Among 10 principles arising from a symposium on health services for mentally retarded persons in the community are the need for: multiple options for health care delivery; a stable primary care "medical home"; a health care network; presence of resource centers for specialty care; and establishment of a health care clearinghouse. (DB)

Comparison of the hospitalization experiences of 36 people with mental retardation under a managed care program model with those not enrolled (n=50) found that patients in the care coordination group had shorter hospital stays, fewer readmissions, and were less severely ill upon admission. Costs of care coordination were partially offset by…

The editorial describes a proposed interagency university-based social/health maintenance model to provide health and medical services to developmentally disabled persons in the Buffalo, New York, area. (DB)

This document presents witnesses' testimonies and prepared statements from the Congressional hearing called to examine the issue of equal access to health care and the practice of patient dumping which may take the form of transferring a patient to another hospital, refusing to treat a patient, or subjecting a patient to long delays, and which may…

A Senate hearing reviewing health care services available for people with Alzheimer's disease and related dementia and reviewing proposals related to the treatment of Alzheimer's disease is presented in this document. Statements are given by Senators Charles E. Grassley, Albert Gore, Paula Hawkins, Howard M. Metzenbaum, Larry Pressler, and Paul…

This document contains a report on state and local emergency medical services programs. It discusses the effect of the transition from federal to state leadership under the block grant and identifies the key issues affecting local delivery of services. The report includes an executive summary and five chapters. Chapter 1 discusses emergency…

Reviews the role of athletic trainers in New York State secondary schools. Discusses the need for trainers to provide emergency medical care for sports injuries and to develop prevention programs. Reviews efforts to obtain certification for trainers from the New York State Education Department. (FMW)

Participants from five states (Colorado, Minnesota, Virginia, Washington, and Wisconsin) met to establish a national network to promote state and community-based models of comprehensive coordinated planning and service delivery to adults who survived pediatric disorders in their childhood. Results of state caucuses, which discussed and listed…

Advances in medical technology have enabled more children who are medically fragile and technologically dependent to survive. Local school districts must determine whether a particular service is a "related service" covered by the Education for the Handicapped Act (EHA) or a "medical service" excluded under EHA. Reviews court…

The keynote address of a November, 1988, symposium on developmental disabilities and the HIV (Human Immunodeficiency Virus) examines four basic areas of AIDS (Acquired Immune Deficiency Syndrome) concern in Congress: research, education, testing and discrimination protection, and health care services. (DB)

This document contains testimony and prepared statements from the Congressional hearing examining the impact on the elderly of the federal health care cost containment measure. Correspondence between the Select Committee on Aging and the Department of Health and Human Services, concerning the government restrictions' harmful effects on the…

This study examined provision of services to children with developmental disabilities and their families in the context of requirements of Part H of the Individuals with Disabilities Education Act, which requires family centered services for infants and toddlers. Focus group discussions were held with health professionals at two sites in each of…

An exploratory study was conducted on the implementation of Part H of Public Law 99-457, with emphasis on the involvement of health care providers. A series of 10 focus group discussions were held with health professionals (mostly nurses and physicians) in five states (Colorado, Hawaii, Maryland, North Carolina, Ohio). These health care providers…

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…

Group discussions on physical, sexual, and emotional child abuse and neglect, which took place at the "Child Protection for the 21st Century Conference," are summarized. The discussions noted practices that should be preserved and those requiring change in law/law enforcement, mental health, medicine/nursing, social work, and prevention and…