Case management has become a core component in the delivery of long term care services. It is widely viewed as a mechanism for linking and coordinating segments of a service delivery system (within a single agency or involving several providers) to ensure the most comprehensive program for meeting an individual client's needs for care. Although…

Block granting disburses mental health funds largely at the discretion of state mental health authorities, and state priorities typically focus on the most severely ill persons. Rural centers may suffer because multipurpose programs responding to a wide range of community needs are excluded from the mental health service delivery concept. (JHZ)

The role of the U.S. government in higher education finance and the ability and willingness of the states to support higher education at past levels are discussed. In the United States, financing is decentralized and pluralistic: federal, state, and local governments--as well as students, alumni, and private enterprise--all contribute. The states,…