A general textbook on the psychiatric disorders of childhood, the book is intended to be an introductory text for students and practitioners working with children (such as psychiatric and pediatric residents and psychologists, teachers, medical students). The genesis of mental illness is discussed in terms of the contributions of heredity and the…

The report on programs and needs of mentally ill and handicapped children, especially in the District of Columbia, contains 10 statements, 22 materials submitted for the record, and 29 appended articles and studies. The purpose of the hearing is stated to be that of hearing testimony from the people of the District of Columbia in connection with…

The article briefly reviews the history of deinstitutionalization and supports the development and use of a comprehensive evaluation process to evaluate the human and environmental factors that affect the potential for successful placement of handicapped persons in community-based residential facilities. (JW)

A format was devised for nursing home rounds that provides for discussion among staff members and specialists and is aimed at teaching and the resolution of specific patient-care and administrative issues. Many complex medical problems were handled without transferring the patients to an acute-care facility. (Author/MLW)

Data from 43 states on policies and procedures for training direct-care staff in public and private residential programs for the mentally retarded or developmentally disabled were analyzed to evaluate state training standards, examine curriculum content and training priorities, identify program implementation problems, and identify outstanding…

Reviews methodological weaknesses of studies that evaluate alternative settings and programs for long-term care of the elderly. Argues that research should provide better information and present options to clients, service providers, and policymakers, rather than studying whether one alternative is more effective than another. (Author/MJL)

The British National Health Service faces a future in which demand for health services will outpace supply. A public nursing home service may prove to be an economical service. Alternative sources of revenue and cooperation between the public and private sector are needed. (JAC)

Characteristics of the target population, services, and potential source of helpers are determining factors in the cost effectiveness of home health services. Welfare of patients in the experimental group was improved, and lower probability of residential care helped keep costs down. (JAC)

Argues that the voices of those who have been abused in residential care need to be considered in research on child abuse in residential settings. Considers the high percentage of child perpetrators, the focus on child control and restraint rather than development, and the potential dangers of dominant, charismatic leaders, and politically…

Analysis of states' utilization of large residential settings for individuals with mental retardation and related conditions found that some states with low use of large public facilities may actually have high use of large nonpublic facilities. A chart showing utilization rates by states for various types (public and nonpublic) of large settings…

Analysis of concerns expressed by 42 members of 19 families of young adults with severe developmental disabilities indicated concerns in such areas as self-care capabilities, sexuality, and quality of residential services. Concerns in the residential domain were most predictive of overall individual and family stress. Effects of questioning…

Describes the demographic trends and health risk factors of the growing elderly population, especially poor minorities. Suggests rethinking traditional hospital and nursing home roles in health care delivery to the elderly, expanding research concerns, reworking access to Medicaid, and ensuring health care to minorities. (CJS)

Assessed effect of cognitive-behavioral program to prevent HIV/AIDS among 139 adolescents. Self-report instruments were used to assess participants' knowledge and behavior about HIV/AIDS. Intervention was found to have significant effect on knowledge about HIV/AIDS, attitudes toward prevention, and coping with high-risk situations. Changes were…

This paper explores historical and recent trends in the delivery of residential adolescent substance abuse treatment, looking specifically at the impact of managed care on the service delivery system. Three historical eras are conceptualized by the authors: (1) an era prior to managed care in which services were provided on a fee for service basis…

Based on the complementary model of support use, we investigated older adults' preferences for short-term and long-term future care needs in a U.S. and a German sample (65+ years). A greater preference for the exclusive use of informal support and for mixed support (a combination of informal and formal support) was found with regard to short-term…