Among 10 principles arising from a symposium on health services for mentally retarded persons in the community are the need for: multiple options for health care delivery; a stable primary care "medical home"; a health care network; presence of resource centers for specialty care; and establishment of a health care clearinghouse. (DB)

This literature review analyzes 47 studies and reports on the type and range of medical care, resources, and support services needed to maintain individuals with mental retardation in the community; health-related outcomes; barriers to the provision of community-based medical services; and availability and access to services. (Author/JDD)

The report describes services, administration, and future directions of the Children's Special Health Care Services program, part of the Michigan Department of Public Health. Division programs are carried out at local, regional, and state levels and provide: preventive services (through generic and newborn screening services and neonatal intensive…

The Department of Community Medicine of the Mount Sinai School of Medicine (New York City), in cooperation with the TelePrompTer Corporation and with funding from the Health Services and Mental Health Administration of the Department of Health, Education, and Welfare, has developed a bidirectional television system using coaxial cable which links…

The booklet explains ten principles of family-centered health care and six components of community based programs for children with significant medical problems. The principles are: The child and the family have basic rights of self-determination and autonomy. Health care services should be family oriented and maximize family control. Service…

This paper reviews literature on the support needed by families of infants in neonatal intensive care units (NICUs). A survey of 94 California NICUs indicated that they generally provide comprehensive services to families while infants are in the hospital, less service during the transition home, and very little support and follow-up after the…

The Medicaid program and its impact on the long-term care of developmentally disabled individuals were the subject of this hearing, held in September 1986. The hearing examined the current funding provided through Medicaid, the range of services delivered, and the most appropriate setting for long-term care of the developmentally disabled…

This manual provides information to assist individuals in working together more effectively to provide comprehensive services and improve outcomes for children with special health care needs. The manual emphasizes the need for a union of services that places the child and family at the center and exists to provide educational, medical/health, and…

This report describes visits of two Americans to Bratislava, (Slovakia) and Prague (Czech Republic) as part of a larger project providing technical assistance to improve the care and services for children with special needs in these countries. A summary of the Bratislava visit lists people met and places visited (with a brief description of each…

This document contains summaries of thirty-two research projects supported by the National Center for Health Services Research (NCHSR) under authority of the Emergency Medical Services (EMS) Systems Act. (Focus of these research projects is to describe, explain, and predict the performance of more than 200 EMS systems being established under Title…

The report relates existing State Title V programs based on the Social Security Act to implications of Public Law 99-457 (the Education of the Handicapped Act Amendments of 1986), especially Part H which authorizes comprehensive coordinated statewide early intervention delivery systems for infants and toddlers with handicaps. In section I,…

This document contains 18 papers presented at a conference designed to increase practitioners' understanding of disability issues and peer support strategies, with emphasis on peer support in such practice settings as independent living centers, community-based employment programs, medical programs, and secondary and higher education. The papers…

Group discussions on physical, sexual, and emotional child abuse and neglect, which took place at the "Child Protection for the 21st Century Conference," are summarized. The discussions noted practices that should be preserved and those requiring change in law/law enforcement, mental health, medicine/nursing, social work, and prevention and…

This study examines the health care community's perspective on the delivery of services to young children with special needs and to their families. Focus group discussions were held with 87 health care practitioners in 5 states to identify extant trends and patterns of current practices, problems, and concerns. In the discussions, health care…

Summarized are the findings and recommendations of a 2-year study of all major services and service delivery systems in Nevada for persons with mental health disorders, mentally retarded persons, and abusers of alcohol and other drugs. Considered are the following areas of basic service needs: prevention of the mentally handicapping conditions,…