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 document consists of two articles on sex education programs aimed at reducing sexually transmitted diseases (STDs) and unintended pregnancies among American Indians. Both articles describe the problems of unwanted pregnancies and STDs, including acquired immune deficiency syndrome. During 1987, there were more than 3,000 live births to Native…

This resource guide reflects, largely through statistical information, the status of health care in rural New York State. It is divided into five sections: (1) Demographics, Socioeconomics, and Technology; (2) Client Needs; (3) Provider Needs; (4) Designing an Integrated Rural Health System; and (5) Developing a Rural Health System for New York…

The purpose of the project was to develop an advanced, competency-based training program for residential youth service/child care workers providing services to children and adolescents with severe mental health or emotional problems. The program was designed in response to problems common to these workers in rural areas such as Kansas, including…

Cited as the largest single cause of lost work time and on-the-job fatalities for U.S. workers, motor vehicle crashes cause major nonrecoverable losses for U.S. businesses. Workplace programs to encourage employees to wear safety belts can thus help employers reduce traffic accident-related losses of work time and can substantially reduce the…

Least-cost health strategies designed to attack the world's leading causes of unnecessary death are explored. Section 1 emphasizes the value of primary health-care procedures--midwifery, maternal education on breastfeeding and weaning, vaccinations, oral rehydration of victims of diarrhea, and antibiotics against respiratory infections--in…

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…

This document is part of a five-volume nationwide study of Nutrition Service operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. This volume contains the analytic report, which presents the major findings of the evaluation. Chapter 1 gives a report…

This document is part of a five-volume nationwide study of Nutrition Services operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. This volume contains all technical appendices and is intended as a resource document. The Methodology Appendix is included…

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 monograph advances a conceptual framework for the evaluation of mental health services provided to chronically mentally ill persons by psychosocial rehabilitation programs. Evaluation mechanisms consistent with the philosophy and programmatic aims of psychosocial rehabilitation programs are identified. An introductory section provides a brief…

The Stewart B. McKinney Homeless Assistance Act of 1987 was reauthorized for another two years by the Omnibus McKinney Homeless Assistance Act of 1988. This report summarizes the nine titles of the McKinney Act, including changes brought about in the 1988 reauthorization. Title I covers general provisions of the Act. Title II establishes the…

In the mid-70's mental health programs in Florida underwent a major change with the implementation of a Unit Treatment Rehabilitation (UTR) model of patient care, which emphasizes the re-socialization of patients and a team approach to mental health care. In response to this change, an innovative program was developed through coordination between…

This paper reviews in detail the history and current status of the World Federation for Mental Health (WFMH), since its beginning in 1934, as the only world-wide, voluntary, non-governmental, interdisciplinary, mental health coalition comprised of both volunteer and professional organizations as well as individual members. The relationship of the…

Prepared for joint hearings on the impact of the proposed budget cuts on programs affecting children, these background materials describe the main programs which serve children in five general areas. These areas are health services for mothers and children, child nutrition programs, aid to families with dependent children, day care and other child…