Objective: This longitudinal, prospective study examines the role of specialty mental health care as provided by community-based, usual-care practice settings in predicting out-of-home placements among children served by a child welfare and juvenile justice system. Method: The mental health needs of 1,249 children from 22 counties in Tennessee…

The purpose of this research was to examine the characteristics of older Canadians with dementia (compared to those without dementia), their use of health care services, and the impact of place (rural/urban) on use of services. Andersen and Newman's Behavioural Model of Health Services Use (1973) guided the study. A cross-sectional design used…

Discusses ongoing longitudinal study of members of three SES groups in a high density metropolitan area in Nigeria to determine the impact of rural to urban migration on the provision of housing, health care, and employment opportunities. (FMW)

This article shares a personal perspective on school mental health through a discussion of the ways that schools currently address mental health, an example of advancing such work through a school district mental health unit, and reflection on some important lessons learned. The article's appendix lists five sample delivery mechanisms and formats.…

Studies determinants of physician use by low-income children identified through the National Household Survey component of the National Medical Care Utilization and Expenditure Survey. Finds that Medicaid coverage increases access to office-based physicians within the low-income population. Presents health cost and policy implications. (MW)

Although reform-minded people rethink the school's role as a community institution and its relationships with others, new examples and models of health education systems are needed. The article identifies parameters of a model for community-based school health systems, suggesting markers for a new comprehensive school health education model. (SM)

A stratified probability sample of 4,745 adults in Colorado was surveyed to determine the need for alcohol, drug abuse, and mental health services. Findings that variation in need prevalence across 48 subareas of the state substantially challenge the assumptions of a uniform rate of need in a state. (SLD)

Provides information on the health issues during the construction of the Panama Canal, focusing on issues such as the identification of mosquitoes as carriers of yellow fever and malaria and the role of Colonel William Crawford Gorgas in the battle against mosquito-born disease. Includes teaching activities. (CMK)

Develops a framework for identifying community long-term care program and policy features that support or hinder client autonomy. Offers a contextual approach for understanding individual autonomy and discusses its relevance to community long-term care. Illustrates how current financing, organization, and delivery of care provide clients with…

Illustrates how Disability Studies provide an alternative setting for the teaching of classroom geography. Argues that there is a link between disability and geography demonstrating how disabilities are not only a personal impairment but also social phenomena. Offers a student-based activity that recognizes the role of disability in geography.…

Using data from a common cross-site protocol administered at study enrollment, in this article we examine key characteristics of 2,729 participants in the Women, Co-Occurring Disorders and Violence Study (WCDVS), including demographics, physical health, mental health, substance abuse, trauma experiences, parenting status, and past history of…

To meet the present and future educational and mental health needs of our nation's youth, current models of mental health service delivery need to be reformed. Any more time spent arguing the differences between categories such as Emotional Disturbance (ED) and Social Maladjustment (SM) will only delay much needed services and deplete our already…

In addition to challenges of adolescence itself, teens with asthma face demands of asthma management and risks of asthma sequelae, including fatalities. Few asthma educational programs specifically address their needs. In response to school nurse concern, this pilot study evaluated an adolescent asthma education program, the "Power Breathing[TM]…

Many pregnant adolescents remain in school, creating unique challenges for professionals to meet their educational and health needs. In this descriptive pilot study of pregnant adolescents (n = 26), 68% demonstrated symptoms of depression as measured by the Center for Epidemiologic Studies Depression Scale (CES-D). In addition, there was an…

Since the passage of the 1975 Education for All Handicapped Children Act and the 1986 PL99-457 amendment, many children aged birth to 3 years with special health care needs are enrolled in early intervention programs. Educators working in early intervention services often need to respond to and manage seizure activity and medical emergencies for…