Addresses the issue of drug-exposed infants from the perspective of a reproductive rights attorney. States genuinely interested in promoting healthy children will stop ignoring women or treating them as potential child abusers and will change the current punitive legal focus to a focus on treatment. (SLD)

Reports on efforts to redesign medical geography courses taught to undergraduate and graduate students. Describes the author's participation in a curriculum development seminar that focused on current research on women and other underrepresented groups. (CFR)

Lung cancer is a serious health problem among blacks, with a mortality rate of 119 per 100,000 black males, compared to 81 per 100,000 for white males. Smoking cessation efforts are most successful when tailored to the black community, using black community networks and broadcast media for black audiences. (SLD)

The mental health resources available in American Indian communities fall far short of the demonstrated need, especially for Native American adolescents. The Indian Health Care Amendments of 1990 and 1992 are reviewed, and recommendations are made to facilitate community-based programs for American Indians. (SLD)

Over 150 years, public and professional awareness of child sexual abuse has emerged and been suppressed repeatedly. Research now indicates the prevalence of sexual abuse and its injurious impact on human development, but in the contemporary mental health professions, courts, and media, a backlash has emerged against the latest discovery of child…

A survey was conducted of 193 directors of agencies providing home visits as part of early intervention programs for infants and toddlers with disabilities. Findings indicated limited coordination with hospitals, medical specialists, and mental health services; insufficient compensation for service coordination efforts; and state support to…

Mental health consumer-run organizations are alternatives to mainstream mental health services, and they have the dual focus of supporting members and creating systems change. The existing literature suggests that these organizations have beneficial impacts on social support, community integration, personal empowerment, subjective quality of life,…

This article examines two programs chosen by the Early Head Start National Resource Center (EHSNRC) Pathways to Prevention (PTP) initiative to participate in a study of their mental health services. Both Wyoming's The Learning Center and Colorado's Developmental Opportunities found that working with the PTP mental health consultant catalyzed…

The need for system reform for child and adolescent mental health services, long recognized as a vital issue, continues to challenge mental health professionals. While past legislation has not adequately addressed the issues, the 2003 President's New Freedom Commission may begin to reorient mental health systems toward recovery. Supported by this…

Most older adults diagnosed with a mental disorder receive treatment in primary care settings that lack personnel skilled in geropsychological diagnosis and treatment. The Ferkauf Older Adult Program of Yeshiva University endeavors to bridge this gap by providing training in geriatric psychology, through coursework and diverse clinical practica,…

This article describes the development and use of a norm-referenced instrument called the Healthy School Indicator Tool (HSIT) that was designed to assist educational professionals monitor their progress in addressing critical health issues in schools. Factor analyses of two administrations of the survey indicated a stable factor structure. In…

Objective: The School Site Needs Assessment instrument was designed to provide a multidimensional environmental scan of potential need for mental health services in classrooms and schools. Method: Items of the instrument covering various academic, social, and mental health domains were developed based on analysis of previous case management…

When suicidal behavior is reported, student affairs officers on many campuses notify parents as one component of a multifaceted campus suicide prevention plan. In response to proposals to mandate parental notification, the author argues that practical considerations warrant against expanding state laws to require notification following campus…

Objective: To survey teachers' beliefs about mental health service needs in inner city elementary schools. Method: A total of 119 teachers from six elementary schools in a major city in the midwestern United States were surveyed to assess their beliefs about the major mental health problems facing their schools, the major barriers to surmounting…

Hurricane Katrina resulted in a disaster of proportions not previously known in the United States. The traumatic experiences of children and families during Hurricane Katrina, the flooding that resulted from the breach of the levees, the evacuation, and the aftermath are unprecedented. In responding to the enormous mental health needs of children…