Most of the world's rapidly expanding aging population is in rural areas of developing countries. Geriatric training programs should include social, economic, and psychological aspects of aging as well as medical, and should focus on enabling primary health caregivers to care for older people in their environments. Efforts to provide rural…

Categories of age-related disabilities are described. The goal of rehabilitation is to enable elderly individuals to continue living at home with some independence. In rural areas, this goal can be attained through rehabilitation in the community by nurses, volunteers, the elderly themselves, and family members; provision of appropriate assistive…

Today, school districts are challenged in meeting the health and educational needs of students with chronic health conditions. One of the challenges school districts face is determining when students with health-related disabilities are eligible for services under Section 504 of the Rehabilitation Act of 1973. This article reviews Section 504 and…

General practitioners (GPs) from the Australian state of Victoria and support people were surveyed about their concerns and priorities for meeting the health care needs of people with developmental disabilities. Despite the poor response rate (22% and 27%), sampling adequacy was obtained, and the tools were found to have construct validity.…

Encopresis affects a small percentage of children, but most parents are unaware of the condition and react punitively. The lengthy, complex management program usually includes physiological and behavioral approaches. The collaborative management protocol focuses on medical clinicians, families, children, school nurses, and teachers, and can help…

Discusses establishing relative priorities between health care needs of the young and the old. Argues that it is fair to limit assistance to those already old when there are genuine social needs for children. The elderly should lead the way in recognizing the importance of the needs of children. (SLD)

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…

The mental health needs of children and youth with learning disabilities and their families were studied in a survey of 79 human services directors in the Toronto (Canada) area. The study illustrates the importance of involving relevant communities in planning for community needs assessment and program implementation. (SLD)

Reports on data from national review of preschool service provision for deaf children and their families in the United Kingdom. Presents families' responses to early identification; information available after identification; perceptions of partnerships with professionals; and value of family-centered services for themselves, for their children,…

We describe the psychosocial characteristics of youth with an average age of 11.8 years served in special education due to emotional disturbances in urban communities (N = 158). Data were also collected describing service utilization, academic functioning, and family characteristics. Ten schools in three mid-size urban cities participated. Results…

The purpose of this paper is to stimulate debate on how to define and enact public responsibility to children with complex health care needs and their families. We present a program, developed using the Auditor General's framework for accountability that involves Community Care Access Centres, schools and Saint Elizabeth Health Care, a complex…

A convenience sample of 100 female jail inmates was interviewed by two female clinical psychologists using measures of trauma exposure, psychopathology, sexual risk behavior, parenting skills, and perceived needs for service. Participants had high rates of lifetime trauma exposure (98%), current mental disorders (36%), and drug/alcohol problems…

Compares the efficacy of a school-based health program to an equivalent home-based program with 2,250 third grade students in Minnesota. Students in the school-based program had gained more knowledge at posttest; however, students in the home-based program evidenced more psychosocial and dietary behavior change. (Author/BJV)

Asserts that, if current demographic trends continue, 25% of Canada's population will be 65-years old or older by the year 2031. Discusses the impact of these trends on public spending, health care, and other public policies. Concludes that sound planning and judicious use of resources can help prevent any compromises. (CFR)

Identifies health risks and other factors that determine the need for health care services among children and adolescents. Recommendations are made to develop reforms through a coordinated care program rather than through competing systems of services. Models for community-based health care monitoring and coordination exist in other industrialized…