The report describes services, administration, and future directions of the Children's Special Health Care Services program, part of the Michigan Department of Public Health. Division programs are carried out at local, regional, and state levels and provide: preventive services (through generic and newborn screening services and neonatal intensive…

This report is the product of a committee charged to define "medically fragile," explore the array of educational services available and/or needed for children in Michigan considered medically fragile, identify current information and gaps in the information, and identify areas of interagency collaboration. The report discusses critical…

This study examines the characteristics and needs of Michigan's migrant and seasonal farmworkers. The study was based on census data, state agency records, and a statewide survey of service providers. Results indicate that neither mechanization nor other structural changes in Michigan's agricultural economy have diminished the industry's…

This report presents case studies from seven states showing how state governments are: (1) responding to demands for more efficient and effective delivery of children's services; (2) taking on additional responsibilities formerly handled at the federal level; and (3) passing on added responsibilities to the local level (school districts, local…

This report examines information about the health status of migrant farmworkers, including specific issues related to migrant health services in Michigan. Despite the high rate of families with two wage earners, one-half of migrant farmworker families have incomes below the poverty level. Poverty is associated with poor nutrition and sanitation,…

The Interdisciplinary Rural Health Training Project recruits and trains graduate-level, allied health and social service practitioners for practice in two rural Michigan counties with diverse and migrant populations. The program emphasizes cultural sensitivity, interdisciplinary community service projects, team building among health professionals,…

The 1998 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) was the first federal legislation to contain a "charitable choice" provision allowing faith-based organizations (FBOs) to compete for state and federal government funds on the same basis as secular providers. For FBOs that consider pursuit of government…