This executive summary presents specific proposals to improve maternal and child health conditions in the United States. Contents of the summary are organized in 13 chapters. Five overriding concerns in the areas of health and health care are identified in Chapter One. Chapter Two focuses on the reduction of environmental risks; Chapter Three…

In devising the mental health plan for Chicanos, the social, economic, and political forces that adversely affect their emotional well-being must be considered. While defining mental health needs and proposing ways to meet those needs, the cultural background of the Chicano people must seriously be considered. The plan should stress the importance…

Family-physician relationships were examined in terms of solo vs group physician practices in two rural southern counties of different socioeconomic status. Comparatively speaking, County B was poorer, had a much higher representation of blacks, had lost considerable population during 1960-70, depended to a much lesser degree on manufacturing, and…

This article shares a personal perspective on school mental health through a discussion of the ways that schools currently address mental health, an example of advancing such work through a school district mental health unit, and reflection on some important lessons learned. The article's appendix lists five sample delivery mechanisms and formats.…

This paper identifies issues and needs related to services for migrant children based on a review of the literature and discussions with experts in the field. Background on migrant children includes definitions; demography; migrant data sources; and descriptions of federal migrant education, migrant health, and migrant Head Start programs. A…

This booklet provides a broad-based definition of the population of students with special health needs and offers information about specific subcategories of conditions. These subcategories include traumatic brain injury; pediatric human immunodeficiency virus (HIV), acquired immune deficiency syndrome (AIDS) and AIDS-related complex; and…

A descriptive analysis of the problems of the elderly at the San Carlos Indian Reservation regarding health, illness, social pathology, environment, health delivery systems, and felt needs was conducted. Interview questionnaires were used to obtain data from 59 elderly on the reservation and 21 in an off-reservation nursing home; 39 younger family…

Prepaid group practice as a concept for providing health care is now over 25 years old in the nation and in New York City. It has overcome initial opposition by the medical profession and has been adopted by government as a healthy strategy under the acronym HMO or "Health Maintenance Organization". The author asserts that on two major…

This paper discusses how the health care needs of underserved children, particularly urban children, can be met through an ecological model of health care. Ecoprimary care, infant mortality, and the experiences of King/Drew Medical Center in Los Angeles (California), an example of maximization of resources, are described. (SLD)

The Individuals with Disabilities Education Act includes school health services among possible related services. A review of relevant documents and court decisions from the past 10 years provides insight into congressional intent, federal regulations, and local implementation of service delivery related to children with extensive health care…

With the release of "A Nation at Risk" in 1983, Americans focused on the report's declaration of "a rising tide of mediocrity" in the schools, which suggested unacceptable results in the education of America's children and youth. Concurrent to the missives levied at schools' lack of progress with academics and other…

The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

This paper focuses on health status and medical service utilization among three subgroups of the elderly population: the poor, the black, and the rural elderly. Economic and demographic characteristics of the elderly are discussed. Available evidence is examined on the relationship between these characteristics and health status to determine…

This session of hearings began with an opening statement by Senator Edward M. Kennedy. Such witnesses as the following then gave testimony: Dr. William E. Conner, co-chairman, Panel on Nutrition and Health, University of Iowa; A. Yanechik, Arizona Department of Health Services; Dr. J. Farquhar, Stanford University Medical Center; Dr. E. Bierman,…

Presents a personal narrative concerning migrant health and health care delivery within the United States, discusses the financing of migrant health care, ranks states according to numbers of farmworkers and money for health care per farmworker, and examines the necessary organizational factors. Administrative considerations and health care reform…