Though the U.S. health care system is among the best in the developed world, access to chronic care remains a problem for many, in part, because the system is not ideally suited to treat long-term conditions. Consequently, economic and societal costs associated with chronic disease are rising rapidly. To complement traditional pathogenic chronic…

Lockhart and Keil have written an interesting monograph focusing on the development of reasoning about medicine, a relatively underexplored area of research with potentially broad implications with respect to the design of more effective medical interventions. In a set of fifteen studies with well over 2200 participants they examine how children…

The prevalence of autism spectrum disorder (ASD) in adults is estimated to be at least 1% (Brugha et al., 2011), yet almost all ASD research focuses on children. Adult intervention studies, in particular, are few in number and poor in quality (Bishop-Fitzpatrick, Minshew, & Eack, 2013), and support networks for adults with ASD are much more…

This conceptual paper considers the role of culture in shaping family, professional, and community understanding of developmental disabilities and their treatments. The meanings of health, illness, and disability vary greatly across cultures and across time. We use Bronfenbrenner's ecological model to provide a theoretical framework for examining…

It is well recognized that for people living with a chronic disease, the largest impact on preserved health may come from persons other than medical professionals. This may be especially true for children for whom the actions of parents and school professionals have significant importance. Sickle cell disease (SCD) is one such disease. Although…

The Ministry of Education and Culture in Zimbabwe has introduced an intervention into the school curricula to complement the already existing mechanisms in the fight against HIV/AIDS. The literature in this programme is said to be designed to develop children's knowledge of HIV/AIDS and to maximise both individual and community commitment to the…

Service delivery models should be developed to prepare the chronically ill child to cope with day-to-day psychosocial problems. Medically supervised early intervention programs in either health care settings or in settings that are closely associated with medical centers or hospitals are recommended. (DB)

Discusses racism from disease perspective. Posits underlying schema of irrelevance as cognitive structure acquired in childhood to cope with inconsistent data of racial oppression in ideologically egalitarian society. Sees schema coming into conflict with diversity in U.S. life and individual manifesting disease symptoms. Utility of group…

The epidemiology and characteristics of diabetes mellitus in children are discussed. Empirical studies focusing on personality and family variables, stress, behavior management, problems related to newly diagnosed cases, and cognitive functioning are reviewed. The role of school psychologists is highlighted, and guidelines are offered for…

Discusses progeria (or Hutchinson-Gilford syndrome), a rare childhood disorder that invariably results in death during adolescence. Describes the major medical aspects of progeria, and discusses the psychosocial implications of the disorder with particular emphasis on grief-triggered reactions. Presents an overview of psychosocial intervention…

Subpopulations of elderly adults at highest risk for suicide are identified, and several specific programs are described, along with a range of measures to prevent suicide in late life. These measures include primary prevention steps related to education, and secondary prevention involving early identification and assessment of the depressed and…

For the last 2 decades, researchers and practitioners dedicated to improving the health of gay and bisexual men have largely focused their work on the need to reduce the incidence of HIV infection. This is certainly warranted given the intensity of this particular epidemic in the gay community and the challenges it has presented to the nation's…

This paper reviews the status of children with disabilities throughout the world. It summarizes United Nations information on the prevalence of disability and on prevention efforts. Progress is noted in the areas of immunization, increased early intervention services, community-based rehabilitation, and increased recognition of governmental…

A socially valid behavior-change intervention is broadly defined to be directed to a problem of verifiable importance, be accepted and used appropriately by target groups, and reduce substantially the probability of the problem's occurrence in target populations. The definition is applied to a family-based program to prevent human immunodeficiency…

Placed in the current political context of growing liberalization within China, this essay describes the Shanghai Hotline for Sexual Minorities. Funded by agencies outside the government, these services target LGBTs toward self-acceptance and AIDS/STD education while seeking to reduce social prejudice.