Outlines factors that have influenced the approach of fully integrating children and family services into the fabric of their community and culture. Describes how school-based mental health services provide the foundation for the actualization of the interagency systems. States that significantly better outcomes have been noted from this model…

Healthy Families Alaska is a program that identifies families at risk of having children with poor health outcomes and provides intensive paraprofessional home visitation services specific to individual family needs and culturally relevant to Native families. Program goals, elements of effective home visitations, enrollment procedures, service…

A study of 150 children and adolescents with reactive attachment disorder found that inpatient admission was related to limited psychosocial strengths, previous hospitalization, and history of sexual abuse. Most children admitted to inpatient care were rural and had never received community-based services. Implications for public health education,…

Academic exchanges between the U.S. and other countries around the world are increasing and teaching students abroad is part of this trend. China is in its initial stage of developing gerontology education and is in great need of new concepts and ideas for dealing with its rapidly aging population. This paper discusses the challenges and rewards…

The aim of this account of practice is to share my specific experience of action learning as an approach to effective working in a networking organisation. The context is delivery of public health at a regional level as part of a national organisation, The Health Development Agency. The action learning set took place with a consistent group over a…

Racism is part of the foundation of U.S. society and institutions, yet few studies in community psychology or organizational studies have examined how racism affects organizations. This paper proposes a conceptual framework of institutional racism, which describes how, in spite of professional standards and ethics, racism functions within…

Findings of a study that examined the ways in which school principals, directors of nursing education programs, and supervisors of community health centers manage conflict are presented in this paper. The study attempted to determine the applicability of research on conflict management in noneducational settings to school organizations. Interviews…

This book is primarily a guide and source directory to health education materials in 10 nationally recognized health risk areas: (1) stopping or reducing smoking; (2) improving nutrition; (3) controlling high blood pressure; (4) modifying alcohol intake or drinking habits; (5) increasing physical activity; (6) reducing stress; (7) detecting cancer…

The intent of this project was to determine the financial impact of the rural economic crisis on rural community health centers. A 1986-87 survey reported changes in accounts receivable, bad debt, and sliding fee use, and the effect such changes may have on the cash position of rural community health centers. Of 284 rural community and migrant…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

The book defines and discusses eight key elements of a family-centered approach to care for children with chronic illnesses and special health care needs: (1) recognition that the family is the constant in the child's life, while the service systems and personnel within those systems fluctuate; (2) facilitation of parent/professional collaboration…

The first of the two bibliographies in this document contains 38 entries on neonatal nursing, including books and journal articles (originally published from 1973 to 1986) dealing with such topics as high-risk pregnancy and delivery, home care of developmentally disabled newborns, and family dynamics. The second bibliography, titled "Neonatal…

A descriptive study of health services utilization patterns, and possible factors contributing to such patterns, was conducted in April 1970 at the Zuni, New Mexico, Indian Health Service Unit. Health service utilization was explored by selected disease categories, preventative services (maternal and child health), and general population attitudes…

The creation of Title XX of the Social Security Administration in 1975 has led to a tremendous increase in homemaker, task, and home management services to the frail elderly. Several needs assessments of the rural elderly have pointed to discrepancies between services rendered and services actually wanted or needed by clients. The Senior Services…

The importance of programs that help the elderly to continue living at home has been clearly established. Homemaker aides in these programs generally provide homemaking assistance and psychological support to their clients, but may experience role conflict as a result of responding directly to the demands of both clients and the program. Clients…