Expresses belief that the care for and development of children is a public utility and trust. Accordingly, principles are elaborated for the consideration of the pediatric professions in planning for the delivery of health services to this target population. (CS)

A format for ward rounds in use on a large medical service is designed to correct deficiencies in history-taking, interviewing, and physical diagnosis techniques. It is designed to emphasize basic clinical skills, observation, and reasoning. (Author)

Compares the American health care system with those of England and Sweden; presents evidence to support view that cultural factors influence health care significantly. Health care systems in small countries with homogenous populations tend to accept cultural factors, but do so with less ease in countries with heterogenous populations and…

Analysis of medical and hospital services utilization revealed no consistent differences in number of physician visits by race, income, education, insurance coverage, or religion of users. Lack of insurance coverage and race were associated with fewer hospitalizations for certain diseases. Symptoms and diagnoses of disease were used to control for…

Points out that while health problems often contribute to the problem behavior that causes juveniles to be taken into detention, institutions rarely treat these problems adequately. Summarizes common health problems among delinquent adolescents and calls for increased provision of comprehensive health services to institutionalized juveniles.…

Health care utilization patterns, health needs, and health behaviors of low-income Puerto Rican women in East Harlem were examined through questionnaires and interviews. Problems were found in access to care, communication with health personnel, and treatment related to contraception and childbearing. (GC)

Indians have the lowest life expectancy of any group in the US; the general state of Indian health lags 25 years behind the rest of the population. Article discusses problems of health delivery systems, alternative approaches to health care, and some of the most pressing health problems. (DS)

Obtained data from study conducted in five California jails to examine mental health needs of jail inmates (N=940). Of the 64 inmates over age 50, 14 were determined to be mature mentally ill offenders. Data suggest that mature mentally ill offenders are predominantly White, unmarried, alcohol dependent, have less than 12 years of formal…

Notes that age-related changes and maintenance of health and well-being of elderly prisoners require special management skills to assist elderly in coping with combined stressors of incarceration and increased health risks of aging. Information for training of law enforcement and jail personnel is discussed, including physical changes associated…

Utilizes survey responses from 2178 community-dwelling older adults to test the hypothesis that predisposing, enabling, and need characteristics are better predictors of discretionary than nondiscretionary service use. Results generally support the hypothesis, underscoring the importance of need characteristics for least discretionary service use.…

Findings of a qualitative study of three health and human services agencies determined that strategies of survival inherent in the culture of homelessness are rarely considered by those agencies in providing services to homeless people. Programs should develop cultural sensitivity and use a cultural perspective in planning. (JOW)

This paper reviews the relations found in the literature among poverty, maternal depression, early intervention, and child developmental outcome and a theoretical model is suggested. Mother-child transactional processes have been found to be impaired under conditions of poverty and maternal depression, leading to non-optimal outcomes in children.…

In the field of counseling, there has been a growing awareness of the important role the Black church plays in African American communities. Although counseling professionals have begun recognizing the influence the Black church has in the lives of African Americans, there seems to be little information on how counselors can collaborate with…

The escalating mentally ill population in prisons has created unique challenges for correctional systems, Colorado being no exception with 25% of its incarcerated population having mental health needs. This study examined correctional offenders with mental illness (OMIs) and found a growing number of OMIs in Colorado's prison system. Not only is…