Asthma is the leading chronic health condition among children in the United States and a major cause of childhood disability. It also disproportionately affects low-income and racial and ethnic minorities. Although a wide range of interventions have been implemented to improve asthma-related outcomes among socioeconomically disadvantaged and…

This report examines how communities and groups can shape the content of health services to bring more comprehensive health services to poor children and families. The report is based on a study of 11 comprehensive primary care programs and systems some of which offer school-based services: 4 freestanding community-based programs, 4 local systems…

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…

This report focuses on Medicaid and the State Children's Health Insurance Program (SCHIP) for low-income, uninsured children. It examines the 2000 National Survey of American Families data, concluding that in 2000, over half of all children and about 90 percent of low-income children were eligible for Medicaid or SCHIP coverage. Nearly 70 percent…

This report focuses on Medicaid and the State Children's Health Insurance Program (SCHIP) for low-income, uninsured children. It presents data from the 1999 National Survey of America's Families (NSAF), which indicated that 72 percent of eligible children without any other coverage were covered by Medicaid in 1999, leaving over 4 million…

Context: Founded in 1971 with state funding to increase the number of primary care physicians in rural Minnesota, the Rural Physician Associate Program (RPAP) has graduated 1,175 students. Third-year medical students are assigned to primary care physicians in rural communities for 9 months where they experience the realities of rural practice with…

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.…

The State Children's Health Insurance Program (CHIP) was designed in 1997 to support working families by providing affordable, quality health coverage for their children in an efficient, effective, and coordinated way. This report examines the progress made in implementing CHIP nationwide. Information sources included the following: (1) federal…

This article presents a conceptual framework that was developed to guide a national evaluation of the American Legacy Foundation's (Legacy) Statewide Youth Movement Against Tobacco Use (SYMATU) program. This program was designed to develop youth-led, youth-directed initiatives within local communities. Two evaluation studies were designed and…

Meeting nutritional needs of children in West Virginia is vital to the state's economic development. A malnourished, uneducable population will be unemployable in a high tech society and the state cannot afford custodial and welfare costs resulting from childhood malnutrition. Evidence of nutritional need in West Virginia includes low rate of…

Discusses factors affecting the ability of states and local programs to seek and secure reimbursement for occupational and physical therapy services in early childhood programs. Cost concerns in early childhood are addressed, and strategies for ensuring programmatic success in securing reimbursement for such services are presented. (Author/CR)

An important and widely noticed trend among health professions and occupations in the 1970s has been the increasingly widespread use of credentialing mechanisms. These mechanisms are intended to ensure that health services are provided adequately and with at least a minimum degree of competence. This report is intended to enhance and broaden…

This report covers the risks to health, safety, and emotional well-being for infants and toddlers in child care settings, and examines opportunities for diminishing those risks and promoting healthy development. Part 1 examines the risks of poor caregiving practices, including the spread of infectious disease, the incidence of injury, and the…

Describes health problems experienced by the 12,000 migrants in New Jersey. Illustrates the needs for more attention and resources from the medical community. New Jersey programs, including school health services, are relatively advanced in protecting the rights and health of migrant workers, but a lack of resources limits the delivery of…

The Delaware Advisory Committee to the United States Commission on Civil Rights examined housing, employment, and health among the state's more than 1,500 migrants. Committee findings indicated: (1) there is no accurate count of migrants in the state or migrants in need of housing on a seasonal basis; (2) Delaware has pursued an aggressive policy…