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 shift from institutional to community-based care for the mentally ill failed because communities were not prepared to undertake this responsibility. Suggestions for more humane care are given. (IS)

This article examines federal, state, and local initiatives that have influenced child welfare policy and practice on a national scale, with particular emphasis on those policies that offer opportunities for better coordination of services between mental health and child welfare agencies. The special circumstances of child welfare clients are…

Focuses on rural service delivery issues common to special education, school psychology, and mental health and outlines training-related solutions. Cautions against simplistic dichotomy of rural versus urban service delivery and professional isolationism. Recommends five skill categories for rural training: generalist training, personal and…

The authors examined the relationship among trauma, coping, depression, and mental health service seeking in a probability sample of sheltered homeless and low-income housed women. Results highlight the diversity of trauma. In a longitudinal analysis, women who lived in shelters or experienced major violence had a twofold increase in their risk of…

Although outcomes for alternative schools may be mixed, it is generally agreed that counseling, therapy, group work, case management, and family-community involvement have been credited in some effective programs. This study examined program evaluations from 1994-1999 for an alternative school for chronically disruptive students (599 students,…

This article examines the outcomes of participation in mental health Consumer/Survivor Initiatives (CSIs) and identifies helpful qualities of CSIs through a longitudinal, qualitative study that involved in-depth interviews of people who experienced severe mental health challenges in Ontario, Canada. We used a nonequivalent control group design in…

The aim of the present study was to evaluate the effects of a middle school physical activity and healthy eating intervention, including an environmental and computer-tailored component, and to investigate the effects of parental involvement. A random sample of 15 schools with seventh and eight graders was randomly assigned to one of three…

This directory offers a sampling of 74 programs that offer alternatives to traditional special education models for children with disabilities and at-risk children. The programs are classified into nine broad categories of program designs and emphases: (1) alternative curriculum/instructional strategies; (2) instructional management systems; (3)…

Virginia's Department of Education and Department of Health are concerned with the health of children and youth, and with the implementation of comprehensive school health programs. These guidelines provide a basis for developing a model school health program or for enriching an existing program, focusing on health services and school environment.…

The guide is based on project reports by the San Francisco Department of Public Health to improve and monitor perinatal health and children's health. These reports demonstrated the potential of information to help community advocacy groups, service providers, and program planners identify priorities for policy decisions and resource allocation.…

In March 1995, the U.S. House of Representatives passed the Personal Responsibility Act (H.R. 4), part of the House Republican Contract with America. The bill would move primary responsibility for child and family programs to states and communities, reduce federal spending, and consolidate programs into block grants for child care, child…

The National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health has launched an initiative called the Cardiovascular Health Promotion Project to teach heart-healthy habits to children. One of the programs developed by this initiative, CATCH, the Child and Adolescent Trial for Cardiovascular Health, is the largest…