Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

The following British case study illustrates how a group of Primary Health Care Trusts expanded partnerships with a university to support the development of 12 new advanced primary nurses (APNs). The cohort of APNs were undertaking new roles and were part of the national pilot of the Department of Health adapted Evercare programme for the "at…

A low cost needs assessment model was developed to guide the health education-risk reduction programming of a lifestyle inventories project in Florida. The five-step model is discussed. (DF)

An assessment of school health programs, policies and practices in the Bureau of Indian Education (BIE) schools was initiated because of concerns by Native American serving providers and advocates that American Indian youth have limited access to school health services, and because there is increasing national and state momentum with respect to…

In response to Congressional requests, this report describes the extent of Hispanic American health and nutrition data available from federal sources. Oversampling of a minority group by a national survey is necessary for valid analysis of group characteristics. Among the four national health and nutrition surveys conducted by the Department of…

The report reviews obstacles to meeting the needs of disabled and nondisabled children throughout the world. Health, nutrition, and education crises affecting children, especially in developing countries, are reviewed. Practices which promise greater return for each dollar are cited, including using paraprofessionals, building on community…

The rate of youth with mental health needs is disproportionately high in juvenile justice. Wraparound planning involves families and providers in coordinating juvenile justice, mental health, and other services and supports. This study compares data from two groups of juvenile offenders with mental health problems: 106 youth in a juvenile justice…

The need to provide support for the mental health needs of children and young people is not in dispute. However, there does exist confusion as to the most appropriate means and methods of providing such support. This confusion is particularly evident among those who work closely in providing daily for the mental health needs of children and young…

While data sources exist to measure and monitor the health of children in the United States, few take into account the many contexts in which children grow and develop, including their family and community environments. The National Survey of Children's Health (NSCH), conducted in 2007, addresses multiple aspects of children's health and…

The Health Interests and Practices (HIP) Framework was developed to delineate a health education program from the target population's perspective. This framework can be used in various health education settings and applied in a range of health needs assessment to determine the focus of health education programs. (CB)

Under new "managed health care systems," the classical functional separation of risk taker, claims payor, and provider are vertically integrated into a common entity. This evolution should produce a competitive environment with medical care rendered to all Americans on a more cost-effective basis. (CJH)

This paper analyzes contemporary rights-based and economic approaches to health care and education in developing countries. The paper assesses the foundations and uses of social rights in development; outlines an economic approach to improving health and education service provision; and highlights differences, similarities, and the hard questions…

Failure to prevent indoor air quality problems or act promptly can result in increased chances for long- or short-term health problems for staff and students, reduced productivity, faster plant deterioration, and strained school-community relations. Basic pollution control measures include source management, local exhausts, ventilation, exposure…

Primary health care teams have an important part to play in addressing the health inequalities and high levels of unmet health needs experienced by people with intellectual disabilities (ID). Practice nurses have an expanding role within primary health care teams. However, no previous studies have measured their attitudes, knowledge, training…

Research has identified that while people with learning disabilities often have greater health needs than the general population, they access primary care at the same rate or lower. Valuing people recommends that members of learning disability teams should take on a key role in supporting people with learning disabilities to access mainstream…