Young people who are leaving the foster care and juvenile justice systems often experience a difficult transition to adulthood that is characterized by a number of troubling outcomes, including poverty, low levels of education and employment, and housing instability. While some services are available for these populations, there is little evidence…

This document contains the text of a Congressional hearing called to examine the status of aging veterans and health care issues. Opening statements are given by Congressmen Jim Saxton, Thomas J. Tauke, and Christopher H. Smith, and testimonies are presented from 20 witnesses. Members of veterans' associations testifying include representatives…

Among 10 principles arising from a symposium on health services for mentally retarded persons in the community are the need for: multiple options for health care delivery; a stable primary care "medical home"; a health care network; presence of resource centers for specialty care; and establishment of a health care clearinghouse. (DB)

The report describes a regionalized system of community based child health centers developed in Iowa to provide coordinated secondary level health services for children with chronic illness and handicapping conditions. The system is based on two principles: (1) Communities will be given the responsibility for determining which health services are…

This document contains a report on state and local emergency medical services programs. It discusses the effect of the transition from federal to state leadership under the block grant and identifies the key issues affecting local delivery of services. The report includes an executive summary and five chapters. Chapter 1 discusses emergency…

This report responds to a California Senate directive to the state's postsecondary education commission to examine the extent to which health care is accessible and equitably distributed throughout the state. The Commission, in conjunction with several state agencies and the University of California, conducted an analysis and offered 11…

These guidelines were developed by a joint task force of members and staff of four national associations, to be of assistance to persons concerned with the safe delivery of specialized health care in educational settings. The guidelines delineate the roles and responsibilities of personnel involved in the provision of specialized health care. They…

Participants from five states (Colorado, Minnesota, Virginia, Washington, and Wisconsin) met to establish a national network to promote state and community-based models of comprehensive coordinated planning and service delivery to adults who survived pediatric disorders in their childhood. Results of state caucuses, which discussed and listed…

As agencies and programs serving individuals with developmental disabilities are called upon to serve a new population of individuals with human immunodeficiency virus (HIV) infection, they will be forced to confront complex legal questions. This paper discusses the legal frameworks in which individuals with HIV infection are considered eligible…

In this cooperative agreement, Maine's Division of Special Education, Bureau of Adult and Secondary Vocational Education, and Bureau of Rehabilitation (including the Vocational Rehabilitation Program and the Division of Eye Care) document their intent to develop collaboratively programs to provide educational, vocational, occupational, supportive,…

The effect of the human immunodeficiency virus (HIV) epidemic on child abuse prevention is considered on two levels: its indirect effect as resources for child abuse prevention are diverted to meet increased demands for health care, social service, and public assistance systems; and direct effects in terms of abuse and neglect of HIV-infected…

This document presents testimony and prepared statements from the Congressional hearings on the partnership between government and the private sector for the provision of long term care to the nation's elderly. An opening statement is presented from Senator Daniel Evans. Twelve additional statements are presented, including testimony from a…

This paper presents an agenda for worldwide change in medical education to meet current and future requirements of society. The first of four sections offers the central arguments for change in medical education noting global patterns in the search for better use of resources for health care, describing a profound shift underway in the present…

The National Coalition of Hispanic Health and Human Services Organizations has sponsored a series of conferences that bring together Hispanic health and human services leaders. This report is the result of in-depth consideration and deliberation by a representative group of Hispanic community health and human services leaders who met in…

This paper explores the barriers and possible solutions toward the implementation of the goal of a coordinated service system for young children with special needs and their families. The components of the vision of a comprehensive, interagency, multidisciplinary, coordinated service system are outlined, such as interdisciplinary cooperation, a…