Barriers to evaluation of prevention programs arise from (1) attitudes that people have about such programs; (2) conceptual difficulties (lack of theory, difficulty in choosing criteria of success, lack of control over implementation strategies); and (3) methodological difficulties (monitoring program integrity over time, measuring program…

Virtually every employer has it in their power to reduce their employee health care costs by 10-20 percent or more. The solution to the rising health care costs problem is a total health care system. Most cost savings potential will be centered in three areas: control of wasteful and often harmful use of the health care system; provider price…

The delivery of services in a health maintenance organization (HMO) provides many opportunities for innovation. There is a growing awareness that many outpatient medical visits are related to psychological or social needs. Because of the economic incentive for HMO's to reduce inappropriate utilization, psychologists and psychotherapists will play…

A statistical profile of Appalachia's young children, from birth to 9 years, was compiled from federal and state data sources. The profile provides information important in making immediate and long range plans for improving the status of Appalachian children and their families. An examination of family living conditions suggests that Appalachian…