It is widely estimated that approximately 25% of school age youth face mental and behavioral health challenges. The vast majority of these youth are insufficiently treated, leaving them vulnerable to negative school outcomes such as attendance, behavioral, and academic problems. One common barrier to treatment is a lack of access to appropriate…

Reducing health inequalities is a key priority for the Scottish Government. Health authorities are expected to meet quality targets. The involvement of people with learning disabilities in health service review teams has been one of the initiatives used in by National Health Service Quality Improvement Scotland to empower patients and improve…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

When Western Wisconsin Technical College created the Health Benefits Improvement Team, they had no experience with the complexity and ever-changing demands of health care and its associated costs. See how they've embraced their mission and are changing the way business is done in their community.

Following the World Trade Center (WTC) attacks, an extensive screening survey was undertaken to assess mental health needs of New York City's school-age children. This survey demonstrated that as many as 75,000 children in New York City (10.5%) had symptoms of posttraumatic stress disorder (PTSD) and high percentages of children reported other…

In 1985, the New York City Health Care for the Homeless Program began providing health care and social services to homeless people. The program seeks to provide care to those homeless people with the least access to services, reaching out to them in soup kitchens, shelters, and hotels. This paper summarizes what has been learned since 1985 about…

For potential grant applicants and for the general public, the booklet describes the programs of the six Public Health Service agencies in the American health care system. Each program is described concisely in terms of: its purpose and legal basis; applicants' eligibility for grants and the basis for their award; the special requirements made of…

This paper provides a synoptic review of student health services at the community college level while giving a more detailed description of the nature of health services at Orchard Ridge, a campus of Oakland Community College. The present College Health Service program provides for a part-time (24 hrs./wk.) nurse at Orchard Ridge. A variety of…

Describes two health programs giving attention to the rural population: the Rural Health Initiative Program, focusing on primary health care, and the Health Underserved Rural Areas Program, which seeks to demonstrate how public and private agencies can work together to alleviate the shortage of health care services in underserved areas. (Author/RK)

This second volume of the 1981 Report of the Select Panel for the Promotion of Child Health presents an examination of selected federal programs affecting maternal and child health and proposes detailed recommendations for federal legislative, regulatory, and other administrative improvements. Five federal programs, identified by the panel as…

Breakthroughs in science and social organization could soon be helping to save the lives of half the 40,000 young children who now die every day. They could also prevent several million children a year from becoming mentally or physically disabled. To achieve these goals, local successes showing that a child health revolution is possible must be…

The Geriatric Assessment Unit (GAU), which has proven successful in urban areas, may be a viable system for providing health care to the elderly in rural areas. GAUs engage in assessment, follow-up response to findings, education, and research. The assessment component includes, at minimum, physical health, functional ability in activities of…

This paper presents the hospice as an alternative method of caring for the dying, with emphasis on bereavement follow-up care of the family. Components of this approach are described in terms of: (1) the delivery of care through a physician-directed team supported by nurses, social workers, pastors, volunteers, and consultants; (2) the maintenance…

This paper provides background information on existing refugee health policy as spelled out in the Refugee Act of 1980, consideration that issues in health and health care have received, and significant program development that has occurred in addressing health care problems. Following the introduction, Section II describes the following: (1)…