Aboriginal people fare worse than other Australians in every measure of health, including in a ten-year gap in life expectancy, infant mortality, cardiovascular disease, dental disease, mental health, chronic disease and maternal health. Despite sustained government effort, progress to improve Aboriginal health has been very slow. The collective…

The few existing economic evaluations of community-based health promotion interventions were reported retrospectively at the end of the trial. We report an evaluation of the costs of the Kin Keeper(superscript SM) Cancer Prevention Intervention, a female family-focused educational intervention for underserved women applied to increase breast and…

Health care providers could help achieve the necessary shift to healthful eating and active living; however, lack of coverage or reimbursement, lack of time, and limited information about appropriate interventions are some of the documented barriers. This report highlights the potential for Supplemental Nutrition Assistance Program Education…

Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

Background: This paper describes a portion of a larger evaluation project of a state hepatitis prevention program. Purpose: The study explored the suggestions of key informants related to the delivery of hepatitis services in the state. Methods: Researchers conducted key informant interviews lasting 30 to 45 minutes. Results: Important findings…

Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian…

Adapted from a paper read at the Institute for Post-Graduate Occupational Therapists, Albert Einstein College of Medicine (New York City, May 10, 1968).

These guides provide orientation and advanced training for Medicaid's Early and Periodic Screening Diagnosis and Treatment (EPSDT) personnel. The Trainee Workbook consists of exercises that help trainees to better conceptualize their jobs and learn how to explain EPSDT to clients. Material is included on task analysis, publicity, eligibility…

The problem of providing adequate health services for rural America is many fold and will require the combined efforts of everyone to approach a satisfactory solution. A broad overview of all facets of the problem is presented. Listed and briefly discussed are goals which must be achieved to insure permanent improvement. Three general directions…

Intended for workers in Medicaid's Early and Periodic Screening Diagnosis and Treatment program, this booklet describes steps in providing EPSDT services. Focusing on methods of outreach and follow-up services, it concludes with a discussion of principles upon which effective client contact may be based. Section I outlines eight steps in the…

These three booklets present information about selected aspects of the Medicaid Early and Periodic Screening Diagnosis and Treatment (EPSDT) program. A brief history of the development of the EPSDT program, a description of administrative structure at the national, state and local levels, and a description of the lifestyle typical of many EPSDT…

Substance abuse continues to be one of the most damaging and chronic health problems faced by Indian people. American Indian and Alaska Native (AI/AN) substance abuse prevention and treatment programs must be framed within the broader context of the widening health disparities between AI/AN communities and the general population. Successful…

The purpose of this booklet is to provide answers to basic questions about the Medicaid Early and Periodic Screening Diagnosis, and Treatment (EPSDT) program. The first section argues that the need for EPSDT is evidenced in statistics on the health status of needy children. Provision of health care for many needy children depends on their…

The Bureau of Primary Health Care (BPHC) was developed to increase access to comprehensive primary and preventive health care, to improve the health status of medically underserved populations, and to assist communities to identify populations at risk. The needs of women of racial and ethnic minority populations are BPHC's newest initiative;…

This resource guide provides information on programs, publications, organizations, and other resources related to prevention of fetal alcohol syndrome (FAS). The purpose of this guide is to assist health care providers to comply with Indian Health Service (IHS) FAS goals and objectives. It gives examples of community approaches to FAS prevention,…