Background: Coping with mass emergencies and disasters has become a growing challenge for children, adults and entire communities. Among the population groups affected by disaster, children are particularly vulnerable. Responsible disaster intervention requires both top-down and bottom-up preparation that endorses an ecological perspective, taking…

This article investigates the association between sense of community belonging and health among settlements of different size and across the urban to rural continuum in Canada. Using data from the recent 2007/08 Canadian Community Health Survey (CCHS), the objective is to identify the major health, social and geographic determinants of sense of…

Child well-being is important for community and economic development in the city. Young children with strong mental health are prepared to develop crucial skills that help build the basis of a prosperous and sustainable society. When DC ensures the healthy development of members of the next generation, they will pay that back through productivity…

In attempting to use a realistic evaluation approach to explore the role of Community Parents in early parenting programs in Toronto, a novel technique was developed to analyze the links between contexts (C), mechanisms (M) and outcomes (O) directly from experienced practitioner interviews. Rather than coding the interviews into themes in terms of…

Medicaid and CHIP are crucial parts of the social safety net, providing health insurance coverage to more than half of all children ages 0-21 in D.C. and a third of children nationally. Without these two programs, more than 97,000 children in the District would have been uninsured in 2010. New research indicates that compared with the uninsured,…

This report presents indicators that are included in DC Action for Children's 2012 KIDS COUNT e-databook, their definitions and sources and the rationale for their selection. The indicators for DC KIDS COUNT represent a mix of traditional KIDS COUNT indicators of child well-being, such as the number of children living in poverty, and indicators of…

Objective: Mediators of childhood sexual abuse (CSA) and HIV risk behavior were examined for men-who-have-sex-with-men (MSM). Method: Data from a dual frame survey of urban MSM (N = 1078) provided prevalence estimates of CSA, and a test of two latent variable models (defined by partner type) of CSA-risk behavior mediators. Results: A 20%…

A review of the literature on the impact of exposure to violence on psychologic functioning, perceptions of well- being, and health decisions and behavior in the context of black and Latino low-income urban communities found that exposure to violence can produce feelings of powerlessness, hopelessness, and alienation that limit motivation,…

Analysis of data from the management systems of San Francisco and Santa Clara counties (California) reveals ethnic differences among 26,708 public mental health service users. Asian Americans and Hispanic Americans used less emergency and inpatient, but more outpatient, care than whites. Blacks used more emergency and less outpatient care. (SLD)

This article investigates geographic variation in stimulant medication use by youth with attention-deficit/hyperactivity disorder (ADHD) served by public mental health and/or drug and alcohol programs in San Diego (n = 790) during 1997-1998 and in Puerto Rico (n = 726) during 1998. Youth were stratified into four groups: (a) ADHD, (b) ADHD--not…

This report provides a broad overview of significant issues and trends affecting human services in New York City. Written for decision makers, policymakers, service providers, and financial supporters, the first volume includes (1) "Introduction" (the social temperature of New York City); (2) "Who are New Yorkers?" (population…