Emerging research tests the impact of United States Medicaid home and community-based (HCBS) waiver policy on outcomes for people with intellectual and developmental disabilities; however, this body of work has yet to be synthesized. We conducted a scoping review to establish what is known about the impact of Medicaid HCBS policy on the lives of…

This article compares state expenditure data to see how the operating budgets of public community colleges specifically, and public higher education institutions generally, have fared over the past 30 years. Data from the National Association of State Budget Officers (NASBO) have long tracked major state expenditure categories, including the…

Purpose: The present article provides a narrative review of Australia's approach toward acquired brain injury (ABI) and proposes how Australia and the United States can collaborate to improve service delivery for persons with ABI and their families with epidemiology, healthcare, prevention, research, and training. Method: A narrative review of…

Context: The Veterans Health Administration (VA) provides comprehensive health care services to veterans across the United States. Recently, the VA established an Office of Rural Health to address the health care needs of rural veterans. Purpose: To review the literature on rural veterans' health care needs in order to identify areas for future…

The articles in this journal issue provide an overview of ways in which health services are presently delivered to children, youth, and pregnant women; the means by which these services are financed; and some of the major deficiencies in meeting the health needs of these groups. In the first article, the Center for the Future of Children presents…

Reviews the basic decisions states must make when implementing State Children's Health Insurance Program (CHIP) programs and reports on the decisions states participating in this federal program have made, as reflected in the plans they submitted to the Health Care Financing Administration. Sources of information about the program are included.…

The community mental health movement started with the purpose of providing services dealing with problems and issues specific to individual communities. As the movement grew, it took on the responsibility of delivering services to the "underserved" populations of this country, including children, the elderly, minority groups, and rural-area…

In March 1989 this working group explored how the federal government might better address rural America's problems. The WGRD consisted of key officials from relevant federal departments and agencies, who came together to explore the following areas of rural development programming: (1) rural education and training; (2) rural economic development;…

Analysis of six federal government studies on deinstitutionalization is followed by a discussion of initiatives enacted by the 95th Congress and proposals under consideration in the 96th. Among studies described are reports by the U.S. Government Accounting Office ("Returning the Mentally Disabled to the Community: Government Needs to Do…

During the last century the population over age 65 in America has increased fourfold. This dramatic increase requires careful economic and social planning and preparation by society, and consideration of specific programs and policies by Congress. Areas needing special consideration are: (1) employment and retirement; (2) allocatoin of health care…

Most current theories about consultation may be subsumed under two models. In the purchase model, an organization defines its problem and hires a consultant. In the doctor- patient model, a consultant diagnoses an implied need and suggests remediation. A third approach, process consultation, recognizes the value of the clients' expertise in…

Recent research suggests that approximately one-third of homeless single adults suffer from severe mental illnesses. Discusses federal initiatives undertaken by the National Institutes of Mental Health (NIMH) to encourage research and improve services for this subgroup. Describes the target population, NIMH research findings, and current mental…

The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

The living and working conditions of migrant farmworkers on the Eastern Shore of Virginia have been described as deplorable and possibly the worst in the nation. At the same time, growers in this region have complained of duplication, even triplication, of federal and state regulations designed to improve living and working conditions of these…

This annual report examines the problems and current economic status of various social, educational, and career development programs and services administered by the National Urban League. Also reported are the objectives, organization, and funding status of the Child Abuse Project, and the current state of health services, administration of…