Objective: This study investigated the efficacy of a two-component professional development approach to improving school wellness in Pennsylvania secondary schools. Design: Circle of Wellness (CoW), a year-long, two-phase programme, involved providing Whole School, Whole Community, Whole Child (WSCC) workshops to Pennsylvania school staff and…

Background: Health eTools for Schools was developed to assist school nurses with routine entries, including height and weight, on student health records, thus providing a readily accessible data base. Data-mining techniques were applied to this database to determine if clinically signi?cant results could be generated. Methods: Body mass index…

Health care providers have adopted a family-centered care (FCC) approach. Parent satisfaction is an indicator of the effectiveness of FCC. The purpose of this project was to describe parent perceptions of the extent to which FCC behaviors occurred in an outpatient pediatric rehabilitation facility. The Measure of Processes of Care (MPOC)-20, a…

This proposed research is part of an on-going line of research of developing questionnaire instruments for use at the elementary school level. Because field trials often use child self-report as outcome measures and sometimes determine implementation fidelity using such measures, evaluation of the validity of the use of such measures with…

This study examined school nurses' communication with community physicians and its relationship to school nurse satisfaction with school health services. A stratified random sample of school nurses in Pennsylvania (N = 615) were surveyed about communication effectiveness with community physicians, satisfaction with school health services for…

In order to address problems related to the health care of children in foster care, policymakers need detailed information about health status, health care utilization, and Medicaid expenditures. This policy brief summarizes a study examining health care utilization and expenditures paid by Medicaid for children in foster care in California,…

School-based health clinics fill a growing need for routine health care for children--especially for those with working parents and special circumstances. Traditional school health services cannot handle increasing numbers of disabled, chronically ill, and medically fragile children. Costing about $170,000 yearly, clinics can prevent future…

Caring Start is a mobile-clinic program that provides prenatal care, well-baby clinics, childhood immunizations, counseling services, and contraceptives to rural poor families in northwest Pennsylvania. Before the mobile clinic, many rural women (mostly teenagers) went without prenatal health care due to lack of transportation. (LP)

Article examines whether school-based health centers (SBHCs) are available, affordable, community based, and culturally acceptable to the public. A literature review and examination of a rural SBHC for young children suggest that SBHCs are culturally acceptable and accessible to children and families. Ten strategies for successful SBHCs are…

This report profiles trends in state and federal spending for children in Pennsylvania from fiscal year (FY) 1989-1990 through 1995-1996, and highlights budgetary trends and the impact of federal welfare reform on selected children's health, nutrition, early care and education, elementary and secondary education, income support, and child welfare…

This handbook analyzes current problems related to the health, early child care and education, and availability of resources and supports for children, youth, and families in Pennsylvania; discusses current efforts to address these problems; and suggests short- and long-term objectives for state activities. Part 1, "Child Health,"…