Preliminary results from the Health Care Reform Tracking Project's baseline survey and site visits to 10 states show that managed care has generally improved access to health care for children, but it has made it more difficult for youths with serious emotional disorders, and uninsured children, to obtain care. (SLD)

Recently states have increasingly turned to managed care arrangements to finance and deliver health services to Medicaid beneficiaries. As this trend continues, states should carefully monitor changes in program costs and quality and implications for delivery of pediatric services and health outcomes for children. (SLD)

Identifies the following basic issues involved in planning and implementing school-linked services: (1) planning; (2) targeting; (3) governance; (4) information systems; and (5) staffing. Effective planning requires a policy-minded team of equals from various agencies. Strategies that community teams can use to address each issue are discussed.…

The staff of the Center for the Future of Children analyzes policies to make the U.S. health care system more responsive to the needs of children and pregnant women focusing on (1) efficiency; (2) access; and (3) affordability. Recommendations are made in each of these areas. (SLD)

The current tripartite system of human services delivery (education, health, and social services) is unable to deal with children with multiple problems in an effective, coordinated way due to fragmentation, specialization, and complexity. Reorganizing the current system by linking or integrating services could provide many advantages, as…

Reviews types of evaluation that may be applied to school-linked services; and discusses the needs for a range of evaluative strategies for program providers, policymakers, and funders. For some programs evaluation will be primarily descriptive, whereas for others a carefully designed outcome evaluation will be possible. (SLD)

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)

Argues against placing the school in a lead position for delivery of services; and supports a community-based model in which diverse service providers, administrators, and institutions work collaboratively in a system of linked services. A community-based system would involve a consortium of existing agencies or a newly created entity. (SLD)

Reviews common financing strategies for school-linked services, and suggests that the fiscal strategy for building integrated school-linked services involves supplementing new core program funding with redirected existing sources and increasing use of Medicaid funds. There is no single approach to financing these services. (SLD)