery for persons with ABI and their families with epidemiology, healthcare, prevention, research, and training. Method: A narrative review of…

The concept of community schools can be traced back to the early 20th century when industrialization, immigration, and urbanization were rapidly increasing, and public schools in cities were struggling to meet the social and civic needs of students from low-income families. In the 1960s and 1970s, advocacy groups promoted community schools as a…

This article compares state expenditure data to see how the operating budgets of public community colleges specifically, and public higher education institutions generally, have fared over the past 30 years. Data from the National Association of State Budget Officers (NASBO) have long tracked major state expenditure categories, including the…

Through the Trade Adjustment Assistance Community College and Career Training (TAACCCT) grant program, the federal government charged community colleges across the country with two things: training adults who had lost their jobs so they could regain employment and providing the education needed for those still working to be able to move up career…

Context: The Veterans Health Administration (VA) provides comprehensive health care services to veterans across the United States. Recently, the VA established an Office of Rural Health to address the health care needs of rural veterans. Purpose: To review the literature on rural veterans' health care needs in order to identify areas for future…

The articles in this journal issue provide an overview of ways in which health services are presently delivered to children, youth, and pregnant women; the means by which these services are financed; and some of the major deficiencies in meeting the health needs of these groups. In the first article, the Center for the Future of Children presents…

Presents 11 recommendations related to improving child health that are based on a synthesis of 58 research reports published 1988-92. Suggests that the development of policies that reduce inadequate health care for women and children, unintended pregnancy, deficient education, and poor nutrition will ultimately improve the life circumstances, and…

Nonmetropolitan and totally rural areas have greater unmet health needs and fewer health resources than urban areas. Blacks, American Indians, migrants, and Appalachians have specialized rural health care needs as a result of cultural isolation, poverty, and discrimination. The reversal of the rural to urban population migration has increased the…

This paper, on the health hazards of cold weather for elderly persons, presents information from various sources on the death rates in winter throughout the United States. After reviewing the scope of the problem, specific health hazards associated with cold weather are discussed, i.e., hypothermia, fires, carbon monoxide poisoning, and influenza…

The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

This report of the Health and Human Services Department Task Force on Alzheimer's Disease addresses nine main areas in a problem-oriented approach aimed at better defining research needs and options as well as training, service, and policy issues relevant to Alzheimer's disease. Individual chapters deal with research in the areas of epidemiology,…

Reviews the basic decisions states must make when implementing State Children's Health Insurance Program (CHIP) programs and reports on the decisions states participating in this federal program have made, as reflected in the plans they submitted to the Health Care Financing Administration. Sources of information about the program are included.…

This article traces historical attempts to form a comprehensive child mental health policy in the United States and discusses the latest unsuccessful attempts at the creation of such a policy through the managed behavioral healthcare revolution and the Child and Adolescent Service System Program and Child Mental Health Services initiative.…

This report inventories the U.S. federal government's current expenditures of resources for international health and considers ways of better resource utilization and coordination. Presented in eight chapters, the report considers three major issues: (1) how governmental and multilateral development strategies could be reoriented to affect health,…