Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Context: The challenge of providing meaningful health care services to veterans living in rural communities is a major public health concern that involves redefining the traditional facility-based model of care delivery employed in urban areas. Purpose: This paper describes the steps of a demonstration project, the Elko Telehealth Outreach Clinic.…

Recommendations made by a Special Subpanel on Mental Health of Asian and Pacific Americans of the President's Commission on Mental Health are discussed in this paper. The subpanel determined that racism is the most pervasive mental health problem confronting Asian and Pacific Americans. The nine recommendations made by the subpanel focus on social…

A description of the program of early periodic screening, diagnosis, and treatment (EPSDT), part of the Federal Medicaid services, which was established in 1968 as a large scale venture in preventive medicine aimed at the children of low-income people. (EH)

Examines the impact of medicaid coverage on access to and utilization of health care by poverty children during 1983 in Iowa. Survey results showed that poverty children receive less well care from private pediatricians and see the same health professional less often than do nonpoverty children. (SA)

Despite considerable progress in narrowing the health gap between whites and nonwhites (including blacks, American Indians, Asian Americans) in the last 20 years, substantial differences persist. According to most indicators, nonwhites are less healthy than whites. Yet nonwhites see physicians somewhat less often and are less likely to have…

This second volume of the 1981 Report of the Select Panel for the Promotion of Child Health presents an examination of selected federal programs affecting maternal and child health and proposes detailed recommendations for federal legislative, regulatory, and other administrative improvements. Five federal programs, identified by the panel as…

The contents of this report by the staff of the Senate Select Committee on Nutrition and Human Needs--based on information gathered at the National Nutrition Policy hearings, from testimony before the Select Committee and the Senate Agriculture Committee and through staff investigation--are organized in nine chapters, as follows: (1) Food Stamp…

This report examines the current status of child health services in the United States and identifies priorities for an improved health care program for mothers and children. Its recommendations are designed as guidelines for constructive discussion by participants in the 1970 White House Conference on Children. A major thesis of the report is that…

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…

Discusses future and present congressional health care programs. (PG)

Emphasizes the effects of poverty, lack of education, and scarce medical resources (all prevalent in rural areas) which contribute to poor health conditions and practices for rural children. Available from: U. S. Dept. of Agriculture, Rm. 456 GHI Bldg., Washington, D.C. 20250. (JD)

This paper provides background information on existing refugee health policy as spelled out in the Refugee Act of 1980, consideration that issues in health and health care have received, and significant program development that has occurred in addressing health care problems. Following the introduction, Section II describes the following: (1)…

Describes the development and implementation of a health services component of a federally-funded day care center, specifically, the policies, standards, and integration of family, community, staff skills, and resources. (ED)

Contents of these hearings include the statement and testimony of the following witnesses: (1) Alan Young, Research Administrator, Research and Development Division, A. H. Robins Co.; Chairman, Board of Directors, Vitamin Information Bureau; (2) Dr. Joseph M. White, Nutritional and Medical Consultant, Miles Laboratories; (3) Dr. George Briggs,…