This paper describes diagnostic methods, treatment approaches, cultural factors, service delivery systems, and governmental roles important in the consideration of the status of mentally retarded people with mental health problems in four Spanish-speaking populations: Chile, Mexico, Spain, and Hispanic groups in the U.S. (JDD)

Reviews the unique health care needs of children in the out-of-home care system and the standards developed over the past decade to deliver comprehensive health care services to this population. Raises key policy and practice questions for each standard to facilitate effective implementation of recommendations makes suggestions for future research…

As part of a project aimed at developing an adolescent health education program, 100 subjects aged 12 through 13 and 16 through 17 were studied to determine the possible relationship between self-esteem, value of health, and positive health behavior. Both factors were found to be significantly correlated with certain dimensions of health behavior…

Implications of the Colorado Social Health Survey for indirect needs assessment in mental health planning and administration are discussed. The survey model parameters' generalizability to other areas of the nation should be investigated, as well as improved ways of linking specific populations to needs, preferences, and outcome dimensions. (SLD)

This paper describes experiences of a psychiatrist working with adults who have intellectual disability along with challenging behaviors and/or psychiatric illness, focusing on harm minimization, relationships with staff, and collection of behavioral data. Three case histories illustrate differences between institutional and office practice and…

The family associate is a parent without professional mental health training who acts as a system guide to low-income families whose children have been referred to mental health services. Family associates in three counties in Oregon provide emotional support and information about mental health services and community resources and link them to…

Surveys of 2,401 university employees indicated that 81% felt that a wellness program should be offered, and 57% planned to participate. For the upper-income group, disparity between desire for the program and desire to participate was greater, perhaps because they felt less personal need for such services. (SLD)

Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process: fragmentation, instability, language barriers, culturally inappropriate treatment methods, and severe staff shortages. Suggested improvements for refugee mental health services emphasize outreach, prevention, treatment approaches,…

The Head Start community has recognized that the mental health program has been a weak spot in the program's comprehensive services strategy. A brief telephone survey of 101 programs identified the services most desired and resulted in recommendations for strengthening this aspect and making the program a laboratory for innovative practices. (SLD)

The use of case-control methodology as an applied policy/planning research tool in assessing the potential effectiveness of behavioral interventions is studied in connection with diarrhea control in Zaire. Results with 107 matched pairs of children demonstrate the importance of hygiene-related knowledge and the utility of the research approach.…

Social-historical lineages of adolescent alcohol and other drug use prevention programs are examined, tracing risk factor research from assumptions of deviance regarding the mentally ill and considering patterns that have inhibited advances in prevention. To achieve program success, protective factor and harm reduction approaches must be explored.…

Using epidemiologic survey data of elderly residents in six public housing developments, assesses the need for mental health care. Found that 37% of the predominantly African American sample needed mental health services. Males, older residents, those with no Medicare insurance, and those with daily living impairments were most at risk. (RJM)

Analysis of responses of 254 mental health workers in Kentucky to a questionnaire concerning therapeutic treatment in cases of physical child abuse found that the family was usually seen as the primary client, with the goal being provision of a safe environment for the child. Abused children received only 7 of the 23 sessions generally provided in…

States that the employment pool for respiratory workers in Virginia has declined, due to a reduction in the numbers of training programs available in local community colleges. Describes a pilot distance learning program in respiratory therapy at Virgina's J. Sargent Reynolds Community College (JSRCC). Reports that students in the pilot distance…

An intervention designed to address barriers to access to children's mental health services for low-income families was implemented in three Oregon counties. Paraprofessionals provided families with information, emotional support, and tangible assistance. Families in the intervention group (n=96) were significantly more likely to initiate…