This study examines the location of British health visiting in contemporary policy discourses concerned with public health and safeguarding children. It argues that professional identity and orientation can be understood through health visiting's long history of public health work with children and families, which has included an engagement with…

The Safe Schools/Healthy Students (SS/HS) Initiative offers a unique opportunity to conduct large-scale, multisite, multilevel program evaluation in the context of a federal environment that places many requirements and constraints on how the grants are conducted and managed. Federal programs stress performance-based outcomes, valid and reliable…

The Nutrition and Malaria Control for Child Survival Project is a community-based growth promotion project that utilizes Community Health Workers (CHWs), referred to as Community Child Growth Promoters (CCGPs), as the principal change agents. The purpose of this study was to identify perceptions of key stakeholders about the project and the role…

Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

This paper contains preliminary findings from a 1989 survey of over 400 rural health programs serving chronically ill, handicapped, or high-risk children. Respondents identified major problems affecting service delivery. Follow-up research is continuing, but present data indicate that transportation problems, for both clients and staff, will…

The process of describing existing services for American Indian and Alaska Native children with serious emotional disturbance by the Circles of Care strategic planning initiative is overviewed. We explain why service system description is important and how it helped define the role of evaluation within the initiative. Primary goals and…

Purpose--The purpose of this paper is to explore the efficacy of a community-based outreach initiative, piloted in Worcester, Massachusetts, to reduce children's exposure to toxic chemicals in common household products by changing parental behavior regarding product purchase and use. Design/methodology/approach--The program model was based on the…

Targeted at all professionals working in the area of child health, this book aims to consolidate information and place it within the theoretical frame of "community child health." Part 1 focuses on the community and the changes within it which have resulted in macro- and microenvironmental influences on child health outcomes. It also…

In 1969, the Joint Commission on the Mental Health of Children made several recommendations based on the conclusions in their report entitled "Crisis in Child Mental Health: Challenge for the 1970's." These recommendations included formation of a child advocacy system at every level of society; the development of supportive, preventive,…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

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…

Hearings were held concerning community-based mental health services for children. In an opening statement, Chairwoman Schroeder discussed issues of children's mental health and suggested that the committee study: (1) the effectiveness of community-based care in a model service system in California; (2) the importance of having service systems in…

The guide is based on project reports by the San Francisco Department of Public Health to improve and monitor perinatal health and children's health. These reports demonstrated the potential of information to help community advocacy groups, service providers, and program planners identify priorities for policy decisions and resource allocation.…

The wars that began in 1991 in the countries of the former Yugoslavia caused widespread child suffering. This workshop report presents the findings from the Workshop on the Impact of War on Child Health held for doctors from Bosnia-Herzegovina, Croatia, Macedonia, Serbia, and Slovenia. The workshop's goal was to address the common interest in the…

This book presents an overview of the health, education, and care services for young children in Australia in the past 100 years. The book explores how overseas developments, changing values, economic forces, and local conditions shaped and continue to shape the services provided for young children. Chapters in part 1 cover the late 1800s. Chapter…