The focus of this study is on the relationship between community support programs and the provision of mental health services to urban Hispanic populations, and the impact of existing public policies and future policy options on the chronically mentally ill in Puerto Rican neighborhoods in New York City. This policy analysis uses five steps. (1)…

Amid the growing concern with accountability of mental health service agencies, increased emphasis is being focused on program self-evaluation. Evaluation criteria involve systems management, client utilization, and outcome of intervention. In designing training for self-evaluation, one must deal with issues raised by the new audience of potential…

The paper describes combined public education and community mental health in a preschool educational day treatment program for seriously emotionally disturbed children. The Developmental Therapy model on which the Tacoma, Washington, program is based is described as using five normal developmental stages to facilitate treatment which stresses the…

This paper, based on a mental health consultation project in an inner city elementary school, examines the process of consultation in a biracial organization and advances four propositions about the interactions: (1) that there are black-white differences in orientation to the consultant-consultee relationship; (2) that these differences are along…

Described in this document is a five-stage curriculum model for the training of nurse practitioners which was developed through the Allied Health Professions Project (AHPP). Based on a national survey of nursing occupations, stage I of the curriculum model includes the 60 percent of activities common to all practitioners, and stage II includes the…

The goal of the Early Childhood Mental Health (ECMH) Best Practices Project in Multnomah County, Oregon, is to improve the ability of early childhood professionals and partners to support and strengthen the emotional and relational development of young children with their families and communities. This report presents the activities for Year 2 of…

In keeping with its priority to reduce the disproportionate burden of heart, lung, and blood diseases in minority populations, the National Heart, Lung, and Blood Institute has established an outreach project called Building Healthy Hearts for American Indians and Alaska Natives. This background report provides an overview of the cardiovascular…

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…

This report examines selected studies on the search for and utilization of mental health facilities among Hispanic populations and presents a framework for research on mental health services for Hispanics. Shortcomings of available data on this topic are reviewed. The research framework proposed is based on the assumption that clinical service…

This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

Discusses treatment modalities for drug-abusing women. The following are barriers that prevent women, particularly pregnant women, from getting treatment they need: (1) lack of programs admitting women; (2) lack of programs tailored to women; and (3) fear and isolation experienced by drug-abusing women. (SLD)

This article describes innovative service delivery models and clinical strategies that support the social-emotional development of young children and their families in the pediatric primary care setting. By understanding the trends affecting well-child care, early childhood providers will be better equipped to partner with their pediatric…

The mental health intervention process, which entails the 12 essential services to be offered by community mental health centers, is studied as an interactive process involving: (1) the cultural foundations within which mental health and illness are defined; (2) the range of cultural variability of Mexican American service recipients and their…

In 1989, the Children's Aid Society (CAS)--New York City's oldest and largest youth-serving organization--created an unprecedented partnership with the New York City Board of Education by developing a comprehensive response to the pressing needs of children and families in the northern Manhattan neighborhood of Washington Heights. After three…

Multiple regression and path analyses of 29 demographic, social, and psychological variables were carried out to determine those variables that influenced the use of community-based mental health services by the Hispanic elderly. The variables were classified using the Andersen and Newman framework which conceptualizes the individual's demand for…