This report describes and evaluates a program to improve the dental health of Hispanic migrant children in a Los Angles County school district. Difficulties in providing dental health care to this population included the high cost of dental care, limited access to dental services, poor nutrition, and lack of parental involvement. The 3-month…

There are an estimated 80,000 Hmong refugees now living in the United States. This paper identifies some of the barriers that have delayed or hindered Hmong access to health services in the United States. The following barriers are discussed: (1) physical barriers, including language and interpreter barriers; (2) cultural values, including beliefs…

In recent years, state Medicaid programs have implemented significant change and innovation in delivering health and behavioral health services. Prepaid capitated financing and the provider networks created by Medicaid managed care expansions have altered systems of medical and mental/behavioral health. Most children in foster care receive…

This report describes the Hispanic population in the United States. Data come mainly from the U.S. Census Bureau's 2000 Census and the March 2000 Current Population Survey and Report on Hispanics. Six sections include: (1) "Introduction" (overview of the U.S. Latino population, translating the data, and the U.S. agenda for Hispanics); (2) "Strong…

This report presents data on Asian and Pacific Islander Americans (APIAs), focusing on California. It discusses: who APIAs are; nativity and citizenship; residence (nearly all APIAs reside in metropolitan areas, particularly California); educational attainment (because of the model minority myth about Asians, APIA children are deprived of…

This publication summarizes key findings and themes from interviews conducted in 1998 with representatives from 12 states regarding the State Children's Health Insurance Program (CHIP). The CHIP helps meet the complex health care needs faced by low-income, uninsured adolescents, including those with special needs. The report also examines key…

In 1995, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 25 projects to provide direct primary and preventive health care services to rural residents in 20 states. The grant program allows recipients to test innovative ideas against persistent problems of rural health care, such as provider shortages,…

In 1996, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 25 projects to provide direct primary and preventive health care services to rural residents in 20 states. The grant program allows recipients to test innovative ideas against the challenges of rural health care delivery, such as provider shortages,…

In 1997, the federal Office of Rural Health Policy awarded 3-year outreach demonstration grants to 45 projects to provide direct primary and preventive health care services to rural residents in 28 states. The grant program allows recipients to test innovative ideas against the challenges of rural health care delivery, such as provider shortages,…

The "Getting Ahead of the Need: Comprehensive Counseling for Elementary Schools" grant was awarded by the Safe and Drug Free Schools Program through the U.S. Department of Education to improve elementary school counseling prevention and intervention services offered in the Austin Independent School District. This report summarizes…

Although blocked by a preliminary injunction, Proposition 187, also known as the Save Our State Initiative, would ban nonemergency health care, schooling, and other social services for illegal immigrants. Since its passage by the citizens of California in 1994, several states, such as Arizona, Washington, Oregon, and Florida, have begun to…

Identifies health risks and other factors that determine the need for health care services among children and adolescents. Recommendations are made to develop reforms through a coordinated care program rather than through competing systems of services. Models for community-based health care monitoring and coordination exist in other industrialized…

Reviews evidence about health care resources currently available to children and pregnant women in the United States. Evidence suggests that the maldistribution of resources remains a serious threat to health care access for women and children at greatest risk of adverse pregnancy outcomes and child morbidity and mortality. (SLD)

Examines changes in children's health insurance status and utilization of health services in the past decade, using 1977 National Medical Care Expenditure Survey data and 1987 National Medical Expenditure Survey data. Policies that could reduce the number of uninsured children (mandated employment-related coverage and incremental Medicaid…

Although Asian Americans are the fastest growing ethnic minority group in the United States, relatively little is known about the health risks and morbidity of different Asian-American groups. A national survey (National Health Interview Survey) is needed to clarify the health risks of major Asian-American subgroups. (SLD)