A collaborative relationship was established between the Mississippi Coalition for Mothers and Babies, the Governor's Service Line, and the Mississippi State Department of Health for the purpose of providing outreach and referral to all poor pregnant women and children in need of access to appropriate health care services. The project had a dual…

This paper briefly describes the Division of Behavioral and Developmental Pediatrics, which is the child development and mental health clinical, research, and training center for the Department of Pediatrics at Evanston Hospital and Northwestern University Medical Center in Illinois. Responsibilities of the child psychiatrists within this division…

Relationships among mothers' beliefs and values concerning their children's health, utilization of childhood preventive health services, and children's health status were examined. Mothers' health beliefs were measured with Parental Health Belief scales developed to explore three factors: (1) mothers' degree of perceived control or internality…

Possible long-term consequences of changes in the provision and financing of health programs and implications of "New Federalism" for child health care advocates are explored. Preliminary discussion focuses on general problems of resource scarcity, describing how the new awareness of scarcity affects thought patterns and attitudes.…

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…

Discussion focuses on Swedish population demographics, child-oriented political reforms, research on the declining birth rate, the provision of child health care centers for children, legally mandated parent education, the law against corporal punishment of children, and aspects of community child health and maternity health care services. The…

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)

The major contributions of research to the organization and delivery of health services in the past decade (circa 1972-1982) are described and some important areas for further research are indicated in the three main sections of this paper. The first section points out problems associated with the current state of the applied field of health…

A community task force studying violence issues closely examined police statistics for domestic calls. Few records of referrals were made in response to these calls. Other statistics on child abuse and family violence reinforced the fact that family violence was a significant problem, making program response to family violence issues a top…

Life expectancy among certain American Indian tribes is only 50 years of age as compared with 74.6 years for the general population. Leading causes of death among Indian infants continue to be respiratory, digestive, infective, parasitic disease, and congenital malformations. Child obesity, dental caries, atherosclerosis, iron deficiency anemia,…

This study examined the utilization rate of behavioral health services by children with autism spectrum disorders (ASD) over a 6-year period and compared this rate to the expected number of children with ASD in TennCare, Tennessee's managed care Medicaid program. Analysis of TennCare patient data found the rate at which children with ASD received…

In 1993, nine states were awarded Making the Grade grants to develop financial and other strategies to foster replication of school-based health centers (SBHCs). This report details the financial strategies used by Vermont, Rhode Island, Oregon, North Carolina, New York, Maryland, Louisiana, Connecticut, and Colorado, as reported in a meeting of…

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…

The following essential elements of programs that prepare physicians to care for at-risk children effectively are described: (1) active participation in children's care; (2) effective service programs for learning; (3) comprehensive, multidisciplinary, flexible, and intensive programs; and (4) program evaluation. The policy implications in…

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…