This study compares the health status of Appalachian children living in Cincinnati neighborhoods to that of children living in five predominantly low-income black neighborhoods and children living in the rest of Cincinnati. Age-specific, standardized morbidity ratio analyses were performed to compare the frequency of admissions to hospital and…

For young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must…

This document examines the 10 essential attributes of primary health care contained in the U.S. Maternal and Child Health Bureau's definition of primary care. Primary care for children and adolescents is personal health care delivered in the context of family, culture, and community; the range of services meets all but the most uncommon health…

Assesses the complex problem of infant deaths in America and reviews the policy options before the nation. High infant mortality rates have been attributed to population heterogeneity, poverty, or differences in the way health services are organized. Links health policy issues to the larger issue of social and economic equity. (AF)

This publication is a compilation of papers presented at an April 1994 workshop sponsored by the National Center for Education in Maternal and Child Health and the Bureau-funded Johns Hopkins Child and Adolescent Health Policy Center (CAHPC). The papers are as follows: (1) "Defining the Issues and Planning for Change: Health Care Systems,…

Summarizes 25 reports addressing the interconnectedness of children's health and education and incorporating a comprehensive health approach, detailing 5 themes: education and health are interrelated; social morbidities threaten public health; a comprehensive, integrated approach is needed; health promotion and education should center around…

Proposes a one-stop model of services to be delivered from pediatric outpatient clinics to improve the delivery of services to low-income preschool children and their families. The needs of low-income preschoolers and their mothers, and how these needs are met by this model, are described. (Author/CR)

This annual report presents data on the health status and needs of American children from infancy through adolescence. The report's first section gives general population data, providing context for sections two and three, which present data on health status and service utilization for American children. The fourth section contains state-specific…

This digest on education and primary health care brings together five articles which offer practical guidelines for action at both policymaking and operational levels. The major emphasis is on the child-to-child approach. Articles concern: (1) suggestions for curricular and cocurricular activities for involving school children in community health;…

This paper examines key steps in the integration of school-based health centers in Massachusetts into managed care and describes the administrative and clinical impact of these relationships. Strategies include enhancing communication between SBHCs and health maintenance organizations, standardizing school-based care, and mandating integration of…

This brochure describes the meeting of 63 representatives from the American Academy of Pediatrics, Washington Business Group on Health, Maternal and Child Health Bureau, and the education community convened to develop an action plan for American health care that would be responsive to children's needs. Highlighted problems included the lack of…

Health promotion redirects thinking about health by: reasserting its social and political aspects; ensuring the people the power to define their own health concerns; and placing health more clearly in the context of other aims in life. This compilation of 41 articles in 8 sections attempts to document this process of redirection of thought. The…

Presents five principles to help communities establish school-based primary care centers linking community health and social services with educational systems. The principles encompass community participation; early assessment of community needs; integration of health and human services with educational services through an interdisciplinary,…

This article examines how specialized primary health care is a useful approach in the intervention of adverse health, developmental, educational, and social outcomes for children born to teen parents. The Teen Tot Clinic at Hasbro Children's Hospital in Providence, Rhode Island is an example of such a health care program; it provides services such…

There is an ever present struggle associated with reconciling "primary" care requirements for children and young people living in group care programs with "secondary" organizational demands imposed by external agency expectations and administrative requirements. That struggle finds its expression and potential balance in the daily work of staff.…