Many hospitals and academic medical settings lag behind in promoting key initiatives focused on advancing maternal, infant, and early childhood mental health. Yet, systems are dynamic and change is possible. This article highlights Fellows' efforts to infuse maternal, infant, and early childhood mental health understanding and approaches into…

"Assessing Health Professional Education" is the summary of a workshop hosted by the Institute of Medicine's Global Forum on Innovation in Health Professional Education to explore assessment of health professional education. At the event, Forum members shared personal experiences and learned from patients, students, educators, and…

Meeting the health and wellness needs of students in school is a necessary and effective approach to reducing educational barriers for children and ensuring America's economic dominance in the 21st century. Since 1988, Medicaid has permitted payment to schools for certain medically necessary services provided to children under the Individuals with…

Purpose: To quantify the monetary value of medications provided to rural Alabamians through provision of pharmaceutical manufacturer-sponsored prescription assistance programs (PAPs) provided by a clinical pharmacist in a private Black Belt family medicine clinic during 2007 and 2008. Methods: Patients struggling to afford prescription medications…

Background: Little is known about access to medicine among immigrant Latinos in the United States (US). This study explored access to, and use of, prescription drugs obtained from nonmedical sources among recently arrived, Spanish-speaking immigrant Latinos in rural North Carolina (NC). Methods: Our community-based participatory research…

Using a representative national sample (N = 20,745), this article explores health and mental health needs, service use, and barriers to services among sexual minority youths (SMYs) and heterosexual peers. SMYs were defined by ever having a same-sex romantic attraction or having a recent same-sex romantic relationship or sexual partner. SMYs…

Background: There is evidence that persons with an intellectual disability (ID) face barriers to primary care; however, this has not been extensively studied at the population level. Rates of hospitalisation for ambulatory care sensitive conditions are used as an indicator of access to, and quality of, primary care. The objective of the study was…

A focus group study was conducted with individuals with developmental disabilities to understand their perspectives on their health status, health promotion behaviors, and health care services they receive. The majority of participants reported good to excellent health, and all had some form of medical insurance. However, participants reported…

PEOPLE LIVING IN RURAL AREAS HAVE ONLY ONE-HALF THE ACCESS PER PERSON TO DOCTORS, DENTISTS, AND OTHER HEALTH RESOURCES THAT URBAN DWELLERS HAVE. THIS IS COMPOUNDED BY--(1) THE DISTANCE BETWEEN THE PATIENT AND THE HEALTH SERVICES, (2) LACK OF TRANSPORTATION, (3) LACK OF COMMUNICATION, AND (4) LACK OF HEALTH SERVICES, PERSONNEL, FACILITIES, AND…

This report examines the current status of child health services in the United States and identifies priorities for an improved health care program for mothers and children. Its recommendations are designed as guidelines for constructive discussion by participants in the 1970 White House Conference on Children. A major thesis of the report is that…

Extensive guidelines for the development of a comprehensive school-based health clinic at the middle, junior, or senior high school levels are presented. School-based clinics usually provide the primary health care services needed by adolescents: health maintenance examinations and assessments; diagnosis and treatment of acute and chronic…

Minimal health services which migrant children should receive are detailed in this manual for schools participating in the Pennsylvania Migrant Education Program. Among the 10 health services defined are identification of existing health problems, medical examinations/treatment, immunizations and health education instruction. Stating that the…

The health needs of the approximately three million migrant and seasonal farmworkers and their families are clearly among the greatest needs of any population group in the country. In 1962 the Migrant Health Act became the first legislation intended to address some of the health needs of migrants. By 1976 Migrant Health Centers had served 415,000…

Problems of access to health care facing Appalachia mountain communities are confounded by unemployment, poverty, low education, and local religious beliefs that barrier people from receiving medical care. This proceedings addresses the issues related to health access and health needs. It contains 20 papers and 12 synopses of presentation. The…

This document represents proceedings of a workshop before the Senate Special Committee on Aging. The workshop focused on the severe shortage of health professionals in the rural health care system. Opening remarks by Portia Mittelman, Staff Director of the Special Committee on Aging and Jeffrey Human, Director of the Office of Rural Health Policy…