Reports on the development and implementation of a network of trainer-change agents to improve the quality of services delivered by a state mental health system. The conceptual framework and the central change effort, a training-of-trainers strategy, are described in detail. (SK)

The International Year of the Child is a UNICEF coordinated activity. Suggestions for heightening public awareness of the wide range of problems facing children are offered at the local, national, and international levels with specific activities underway in the field of health education highlighted. (JMF)

Native leaders are providing education and care for people with HIV despite funding cuts, ignorance about HIV, and greater tribal concern about other issues. Yet, issues are complex and include reluctance of Native Americans to be tested; lack of accurate information about HIV incidence, particularly in rural areas; misconceptions about HIV; lack…

Offering hypertension screening within the Black community in a convenient, nonthreatening environment can aid in reduction of morbidity and mortality attributable to high blood pressure in Black men. This article describes a successful pilot program which used volunteer barbers to perform on-site hypertension screening for their customers. (IAH)

The emergence of education as the best measure to counter the spread of Acquired Immune Deficiency Syndrome carries with it certain consequences for the health education profession. This article discusses 10 actual or potential consequences the disease holds for the profession. (JD)

The Minnesota Heart Health Program's Quit and Win smoking cessation contests occurred between 1982 and 1989. The contests used large prizes to encourage smokers to quit smoking. Evaluations indicated that the contests succeeded in recruiting relatively large proportions of smokers in entire communities, and abstinence outcomes were encouraging.…

Discusses communication and social construction, AIDS and San Francisco, San Francisco's gay community, and the social construction of AIDS in San Francisco. Describes three eras of HIV-AIDS prevention in San Francisco, a particular HIV prevention program, and the impact of the epidemic in San Francisco. (SR)

Notes that life care communities provide continuum of residential services to the elderly. Describes the provision of on-site psychiatric consultations to 82 individuals residing in one such community. Notes that dementia and major depression were most common diagnoses made. (Author/NB)

Describes Pasadena, California's, Young and Healthy Project, a program based on the belief that all children, regardless of income, have the right to high-quality health care and early preventive care. Funded partly by a large foundation grant, the program offers all elementary and middle school students in the district medical, dental, and…

This article reviews recent changes in the mental health system's response to children and adolescents with serious emotional disabilities, emphasizing developments in service delivery and service demonstration research and evaluation efforts. The role of research is examined in terms of its critical importance in improving the system of care for…

This article examines the relationship between an adolescent with behavior disorders, his family, and the system of care, through a single case analysis. The methodology used to collect the case record and interview data and to analyze and graphically illustrate the data are presented to demonstrate use of qualitative data in program evaluation.…

A study compared 58 patients who were deaf and 168 hearing patients at a facility serving youth with psychological disturbances. All of the children who were deaf and admitted at age 12 or younger had strong or confirmed indications of sexual abuse and 85 percent of the adolescents. Residential facilities are described. (Contains references.)…

This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This…

Children of migrant farm working families often live and learn in conditions that conspire against both health and education. At the same time, these children are as capable as any in our nation. Education and health care professionals are frequently in positions to support these capabilities and migrant families can be significant contributors to…

Cognitive tasks and concepts are used increasingly in schizophrenia science and treatment. Recent meta-analyses show that across a spectrum of research domains only cognitive measures distinguish a majority of schizophrenia patients from healthy people. Average effect sizes derived from common clinical tests of attention, memory, language, and…