Analyzes implications of the birthrate for teenage mothers, and examines the limitations of key statistical indicators. Evidence suggests that the rate of childbearing among U.S. teens may be increasing after a decade of stability. To deal with this effectively, it may be necessary to enhance life options of teenagers. (SLD)

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)

Factors contributing to the gap between white health status and black health status include the following: (1) a lack of culturally sensitive health information; (2) denial by blacks of early warning signs of disease; (3) delays by blacks in seeking care; and (4) decreased access of blacks to high quality health care. (SLD)

Black-white differences in infant mortality rate are examined for 38 large metropolitan statistical areas for 1982 through 1986. The most important difference predictor was a "segregation index" (residential dissimilarity) apparently independent of variation in median family income and poverty prevalence but possibly reflecting…

Social ecological theory, social-work community organization models, and health-promotion models are brought together to address ways to generate change at the individual and policy levels, and to provide guidance for community health-promotion programs. An eight-year cancer-prevention project is presented as a case study. (EMK)

A community-based, drop-in, self-help wellness center representing an empowerment approach to developing culturally appropriate health promotion for black women is described. The program, affiliated services, and jointly sponsored programs are reviewed. Relationships with supporting organizations, strengths and pitfalls of the model, and program…

Suggests that distancing is the dominant response to poor people by those who are not poor and that distancing, separation, exclusion, and devaluing operationally define discrimination. Examines U.S. classism in the context of theoretical propositions about the moral exclusion of stigmatized others. Describes cognitive, institutional, and…

The present study addresses the question of equality of access, as it relates to waiting time for specialised mental health treatment for children and adolescents. The aim was to investigate whether demographic, clinical factors and service-related factors were associated with waiting time. Data was based on a documentation system in which all…

The goal of this article is to review the experiences of some of the African-American and Latino families who participated in the Treatment for Adolescents With Depression Study (TADS). The importance of this article derives from the historical and current inequities in mental health care for families of color. We describe the attempts within the…

General practitioners (GPs) from the Australian state of Victoria and support people were surveyed about their concerns and priorities for meeting the health care needs of people with developmental disabilities. Despite the poor response rate (22% and 27%), sampling adequacy was obtained, and the tools were found to have construct validity.…

Children from low-income families are more likely than other children to have serious health problems. And, as Anne Case and Christina Paxson show, childhood health problems can prevent poor children from achieving economic success as adults. Income-related disparities in childhood health are evident at birth or even before, and the disparities…

This report identifies barriers to developing livable communities and sheds light on potential methods for overcoming these barriers. It identifies and highlights multiple strategies that may be applied to the design and support of livable community principles. The identified strategies have been initiated by federal and state government agencies…

The present study documented and evaluated steps taken by public mental health administrators to recruit members of underrepresented ethnic minority populations into treatment. By surveying county-level ethnic program specialists in the decentralized California state system, the study identified strategies considered effective for reaching African…

"Data Trends" reports present summaries of research on mental health services for children and adolescents and their families. The article summarized in this "Data Trends" discusses research on mental health care utilization among young children, up to age seven, in a low-income urban setting. Overall, the study indicates that…

Thomasgard, a physician, and Warfield, a psychologist, describe the multidisciplinary Collaborative Peer Supervision Group Project, originally developed and implemented in Columbus, Ohio. Collaborative Peer Supervision Groups (CPSGs) foster the development of case-based, interdisciplinary, continuing education. CPSGs are designed to improve the…