This document comprises a report on the disparity between the health status of Maryland's blacks and minorities and the white population. Information was gathered from statewide public hearings at which over 50 individuals and groups representing the general public and health care providers testified. The major finding was that a disproportionate…

This profile of child and adolescent health, which was designed for policymakers and program planners, contains over 40 indicators grouped into 10 categories: (1) population characteristics; (2) socioeconomic status; (3) program participation; (4) health care access; (5) pregnancies, births and infant health; (6) adolescent health; (7) morbidity;…

At this hearing on abolishing poverty among older Americans, 11 witnesses testified regarding the needs of elderly and disabled Americans. Of particular concern was the efficacy of Social Security and Supplemental Security Income as programs to reduce poverty and the special concerns of elderly blacks. Most witnesses spoke about the negative…

This publication includes five articles on health care and health promotion within impoverished communities. "The Health of Families and Communities" (Douglas W. Nelson) introduces the issue, discussing the work of the Annie E. Casey Foundation in communities. "Inconspicuous Consumption: Treating Latent TB Infection in Seattle"…

In May 1938 the Commissioner of Education invited to Washington a group of specialists who were actively engaged in work of a clinical nature, with particular relation to child-guidance programs in school systems. The purposes and findings of that conference are presented in Chapter VI of this bulletin. Among the services which the conferees…

Explores universities involved with training in telemedicine and medical care provided through technology (International Telemedicine Center Inc. www.int-telemedicine.com/univ.html). Discusses the market for telemedicine, companies and university medical centers involved in its development, costs and savings to health care system, barriers to the…

We assessed parent satisfaction with children's mental health services with a new instrument: The Youth Services Survey for Families (YSSF). The Dillman method was used to administer the survey to a random sample of 1,500 parents of Medicaid youth from Kentucky's 14 community mental health centers (CMHCs). The response rate was 37% (n = 534…

This study examined differences in student access to health services between schools with nurses 2 days/week (n = 7) compared to schools with nurses 5 days/week (n = 7). The study found statistically significant differences in numbers of nurse visits per 100 students. Of the 30 health conditions/activities investigated, 28 were statistically…

Background: It has been suggested that persons with an intellectual disability consume a disproportionate amount of hospital services. Policy changes in Ontario in the 1970s and 1980s made it necessary for community health services to accommodate this population that formerly received most of its medical care in the institutions where they lived.…

Ticket to Work and Self-Sufficiency program (TTW) was designed to enhance the market for services that help disability beneficiaries become economically self-sufficient by providing beneficiaries with a wide range of choices for obtaining services and to give employment-support service providers new financial incentives to serve beneficiaries…

Many Americans do not have access to adequate medical care. Previous research on this problem focuses primarily on individual-level determinants of access such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed medical care, however, has not received much attention. We…

In too many communities, child care, health care, and other family supports and services are rarely coordinated and are too frequently determined by where families live, their level of income, and their community connections. Policy initiatives at the local, state, and federal level influence how communities are able to develop more…

This research agenda examines ways to improve availability and access to public services for individuals living in rural areas. Five articles focus on general conceptual and methodological issues pertaining to research on services, and are applicable to a wide range of services such as health and education. Discussions concentrate on public…

This report examines five major components that affect minority children's access to health care. They are: health status, barriers to access, workforce, organizational response, and the role of the American Academy of Pediatrics (AAP). Recommendations are included for each of these components. Health status indicators for minority children…

These hearings examine ways of ensuring access to quality health care, especially for low-income persons ineligible for Medicaid. The problems of determining who the economically disadvantaged are, what services they are provided with, and how those services are provided and financed are all addressed. An Urban Institute researcher testifies that…