Until recently, teen pregnancy and birth rates had declined steadily in the United States in recent years. Despite these declines, the United States has the highest teen birth rate and one of the highest rates of sexually transmitted infections (STIs) among all industrialized nations. To help young people reduce their risk for pregnancy and STIs,…

Until recently, teen pregnancy and birth rates had declined in the United States. Despite these declines, U.S. teen birth and sexually transmitted infection (STI) rates remain among the highest in the industrialized world. Given the need to focus limited prevention resources on effective programs, Advocates for Youth undertook exhaustive reviews…

We searched nine electronic databases for randomized controlled trials (RCTs) about care at the end of life and found 23 RCTs. We assessed their quality using the criteria of the Cochrane Collaboration. The RCTs researched three themes: (a) the effect of providing palliative care through dedicated community teams on quality of life, on the…

Health promotion redirects thinking about health by: reasserting its social and political aspects; ensuring the people the power to define their own health concerns; and placing health more clearly in the context of other aims in life. This compilation of 41 articles in 8 sections attempts to document this process of redirection of thought. The…

Federal block grants and consolidated programs related to poverty reduction may compel states to streamline administrative structures and approaches that have deterred collaboration in the past. This report considers the block grant environment in making key policy recommendations for reducing poverty in rural areas, formulated during a Pathways…

This guide is for parents of children with disabilities who require the help of a machine or device for some life-sustaining activity such as breathing or eating. Following an introduction, chapter 1 is on preparing for the child's return home including parent training, community-based services, and obtaining funding for home care. Chapter 2, on…

This document provides guidelines for communities interested in developing public cholesterol education and screening programs. It contains information to use in considering a program and protocols to follow in conducting a program that meets standards established by the National Cholesterol Education Program. An introduction summarizes content.…

This curriculum was designed to train approximately 250 community health representatives (CHRs), to teach visually impaired and blind Indian elders and their families necessary independent living skills. The curriculum aims to sensitize CHRs to the impact of visual impairment upon elderly persons and their families, and to provide basic…

This document begins with a checklist of 13 behaviors that people with learning disabilities may exhibit. It includes a guide for assessing the problem and a list of 27 publications, 15 national organizations, 5 national clearinghouses, 6 sources of basic/remedial education, sources of education and training opportunities and financial aid, 13…

For certain groups of the mentally ill, most notably individuals with serious mental disabilities, the community-based mental health system can be more of a "non-system." Unforeseen problems have plagued both the dream of deinstitutionalization and the effectiveness of community mental health centers during the last 20 years. Uncoordinated…

This presentation describes a home visiting health education program serving Mexican and Mexican-American migrant farmworkers in Florida. The purposes of the program were to educate farmworker families about pregnancy, childbirth, nutrition, and child development, and to encourage the use of preventive health care services. Home visitors were…

Discussed are attempts made by staff at the Community Mental Health Center of the New Jersey School of Medicine to develop an ongoing working relationship with pediatric neonatologists, house staff, and nursing staff in order to promote their attunement to mental health needs and obtain access to their expertise. After a description of the center…

The School Health Demonstration Program (SHDP), undertaken in 1981, is a coordinated effort by the New York State Departments of Health, Education, and Social Services to provide direct health care, health promotion/illness prevention, and health education to children from low income communities with inadequate access to primary health care…

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)…

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…