A survey of 171 American Indian women in California who were pregnant or parenting and were considered at risk for problem substance abuse covered demographic information; personal and family history; alcohol, tobacco, and drug use; HIV risk; and a needs assessment regarding health care, economic needs, and parenting and children's needs. (LP)

Reviews evidence on the state of health of the nation's children and youth, identifying common health problems. Findings indicate the need for policies placing priority on the delivery of primary care services and status measures that reflect the interrelationships among health problems and the impairments associated with them. (SLD)

Analyzes implications of the birthrate for teenage mothers, and examines the limitations of key statistical indicators. Evidence suggests that the rate of childbearing among U.S. teens may be increasing after a decade of stability. To deal with this effectively, it may be necessary to enhance life options of teenagers. (SLD)

Five global health-related dilemmas requiring action are discussed, including (1) worldwide population aging; (2) rising worldwide poverty; (3) ethical dilemmas of new technologies; (4) need for adequate and affordable health care systems; and (5) need to allocate scarce resources to meet infinite health care demands. Five actions are recommended,…

Factors contributing to the gap between white health status and black health status include the following: (1) a lack of culturally sensitive health information; (2) denial by blacks of early warning signs of disease; (3) delays by blacks in seeking care; and (4) decreased access of blacks to high quality health care. (SLD)

Most of the world's rapidly expanding aging population is in rural areas of developing countries. Geriatric training programs should include social, economic, and psychological aspects of aging as well as medical, and should focus on enabling primary health caregivers to care for older people in their environments. Efforts to provide rural…

Categories of age-related disabilities are described. The goal of rehabilitation is to enable elderly individuals to continue living at home with some independence. In rural areas, this goal can be attained through rehabilitation in the community by nurses, volunteers, the elderly themselves, and family members; provision of appropriate assistive…

Today, school districts are challenged in meeting the health and educational needs of students with chronic health conditions. One of the challenges school districts face is determining when students with health-related disabilities are eligible for services under Section 504 of the Rehabilitation Act of 1973. This article reviews Section 504 and…

General practitioners (GPs) from the Australian state of Victoria and support people were surveyed about their concerns and priorities for meeting the health care needs of people with developmental disabilities. Despite the poor response rate (22% and 27%), sampling adequacy was obtained, and the tools were found to have construct validity.…

This paper focuses on the effects of the hurricanes on people with all types of disabilities. The National Council on Disability (NCD) released another report that addressed in detail the specific challenges for people with psychiatric disabilities. Please refer to "The Needs of People with Psychiatric Disabilities During and After Hurricanes…

This report presents data on the current status of adolescent health. Many of the measures of health status are shown by single year of age or by 2- or 3-year age intervals to highlight the changes that occur in health status as adolescents move through this important developmental period. Summary measures combining 5- or 10-year age groups (the…

Intended for those already providing home child care or those considering becoming a caregiver in Canada, this book provides practical ideas and advice covering the many areas involved in home child care, from organization of the home to resources available to the provider. Chapter 1 describes how home child care can be provided, how to adapt to…

There are two essential social systems with which virtually all children and families have routine, significant contact: school and health care settings. Schools are being asked to address the needs of children and youth at a time when fundamental transformations of schooling structures and outcome expectations are also being demanded. To address…

This publication offers a portrait of poverty in San Antonio (Texas) based on an analysis of available statistical data and focusing on health, education, employment, housing, and human services. Five chapters each contain statistics regarding poverty in the United States, Texas, and San Antonio. Each chapter also begins with true stories about…

This guide provides school leaders with a framework and tools for developing and implementing a comprehensive school health program. Theoretical and scientific information relating to students' needs is outlined, and approaches that have proven successful in other schools are described. The book is divided into three parts: The first, "Why…