Independent academic medical centers (IAMC) are challenged to develop and support a research enterprise and maintain primary goals of healthcare delivery and financial solvency. Strategies for promoting translational research have been shown to be effective at institutions in the top level of federal funding, but not for smaller IAMCs. The…

Background: Systems of care is a family centered, strengths-based service delivery model for treating youth experiencing a serious emotional disturbance. Wraparound is the most common method of service delivery adopted by states and communities as a way to adhere to systems of care philosophy. Objective: The purpose of this study was to evaluate…

In response to the growing need to provide health and social services to rural America, the conference addressed the political, economic, and social issues involved in providing appropriate health and social services to rural residents. A cadre of individuals from various disciplines presented alternatives and solutions to these issues. This…

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…

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…

In recognition of the greater needs of low socioeconomic status persons, federal grant policy has favored areas in which 25 percent or more of the population is impoverished. Areas of greater poverty have more resources both in terms of service structure and level of manpower, yet broad inequities are found when the rural-urban status of a mental…

Five dental schools were given grants to design and implement a training program for dental students in planning and delivering preventive dental services. These programs are described and compared, and it is concluded that all were generally successful and worthy of continuation. (JSR)

The Department of Health and Human Services (HHS) should take actions in four critical areas in order to serve the millions dependent on it for benefit payments and services. First, HHS should improve departmental management by investing in department-wide planning, its personnel, and its financial and information management. HHS can eliminate…

Documentation forwarded to the U. S. Office of Education describing the Arizona State Plan for the Education of Migrant Children for fiscal year (FY) 1980 and requesting financial assistance to provide supplemental educational and support services to children of migratory farmworkers and fishermen enrolled in local school districts is presented.…

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by…

The report relates existing State Title V programs based on the Social Security Act to implications of Public Law 99-457 (the Education of the Handicapped Act Amendments of 1986), especially Part H which authorizes comprehensive coordinated statewide early intervention delivery systems for infants and toddlers with handicaps. In section I,…

Student health professionals, working as assistants to communities with serious health care problems, helped develop the Shuqualak health center in an area with the highest infant mortality rate in the United States. Describes the Community Technical Assistance Program and the history of the Shuqualak project. (SB)

This report describes school-based health centers and their degree of coordination with managed care providers. Although the investigation focuses on adolescents, many ideas discussed here are germane to elementary school-based health centers as well. Information was gathered through an extensive literature review, relevant legislation, and 88…

Reviews common financing strategies for school-linked services, and suggests that the fiscal strategy for building integrated school-linked services involves supplementing new core program funding with redirected existing sources and increasing use of Medicaid funds. There is no single approach to financing these services. (SLD)

A Critical Health Manpower Shortage Area (CHMSA) is a medical service area that has inadequate opportunities for access to medical care, mostly primary care (the first line encounter which diagnoses and treats sick or injured people). Most CHMSA's are located far from large population centers. Six hundred seventy three CHMSA's are found in…