For two decades, school-based clinics have been providing basic health care to medically underserved teenagers and addressing the increasingly complex health and social problems facing young people, particularly unintended pregnancy. Today there are 150 school-based clinics operating in most major cities and many rural areas. In 1984, the Center…

Supportive services for early childhood education in the Philadelphia School District included four service areas: medical, dental, social and mental health. In six early childhood programs, 69-100 percent of the children received vision screenings, 44-77 percent received hearing screenings, 54-75 percent received growth screenings, and 73-84…

Current social policies for the elderly are intended to assure a better standard of living, promote adequate medical treatment, and assure safe and clean housing, but they have unintended consequences. It is argued that these social policies serve to keep older people in a state of dependency, poverty, and segregation. Some social policies may be…

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)…

The executive summary is the first section of this final report of the evaluation of the ATS-1 medical communication system in Alaska. The second section introduces the background of these studies and the sociogeographic setting and health situation of the Alaska natives. The third section presents the main research findings about both the…

This report details the history and characteristics of the Health Start program, explains the evaluation design and methodological problems in the study, describes the background and health characteristics of approximately 10,000 children enrolled in the program, and delineates the conclusions and recommendations emerging from the evaluation. Data…

The final report of the Health Start evaluation of the second year program is presented in three separate documents. This paper presents an overview of the Urban Institute's evaluation of the Health Start program and covers two broad areas: health service coordination and health service delivery. The two major questions for the 1972-73 evaluation…

Purpose: We sought to determine whether participants in the Program of All-Inclusive Care for the Elderly (PACE) with an informal caregiver have a higher or lower risk of nursing home admission than those without caregivers. Design and Methods: We performed a secondary data analysis of 3,189 participants aged 55 years or older who were enrolled in…

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,…

This is the executive summary of the final report on the first year evaluation of the Head Start/Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Collaborative Effort, a demonstration program initiated by the Office of Child Development (OCD)/HEW in 1974. In initiating the program, OCD/HEW set forth the following objectives:…

This book contains seven papers prepared for a 1975 conference which addressed the progress and setbacks experienced during the first decade of the War on Poverty. Included with each paper are two commentaries by conference discussants. The seven papers deal with issues such as the origins of the War on Poverty, its education, health, and…

This is a non-technical report based on the final report of the first year evaluation of the Head Start/Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Collaborative Effort, a demonstration program initiated by the Office of Child Development (OCD)/HEW in 1974. The report presents and analyzes data collected during the first…

The relationship between a 4-group (control and low- through high-intensity intervention) health promotion intervention program and subsequent medical costs was analyzed for 1,188 employees in a California utility company. Results suggest strong associations between health promotion interventions and subsequent reduction in medical care costs,…

This report describes (1) the development of a comprehensive and interdisciplinary approach to early health assessment and follow-through for 750 children in day care centers and family day care homes, and (2) training and consultation provisions for day care staffs to aid children and their families. Objectives of the three year project were to…

Ten parallel human service agencies (five urban and five rural) were compared to identify variations in the service delivery system and to compare the costs of service provision. The agencies responded to approximately 36 questions covering eight major areas and were compared and contrasted, urban versus rural, according to the type of agency. All…