This document, the third of three volumes in the U.S. Congress Office of Technology Assessment's "Adolescent Health" series, contains chapters 15 through 19, which address issues in the delivery of health and related services to adolescents. Chapter 15 reviews research on the shortcomings of the mainstream primary health care system with…

Asserts that cognitive skills that develop during adolescence are crucial to successful contraceptive practice and that practitioners must understand special developmental setting in which adolescent sexual growth and experimentation occur in order to impact contraceptive use. Demonstrates how health and medical providers can work together to…

Consists of two articles on adolescent health issues. Stout discusses adolescent depression and psychiatric hospitalization of adolescents. The relationship between schools and hospitals is described. Kirby and Lovick discuss school-based health clinics, including their goals and services, their advantages, and their success rate. (CH)

This document, the second of three volumes in the U.S. Congress Office of Technology Assessment's "Adolescent Health" series, provides background information on aspects of adolescents' lives and examines the effectiveness of prevention and treatment interventions. Chapter 1, an introduction to this two-part document, provides a summary…

Public concern over adolescent sexual and contraceptive behavior is increasing. One recommended policy response is for states to pass legislation giving minors the right to consent to reproductive health services. Such services are likely to benefit individuals, families, and society. (KH)

Recognizing that school-based health centers are one of the most promising recent innovations to address the health and related needs of adolescents, this report provides information on these centers as a strategy to improve the access of adolescents to primary care. The report is intended to assist state and local Maternal and Child Health (MCH)…

This report discusses the ongoing movement to provide health care and health information to adolescents through school-based clinics and other programs. The report begins with an overview of programs, focusing on: the unique health needs of adolescents; the growth in the number of school-based clinics; goals and objectives of the special programs;…

This article reviews the current state of research on the assessment of anxiety and depression in Asian American children and adolescents. Contrary to lay perceptions of Asian Americans as a "model minority," research indicates that rates of depression and anxiety among Asian American adults are comparable to those found among European American…

Addresses the need for comprehensive health care services directed toward adolescents, outlining a multidisciplinary team program designed to provide such services. Discusses the national problem of teenage pregnancy and the multidisciplinary team's success with family planning counseling. Strongly encourages the development of more school- or…

Managed care organizations (MCOs) and school health programs share some common goals and some competing, conflicting priorities. Partnerships between the two are important for the effective coordination and delivery of comprehensive adolescent health services. This paper discusses adolescent clinical preventive services, school health services,…

Recognizing that researchers and clinicians are increasingly faced with assessing, treating, and studying ethnically, racially, and culturally diverse populations, one question is whether the appropriate tools exist. This special section aspires to advance the available assessment strategies that are appropriate for the treatment, prevention, and…

Many adolescent health problems are linked with educational performance, family relationships, poverty, and the general lifestyles that adolescents experience in their communities. Although serious, chronic medical and psychiatric disorders affect about 6 percent of the adolescent population, many more adolescents are at risk for death and for…

This report addresses implementation of the maternal and child health (MCH) services block grant. Information concerning implementation was gathered from 13 states. At least one state was selected in every standard federal region, and, in total, the 13 states accounted for approximately 45 percent of all block grant funds and an equivalent portion…

In the quest to establish public programs for reducing pregnancy, childbearing, and sexually transmitted diseases among adolescents, much attention has been given to family life education as a piece of the prevention paradigm. Research has shown that family life education that includes accurate and age-appropriate information will increase young…

The purpose of this report is to enhance both individual and national perspectives on prevention of ill health and premature death through identification of priorities and specification of measureable goals. Health problems for every age group from infancy through old age are discussed with suggestions for prevention and improvement of…