The paper demonstrates that fee schedules have quite large cost-reducing effects, that utilization rates are responsive to the availability of physicians, and that non-whites use fewer Medicaid-financed services than whites. (Author)

This document contains witness testimonies and prepared statements from the Congressional hearing called to examine issues involved in maintaining and strengthening Medicare Health Maintenance Orgranizations (HMO). Opening statements are included from Representatives Edward Roybal, Matthew Rinaldo, Mario Biaggi, Don Bonker, Robert Borski, Louise…

Examines how student health care in a K-8 Title I district functioned overall and how school administrators interacted with on-campus health care providers. Minorities received inadequate care. Administrators did not routinely associate students' health with their school performance and were not adept at assisting providers. (Contains 65…

Veterans' policies and programs are examined by a task force of the Twentieth Century Fund. Part 1, the report of the task force, includes sections on the rationale for veterans benefits, recommendations for further benefits and programs, and a dissenting opinion by one task force member. Recommendations are summarized into five basic areas: (1)…

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)…

For decades, empirically tested youth interventions have prevented dysfunction by addressing risk and ameliorated dysfunction through treatment. The authors propose linking prevention and treatment within an integrated model. The model suggests a research agenda: Identify effective programs for a broadened array of problems and disorders, examine…

The development of a model for treating acutely depressed patients on a frequent basis in an independent practice setting is described. Strategies to collaborate with managed care organizations, employee assistance programs, and local provider networks to recruit these patients are outlined. The patients treated in the intensive outpatient program…

This report of the National Council on Disability (NCD) examines root causes of the crisis in mental health, specifically the dysfunction of fragmented public systems charged with providing mental health services and supports for children, youth, adults, and senior citizens diagnosed with mental illnesses. Following an introductory chapter,…

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…

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…

Data were gathered from all state Medicaid programs, 11 health insurance carriers, and 140 firms offering health insurance to employees, concerning coverage of various services needed by young children with disabilities, including ancillary therapies, mental health services, and case management. Results revealed that Medicaid offered the greatest…

Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…

The population surveyed consisted of all cases referred to the Social Service-Mental Health Section of the El Rio Santa Cruz Neighborhood Health Center (NHC) from June to October 1971. The NHC provides comprehensive mental health services to the predominantly Mexican American Model Cities area of Tucson, Arizona. The principal contact person at…

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 summary report from a 3-year research and demonstration project describes the framework, methods and materials used by the University of Michigan-Ann Arbor Early Periodic Screening Diagnosis and Treatment (EPSDT) Day Care Project. The project served approximately 750 children and their families through day care centers and family day care…