Individuals with Limited English Proficiency (LEP) are disproportionately affected by disparities in the United States (U.S.) healthcare system due to medical miscommunications, misdiagnoses, and treatment errors. The purpose of this commentary is to provide an overarching social-ecological perspective on how to enhance patient-centered…

This article argues that school psychology programs must prepare future school psychologists to address the needs of our increasingly diverse society. Providing training and field experiences that are grounded in multicultural practices, research, and advocacy will foster greater competence in addressing diverse schools', students', and families'…

There is an impending crisis in long-term care for people with developmental disabilities. The demand for care will likely outpace the supply for decades to come. Factors, such as limited existing long-term care resources, increased life expectancy for people with developmental disabilities, changing family demographics, legal actions, and…

Comments on the debate between Rush and Kotelchuck and colleagues, regarding the effects of WIC participation on pregnancy outcomes. Points out the dilemma posed by the need to justify maternal and child health programs by pointing to quantifiable gains, rather than by the advocacy of such programs as a social responsibility. (GC)

Addresses the crisis in health care, considering costs, lack of access, and system ineffectiveness. Reviews "Setting Relationships Right," the Catholic Health Association's proposal for health care reform. Advocates educators' awareness of children's health needs and health care reform issues and support for the Every Fifth Child Act of…

Claims that agencies serving children and families will need to use managed care concepts to reorganize and fund their activities, and that agencies will need an effectiveness-oriented administration to survive in this managed care environment. Claims that good managed care can result in consistent, yet flexible, long-term caring relationships…

Possible long-term consequences of changes in the provision and financing of health programs and implications of "New Federalism" for child health care advocates are explored. Preliminary discussion focuses on general problems of resource scarcity, describing how the new awareness of scarcity affects thought patterns and attitudes.…

A discussion of the role of academic health centers in health care reform efforts looks at the following issues: balancing academic objectivity and social advocacy; managing sometimes divergent interests of centers, faculty, and society; and the challenge to develop infrastructure support for reform. Academic health centers' participation in…

The need for reform of the national health care system is particularly evident when viewed from an intergenerational standpoint. None of the generations is currently adequately protected against catastrophic illness or the costs of long-term care. The National Health Care Campaign is sponsoring an initiative for comprehensive intergenerational…

In this article, I review five articles selected for this Special Issue of the "International Journal of Disability, Development and Education" on indigenous healing. I have considered the various traditions of indigenous healing, and I situate my analysis within the context of disability, development, and education. Such an analysis…

Formed in 1971 to provide advocacy and representation for elected leaders of American Indian tribes that are recognized as eligible for services from the federal government, the National Tribal Chairmen's Association (NTCA) presents its position on five current issues pertaining to American Indians. The first paper is a statement in regard to…

This guide is aimed at improving health services for people with developmental disabilities by educating people presently training as health practitioners and persons working in community service programs. It contains information on health care needs of people with developmental disabilities and recommendations for health care practices adapted…

Revised training programs for health and education service providers are advocated that will result in greater integration of services to disabled children. Attention is directed to curricular and training needs of professionals serving the disabled and their families, as well as the efforts of the American Society of Allied Health Professions…