Empirical engagement-promoting strategies in child and family mental health services have been identified largely within the context of clinic-based services delivered by mental health professionals. However, the magnitude of unmet youth mental health need necessitates expanding the scope of mental health services, and the associated engagement…

Nearly a quarter of the students in the U.S. education system have a chronic health condition, disability, or special healthcare need. Students living in poverty and those at risk for or with disabilities have higher rates of health issues and encounter more barriers to accessing appropriate health care than their peers. The reciprocal influences…

The United States has recently seen a significant increase in the number of unaccompanied minors from the Northern Triangle of Central America (i.e., El Salvador, Honduras, and Guatemala). These children and youth are refugees fleeing extreme poverty and gang violence. This study examined the narratives of 16 refugees from the Northern Triangle…

Most U.S. children (94%) have some form of health insurance coverage. While this is the highest rate in U.S. history, poor children still lag behind middle-income children. Serious infectious diseases (e.g., measles, diphtheria, meningitis) and severe malnutrition have declined or disappeared, and new treatments have improved life expectancy among…

Rates of health insurance for children have improved significantly over the past few decades, and more children have insurance than ever before in U.S. history. Health care does improve child health and well-being, but growing understanding of social and community influences has led health care practitioners to work toward more comprehensive and…

Numerous studies acknowledge that the well-being of our nation hinges on the health of its people. There is specific concern about children because they represent the future. Ignoring children's health needs can compromise their educational preparedness, occupational pursuits, productivity, and longevity. Current science demonstrates that…

Background: Migration of the native populations from reservations to the urban areas has resulted in mixed ethnicities of American Indian/Alaskan Native (AIAN) children. Minority youth require special attention and services in urban schools as they disproportionately experience poverty, low educational attainment, unemployment, and single-parent…

The National Survey of Children's Health (NSCH) provides a unique resource with which to analyze the health status, health care use, activities, and family and community environments experienced by children in rural and urban areas. The NSCH was designed to measure the health and well-being of children from birth through age 17 in the United…

Part 1 of the second volume in a four volume collection, this document includes sections on housing, health, crime, and energy and focuses on such topics as: federal policies for low income housing; the future supply of housing; nonaffluent behavior and attitudes related to health and well being; costs, coverage, and issues in medicaid; the…

In 1982 California eliminated 250,000 "medically indigent adults" (MIAs) from the Medi-Cal program and transferred responsibility for their care to the counties, along with about 70% of what the state would have spent on their care had they remained in the Medi-Cal program. There is far greater variability among the counties in benefits,…

Examines the impact of medicaid coverage on access to and utilization of health care by poverty children during 1983 in Iowa. Survey results showed that poverty children receive less well care from private pediatricians and see the same health professional less often than do nonpoverty children. (SA)

This study reveals a common opinion regarding the importance of adequate health care at reasonable cost for all citizens, that it is a political issue. (JB)

Presents information on who gets medical care and what the needs for medical care are. A proposal for a National Health Service for mothers and children and what services this should include is presented along with other recommendations for reform. [Available from American Public Health Association, Inc., 1015 Eighteenth Street, N.W. Washington,…

There are 16.4 million women over age 65 in this country, compared to 11 million men. The 41 percent of this population who live alone are the poorest of the poor in this country, with an annual median income of just over $3,000 for white women and little more than $2,000 for black women. This abject poverty affects the ability of these women to…

The Hispanic/Latino Health Initiative of the Surgeon General's Office was created under Surgeon General Antonia Coello Novello to develop a plan to address barriers to quality health care and services. This report documents the activities and findings of the Initiative. It describes the status of Hispanic/Latino health in five regions of the…