As increasing numbers of children in developing nations survive to school age, practitioners, researchers, and policymakers are increasingly focusing on the health and well-being of school-age children and on the possibility of using the infrastructure of the school system to deliver health and nutrition interventions. This research, conducted in…

This descriptive study in the Cleveland (Ohio) public school system evaluated the impact of an intensive, school-based mental health program. Forty-two African American elementary school students were referred for school-based mental services due to overt behavioral problems. Children were evaluated for risk status across three domains: community,…

Rethinking and expanding the theory of change underlying systems of care are recommended to support development of the knowledge base for understanding what systems of care can be expected to accomplish. Three domains of knowledge are presented as necessary to understanding the relationship between systems-level change and services. (Contains…

Data were gathered from all state Medicaid programs, 11 health insurance carriers, and 140 firms offering health insurance to employees, concerning coverage of various services needed by young children with disabilities, including ancillary therapies, mental health services, and case management. Results revealed that Medicaid offered the greatest…

Individual effectiveness studies and reviews of studies are described for eight mental health service components for children and adolescents with severe emotional disturbances and their families. Components discussed include residential services, outpatient services, day treatment services, crisis and emergency management services, case…

This study, which collected data through interviews and document review, was designed to identify strengths and weaknesses of Minnesota's Comprehensive Children's Mental Health Act (CCMHA) of 1989 and its implementation through December 1990. Three criteria for mental health reform were established for the study, including: care should be…

The theme of this serial issue is helping individuals involved in community health programs at the local level to devise and apply a protocol for the evaluation of a community health program. In the opening sections of the issue evaluation is defined, the difference between a direct quantifying measure and an indicator is clarified, obstacles to…

This special UNICEF report documents how an alliance of social resources--teachers, organizations, agencies--is beginning to help provide parents throughout the world with health knowledge that will benefit their children. Discussed are: (1) low-cost methods of protecting children's lives and growth which now prevent 2 million child deaths per…

Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…

This monograph discusses the Wallingford Wellness Project, a 3-year Administration on Aging model project designed to develop, demonstrate, and evaluate the effectiveness of health promotion and training with older adults. (The program in the Wallingford Senior Center offered classes focusing on exercise, nutrition, stress management, and…

This booklet describes a health education program designed to instruct children in proper health care. The model curriculum for this project consists of three intensive units of study, one each at the fifth-, sixth-, and seventh-grade levels. Each unit is organized around a body system: lungs and respiratory system for the fifth grade, heart and…

The overall goal of this project is to better understand the types of youth programs available that may influence the health measures presented in the U.S. Chartbook where American adolescents fare differently--sometimes better, sometimes worse--than their counterparts in other countries. In an effort to do so, the authors reviewed the existing…

This report discusses a study that examined clinical outcomes for 145 children (ages 5-17) with severe emotional disturbances attending a Children's Behavior Therapy Unit (CBTU) day treatment program across several locations. Children are referred to CBTU following failed placement with the respective school districts in less-restrictive settings,…

Starting Early Starting Smart (SESS) is a knowledge development initiative designed to: (1) create and test a new model for providing mental health and substance abuse prevention and treatment for young children (birth to 7 years) and their families; and (2) inform practitioners and policymakers of successful interventions and promising practices…

This paper discusses the finding of two studies that assessed the need for children' mental health services in the Mott Haven community of the South Bronx, and investigated the cultural, personal, and service utilization characteristics of Mott Haven children who are recipients of existing mental health services. Results from a one-week period in…