During the past three decades, there has been an increase in knowledge about early childhood development. Early experiences can function as either risk factors or protective factors for a child's future health and development. This has led to concern about how current health systems contribute to the quality of the earliest experiences of life.…

This report, prepared by the National Clearinghouse for Drug Abuse Information, discusses the Free Clinic Movement--its philosophy, characteristics, background, and problems. The Free Clinic Movement developed because the existing health care system was not providing services to a large number of racial, philosphical, and cultural minorities due…

The Public Health Service's problem in personnel recruitment led to the inception of the Career Development in Global Community Health (GCH). The first group of fellows was enrolled in 1968. Component One traces the history and development of the program. It represents a comprehensive program history between 1966-1972, examines the adherence of…

This report focuses on the Brandeis Health Fair. In June, 1970, Mrs. Lily Fleming, a young black woman was assigned by the New York Life Insurance Company to serve as a full-time project associate in the Brandeis High School partnership program sponsored by the Economic Development Council (EDC) of New York City. Soon after arriving at Brandeis,…

Provided are guidelines on administration, diagnosis, and treatment in federally funded EPSDT--Early and Periodic Screening, Diagnosis, and Treatment Programs, a system for providing health care services to Medicaid-eligible children. Detailed in part one are factors involved in developing EPSDT programs. Four chapters consider the need for EPSDT,…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

The delivery of services in a health maintenance organization (HMO) provides many opportunities for innovation. There is a growing awareness that many outpatient medical visits are related to psychological or social needs. Because of the economic incentive for HMO's to reduce inappropriate utilization, psychologists and psychotherapists will play…

This report outlines ways in which health education strategies can be developed within an ambulatory care center and how they can be implemented to optimize their effectiveness and efficiency. Section 1 describes a program planning model for use in the development of health education programs. Sections 2 through 5 trace the consumer through four…

This paper describes the development of clinical programs for the psychiatric needs of refugees. It begins with a discussion of the known psychiatric epidemiology of immigrants and refugees: the increased likelihood of depression, schizophrenia, reactive psychoses from trauma, and organic or psychophysiological disorders. Barriers that refugees…

A Critical Health Manpower Shortage Area (CHMSA) is a medical service area that has inadequate opportunities for access to medical care, mostly primary care (the first line encounter which diagnoses and treats sick or injured people). Most CHMSA's are located far from large population centers. Six hundred seventy three CHMSA's are found in…

Proceedings of a 1984 workshop on the roles of U.S. colleges in community health care are presented. The objective was to identify common aspects of the experiences of a sample of U.S. colleges that might be relevant to providing health service programs that are in accord with the World Health Organization (WHO) initiative of Health for All by the…

This report is designed to support the planning and implementation of the Maternal and Child Health Bureau (MCHB) State Early Childhood Comprehensive Systems (SECCS) Initiative. It addresses a set of principles that these agencies can use to advance their planning process, reach out to new partners, develop collaborative strategies, and build a…

In 2003, the Maternal and Child Health Bureau (MCHB) released a "Strategic Plan for Early Childhood Health." In recognition of the critical role states play in the development of early childhood initiatives and of the unique contributions that state Title V programs can make to these initiatives, the Bureau operationalized their…