This study examined the demographic and psychological characteristics of the parents of a group of children with no access to health care, due to their status as "working poor" and thus denied either public or private health insurance whose children were referred for treatment for an acute health problem by a volunteer health care…

Immigrant status carries considerable challenges to survival and mobility in U.S. society. As an emerging dimension of social stratification, legal status influences not only immigrants but also their children. Using data collected in Houston and San Diego, this study examines the intergenerational health consequences of undocumented status for…

Community programs developed as part of the Healthy Children Program demonstrate that cost-effective models for accessible health care exist. A communications strategy to disseminate knowledge about improving health care is recommended. (SLD)

More and more often, children in the United States are denied services that help keep them healthy or heal them when they are ill. This study examines the demographic, psychological, and physical health status of a group of children (N=293) with no access to health care, and who experienced an acute health problem. The children ranged in age from…

A theoretical framework can provide coherence and direction to an ongoing series of research activities conducted in a variety of settings by collaborative investigators. An adaptation of the PRECEDE health education model provides the theoretical framework for research activities conducted by The Healthy Kids Project, a cooperative effort in…

The impact of the Rural Alabama Pregnancy and Infant Health (RAPIH) Program was evaluated in relation to prenatal care, birth outcome measures, and several child health and home environment outcomes. Begun in 1983, RAPIH targets poor rural blacks in three of west-central Alabama's poorest counties, where economic conditions and infant mortality…

Case studies of three children who participated in the play program at Auckland Hospital in New Zealand are presented. About a third of the children admitted to the hospital have access to the play program, but only a few are able to participate in individual sessions with a hospital play specialist. The first case study described in this report…

This paper discusses the characteristics of three community-based early childhood care and development support programs: the Community Mothers Program of Dublin, Ireland; the Maternal and Infant Health Outreach Workers Program of Tennessee; and the Mothers Inform Mothers Program of the Netherlands. The paper considers the general characteristics…

Statistics show that the improvement in the U.S. infant mortality rate began slowing down in 1981 and completely ended in 1985; this has been reflected in a significant increase in the percentage of infants born prematurely and with low birth weight. Increased attention is being given to the effects of maternal behavior during pregnancy, and…

This document comprises three papers related to the implementation of early childhood education, health care, and support programs. The first paper is a brief reflection on the nature of implementation, based on the contributions of Boudewijn Bekkers. The second is a proceedings chapter by Marian Hanrahan titled "Community Based Innovative…

This paper discusses how the health care needs of underserved children, particularly urban children, can be met through an ecological model of health care. Ecoprimary care, infant mortality, and the experiences of King/Drew Medical Center in Los Angeles (California), an example of maximization of resources, are described. (SLD)

This document provides guidelines and procedures, in Spanish and English, for Head Start teachers in taking care of children with AIDS, or children who are HIV positive, and their families. The goal of the guide is to maximize participation of infected children in the Head Start program. The guide presents activities in three main stages:…

This paper presents findings of a case study that examined the role of the principal in generating community services to address students' health and social needs. The school under study was an urban elementary school in Austin, Texas, which had implemented an innovative program to address student health problems. Data were derived through…

A review of statistics on the health status of young children in poverty and the conditions in which they live illustrates that the potential of a large portion of the next generation is being wasted. Some policies and programs are presented as incremental steps to protect poor children's health. (SLD)

Research and policy issues highlighted during the National Conference on Health Care for the Poor and Underserved are summarized. Needs were identified in the areas of adolescent health care, education, drug and alcohol education, social services delivery, and societal violence. Recommendations are made for system reform. (SLD)