This document presents witnesses' testimonies and prepared statements from the Congressional hearing called to review the United States Department of Health and Human Services' response to mental illness, focusing on the delivery of services for the severely mentally ill, and the leadership role of the National Institute of Mental Health in…

During the past three decades, there has been an increase in knowledge about early childhood development. Early experiences can function as either risk factors or protective factors for a child's future health and development. This has led to concern about how current health systems contribute to the quality of the earliest experiences of life.…

Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

The purpose of this paper is to specify the design for evaluating the second year Health Start Program. This design is used as the basis for the determination of the data to be collected and the comparisons that will be made using these data to provide information to answer the policy questions asked by the Office of Child Development (OCD). For…

The domestic health profile, family and community role, and federal efforts to help at-risk children are discussed. Federal efforts center on maternal and child health programs that strengthen the family, but other initiatives are necessary to give each child the security and stability needed for healthy development. (SLD)

Three panels appearing before the Senate Special Committee on Aging discuss the sensitivity of the Administration on Aging to Native Americans, coordination of services between Title II and Title VI of the Older Americans Act, and availability of services under the act. Witnesses recommend language be included in the reauthorization of the Older…

The historical evolution of NIMH manpower and training policy is set forth as the framework for examining recent changes in the psychology education programs of the Institute. The new and exclusive emphasis on priority-focused training as a basic condition for NIMH support in the future is described with special reference to training in the child…

The final report of the Health Start evaluation of the second year program is presented in three separate documents. This paper presents an overview of the Urban Institute's evaluation of the Health Start program and covers two broad areas: health service coordination and health service delivery. The two major questions for the 1972-73 evaluation…

This brief paper on a topical discussion session held at a conference on children's mental health about implications of the 1999 report, "Mental Health: A Report of the Surgeon General," for children. The discussion focuses primarily on the chapter in the report specifically about children and mental health with comments by four individuals who…

This fact sheet describes the Comprehensive Community Mental Health Services for Children Program overall and includes descriptions of 22 specific programs. The program was authorized by Congress in 1992 and provides federal funds through demonstration grants to states, communities, and Native American tribes. The program currently administers 22…

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…

This document is part of a five-volume nationwide study of Nutrition Services operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. The Nutrition Services address a number of problems faced by the nation's elderly, such as dietary inadequacy, declining…

This document is part of a five-volume nationwide study of Nutrition Services operations and elderly citizens participating in congregate dining and home delivery services authorized by Title III-C of the Older Americans' Act. A descriptive report is contained in this volume, which presents non-selective and preliminary analysis of the data base…

San Antonio's Child Mental Health Program (CMHP) became ineligible for direct funding following enactment of Public Law 94-63, but was able to propose a viable plan for program survival. The CMHP, established by the Mexican American Unity Council (MAUC) in 1972, provides comprehensive child mental health services within a community setting and…

Describes the mental health problem among the poor whose rural or cultural attitudes and values often prevent their seeking or receiving services. Describes federal involvement in mental health since 1946, including legislation, presidential policy, currently proposed bills, and budget items. Discusses state and local administration of federal…