Starting Early Starting Smart (SESS) is an early childhood public/private initiative designed to identify new, empirical knowledge about the effectiveness of integrating substance abuse prevention, addictions treatment, and mental health services with primary health care and childcare service settings (e.g., Head Start, day care, preschool) to…

Analyzes why the current complex of social institutions and systems does not effectively serve poor children, highlighting the lack of early or preventative help for families and inappropriate organizational structure. Offers a series of five principles for a new foundation based on prevention, comprehensiveness, continuity, and accountability.…

Describes the Decker Family Development Center (DFDC) in Barberton (Ohio), while relating the difference that the DFDC's services has made to one poor family. Recounts the DFDC's establishment, funding, and current services (adult education, counseling for parents and children, and several types of child care services). (JB)

This bibliography contains 323 entries related to the provision of health care services in rural areas. The entries were derived form the AGRICOLA database produced by the National Agricultural Library and include journal articles, government reports, conference papers, Congressional hearings, and books. Entries cover such topics as community…

This document is part of a five-volume nationwide study of Nutrition Services operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. This volume contains the questionnaires used in the study. Section 1 gives a report overview and acknowledgements. Section…

Data from the first year of a developing plan to implement a bilingual/bicultural mental health service network within a large urban Latino metropolis were gathered from Manos de Esperanza, a Spanish speaking family outpatient/crisis clinic funded by the Van Nuys Community Mental Health Center. First year of planning evolved from a community…

Summaries of 89 studies on rural health care (underway or recently completed) in the United States as of December 1976 are reported. Information on each study includes: title; principal researchers' names, addresses, and professions; major objectives of the research; methodology; findings (on completed research); financing organization; current…

Major contents of this report are the four major presentations made at a workshop designed to give 200 nursing service chiefs a uniform approach for upgrading and expanding skills and knowledge relevant to achieving the mission of the Veterans Administration (VA) Nursing Service. "Facing the Future" focuses on the VA Nursing Service as…

The articles in this issue of "Focal Point" focus on the Research and Training Center's current work, which reflects the evolution of expectations for partnering with youth and families. Partnering successfully requires not only a philosophical commitment to the value, but also intentional, specific steps to redesign services and reallocate…

This report explores the impact of managed care on providing preventative mental health services to young children at risk for serious emotional disturbances (SED). The study included a sample of kindergarten and 1st grade children (n=121) at-risk for SED that were identified in two public schools. Results of the study indicated that the move to…

This is the fourth volume in a series of monographs from the Comprehensive Community Mental Health Service for Children and Their Families Program, which currently supports 41 comprehensive system of care sites to meet the needs of children with serious emotional disturbances (SED). This volume identifies the essential elements of wraparound…

Based on their master's studies in community health nursing, two nurses describe their participation in developing a plan for a local health services agency (HSA). They emphasize the need for nursing input in HSA planning and the contribution that this input can make particularly to school health care. (MF)

Reviews the status and organization of the Cuban mental health system. Focuses on the deliberate and systematic interdependence of mental health, public health, and socio-political structures; inpatient treatment modes and rehabilitation programs; use of social networks to support discharged patients; community-based care; and primary to tertiary…

The mental health resources available in American Indian communities fall far short of the demonstrated need, especially for Native American adolescents. The Indian Health Care Amendments of 1990 and 1992 are reviewed, and recommendations are made to facilitate community-based programs for American Indians. (SLD)

A survey was conducted of 193 directors of agencies providing home visits as part of early intervention programs for infants and toddlers with disabilities. Findings indicated limited coordination with hospitals, medical specialists, and mental health services; insufficient compensation for service coordination efforts; and state support to…