Assessed the impact of consolidating drug and alcohol programs and agencies at individual and clinic levels. Little relationship between state or clinic level consolidation and clinic level treatment is found. Data confirm that drug/alcohol consolidation can be accomplished without affecting the treatment process at clinic or client levels.…

Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

The Indian Health Care Improvement Act authorizes 612 positions and $208,797,000 for fiscal year 1978. Title I augments the inadequate number of health professionals serving Indians, and with such aid as grants and scholarships removes barriers to health professionals' entry into the Indian Health Service (IHS) and private practice for Indians.…

Papers contained in the volume, apart from the introduction and final chapter, were prepared for a 1979 conference on "Research and Public Service with the Rural Elderly," held in conjunction with the annual meetings of the Western Gerontological Society. Developed with an intent toward building a stronger emphasis on research and public…