Reviews treatment needs of dual diagnosed, substance abusing and mentally ill mothers. Suggests treatment strategies and programmatic options for serving and meeting needs of these mothers and their children. Devotes particular attention to residential and continuing care services and skills-based interventions for target clients. Concludes with…

The special needs of young adults with concurrent mental health and substance abuse problems are discussed. This article presents federal initiatives and research findings, and describes state-of-the-art approaches to treatment and rehabilitation. Strategies for training mental health professionals to diagnose and treat dually disabled persons are…

Forecasts the items unions will bring to the bargaining table to launch their labor-management relationship and membership into the twenty-first century. The future will require greater cooperation and a closer working relationship between the school systems and unions. (MLF)

A superintendent who was nearly appointed New York City Schools chancellor explains the physical and mental stamina his job requires. Most school executives don't recognize job stresses leading to physical disorders, adverse effects on family life, and alcoholism. Since superintendents' demise usually centers on political/interpersonal conflicts,…

The article examines why women and young girls are predisposed to tobacco use, what gender-based variables are at play, what external variables facilitate the initiation of tobacco use, why women continue to smoke, and what intervention strategies can address females and at-risk subgroups. (SM)

Describes development and implementation of a school-based substance abuse preventive intervention "systems approach" strategy. Interventions are selected and linked to existing school program/personnel components for reinforcement based on local needs assessment survey data. Modifications are ongoing corresponding to the results of a substance…

A framework is presented for developing collaborative, community-based programs to assist substance-using women and their young children. Five types of service providers are identified: medical personnel, welfare and child protective services, illicit drug use and mental health programs, community protection services, and ethnically based advocacy…

Findings from fifth grade African-American, white, and Asian American students revealed that antisocial behavior and attitudes were stronger predictors of substance initiation for Asian Americans than for other groups. For whites, self-reported and teacher-rated behavior were significantly related to substance initiation. For African Americans,…

Studies alcohol, cigarette, and marijuana use by fourth graders in Washington, DC (n=4,675 in 1988-89 and n=4,678 in 1990-91). Lifetime prevalence of self-reported alcohol use, alcohol use without parental knowledge, and smoking more than a puff of a cigarette declined, although marijuana use and cigarette experimentation did not decline. (SLD)

A Johns Hopkins University (Maryland) medical college substance abuse education program was evaluated by nine annual student surveys (n=892 students). Significant improvements were found in student attitudes, beliefs in role responsibility, and confidence in skills during preclinical years. Clinical programs emphasizing substance abuse increased…

Drug-exposed infants are having a profound impact on the child welfare system. When community resources are not available to meet the needs of these children and families, requirements of current child welfare laws cannot be met. The range of services necessary for effective child welfare responses is discussed. (SLD)

Studies characteristics of 29 pregnant homeless women (18 African Americans, 6 whites, and 5 others). In general, respondents are young, unmarried minority group members with no income other than entitlements, who have been without a home one year or less. These women have more health problems than the average population. (SLD)

This article reviews current research on the long-term outcomes of children exposed to alcohol, cocaine, heroin, marijuana, and multiple drugs in utero. Differential intervention efforts based primarily on knowledge of a child's intrauterine exposure to drugs were unsupported by available evidence. The use of an ecological model for assessment and…

In this correlated study, researchers tested the hypothesis that adolescents who occasionally used drugs would exhibit psychologically healthier characteristics than adolescents who had been frequent users or complete abstainers. Results indicated a linear relationship between substance use and psychological health--increased drug use accompanied…

Examines the growing problem of violence in American society, focusing on the public health consequences and medical costs of firearm violence and violence against children and youths. It discusses the Clinton administration's violence prevention efforts and implications of violence for health and child care professionals. (MDM)