This article describes a model of comprehensive and coordinated services in developmental disability medicine developed for children and adults in Kogarah, New South Wales, Australia. Key features of the model are a conjoint structure between government departments of health and community services, multiple medical specialty clinics, and…

Examination of the clinical records of 60 children with Down's Syndrome from 9 months to 9 years of age documented the order of emergence of sounds. Results indicated a wide range of ages for emergence of individual phonemes, revealing that norms and service delivery models established for typically developing children are inappropriate for use…

Describes plans for Community Outreach Education Program (COEP), designed to provide educational interventions to disseminate information about diagnoses, assessment, management, and treatment of dementia to health care professionals, service providers, staff or volunteer and community agencies, and family members. Describes plans within context…

This response to Carr (1993) on the issue of inclusion for students with learning disabilities supports inclusion. It distinguishes between "mainstreaming" and "inclusion," describes one inclusion model being implemented, and suggests that the momentum of the inclusion model has been generated by the failure of programs currently serving students…

Responses from 66 coordinators and 29 clients of the Queensland Open Learning Network showed that a diverse group was interested in adult/community education; 45% of providers had no formal qualifications; external study (such as teleconferencing) was the most desired delivery mode; and recognition of prior learning was important. (SK)

Notes that health maintenance organizations (HMOs) provide large volume of health care services to older Americans. Contends that HMOs must reexamine general practice of equating utilization of services with health care need and collect better population-based information, including measures of health status. Discusses data elements widely…

A survey of 50 cooperative extension directors received 37 responses that identified the trends in delivery of extension programs and profiled characteristics of field-based faculty related to employability and job mobility. A majority expected delivery modes to change from single agents to multicounty offices, with telecommunications increasing…

Responds to "macrostrategies" concept in counseling advanced in previous articles by Herr, Ivey and Rigazio-DiGilio, and Dinkmeyer relative to broadening the service delivery perspective of the profession and thereby sustaining its heritage. Claims this work contributes significantly to strengthening a paradigm shift in that direction.…

Proposes a conceptual framework for understanding the immigration experience. Outlines critical variables in the departure (premigration), transit, and resettlement stages of migration. Includes examples from the experiences of Soviet Jewish immigrants. Discusses changes in Soviet and U.S. policies that affect immigrant adaptation and delivery of…

This paper presents a framework for early intervention for children having (or at risk of developing) disabilities, produced by Eurlyaid, a working party of the European Community. The framework addresses definitions of key concepts, the target group, rationale behind early intervention, content of early intervention, conditions necessary for…

Interdisciplinary high schools are characterized by the decentralization of specialized areas and organization of space into modules that reinforce student communication as well as flexibility. Starting with an interdisciplinary cluster approach and then overlaying the departments aids the process. (MLF)

Examines the growth and reform of technical-vocational education and training in two South-East Asian Ministers of Education Organisation (SEAMEO) member nations: Indonesia and Malaysia. Traces similarities and differences between the two systems, which will be extended to other SEAMEO member states by the new SEAMEO Regional Centre for Vocational…

Problems discovered in the Kellogg Education Information Centers projects included territoriality, ethical issues in counseling and guidance, lack of staff time for individual assistance, isolation of rural areas, and lack of resources for outreach to special populations. (SK)

Notes that public welfare agencies are serving middle-class Americans. Examines six factors that may contribute to gentrification of public welfare agencies: growing demands for services from nontraditional clients; restructuring of public welfare's service delivery system; declining resources; increasing emphasis on child protective services;…

Presents information from interviews for Amish Study, study undertaken to understand, from rural family's perspective, experience of having received in-home family services. Describes barriers to service found by rural families and presents two cases from Amish Study. Considers need for outreach to rural families. (NB)