In this investigation of 133 grandparents with primary responsibility for their grandchildren, we examined the potential moderating role of social support in the association between caregiver stressors and grandparents' general well-being. Enacted formal support buffered the association between grandchild health problems and both grandparent…

Purpose: The purpose of this research is to report on an evaluation of a programme of supported education in a Further Education context for students with long-term mental health problems, based on Antonovsky's Salutogenic model of health. The students are referred by the Community Mental Health Team. Design/methodology/approach: Three consecutive…

Purpose: In response to rising prevalence of sexually transmitted infection (STI) among teenagers, this study was designed to examine teenage perceptions of sex education, access to services, and attitudes relevant to STI. Design/methodology/approach: A focus group study was conducted in three schools to discuss the sexual health needs of…

Elias, Zins, Graczyk, and Weissberg (2003) have written a concise summary of the daunting challenges and possible solutions to improve outcomes for students with mental health needs. As a special educator, the author wants to focus his comments on the potential benefits of school-wide approaches for students with the greatest psychosocial needs.…

Purpose: Washington State's initiatives to increase the availability and quality of community residential care presented an opportunity to describe clients entering adult family homes, adult residential care, and assisted living and to identify outcomes of care. Design and Methods: We enrolled 349 residents, 243 informal caregivers, and 299…

Rates of mental health difficulties were investigated among children in substitute care across five childcare teams in Craigavon and Banbridge H+SS Trust. A total of 64 children were assessed using a behavioural screening instrument. Results indicate that more than 60% of 4-10 year olds assessed may have a diagnosable psychiatric disorder. The…

Information on admission to psychiatric inpatient units is lacking from the literature on contemporary services for people with intellectual disability and mental health needs. Here we report on predictors of admission for a cohort of 752 adults from this population living in community settings; 83 were admitted. We also report on two subsamples…

On Wednesday, April 18, 1906, an earthquake, measuring 7.8 on the Richter magnitude scale and lasting 48 seconds, erupted along the San Andreas fault with a flash point originating in the San Francisco Bay area. The force of the earthquake tore apart buildings and roads, causing water and gas mains to twist and break. The resulting effects of the…

Background: Schools are in a unique position not only to identify mental health problems among children and adolescents but also to provide links to appropriate services. This article describes the characteristics of school mental health and social services in the United States, including state- and district-level policies and school practices.…

Public health, once the gem of American social programs, has turned to dross. During the 20th century, the public-health sector wiped smallpox and polio off the U.S. map; virtually eliminated rickets, rubella, and goiter; stopped epidemic typhoid and yellow fever; and brought tuberculosis--once the leading cause of death in U.S. cities--under…

Rates of mental health problems in mothers and children in families affected by maternal HIV as compared to those not affected by maternal HIV but living in similar inner-city, low-SES, primarily ethnic-minority neighborhoods were examined. In addition, correspondence between mother and child mental health was explored. Interviews were conducted…

A study examined the preparation of sick children's nurses to work in communities in the United Kingdom. Data were collected from the following: literature review; mail survey of the 43 colleges of nursing currently conducting the United Kingdom's Child Branch program for children's nursing (response rate, 81%); 18 focus group interviews with a…

In January 1995, five community colleges were selected to participate in a year-long project to implement new teaching methods in associate degree nursing programs to better meet community needs. Supported by the American Association for Community Colleges, with seed money from the Metropolitan Life Foundation, all of the projects also had…

This feature issue explores health needs of youth with disabilities as they make the transition from child to adult roles. "School Health Services: Supporting Students with Special Health Needs" (Dee K. Bauer) describes the role of the special needs nurse on multidisciplinary teams in Multnomah County (Oregon) schools. Two articles deal with…

This report examines five major components that affect minority children's access to health care. They are: health status, barriers to access, workforce, organizational response, and the role of the American Academy of Pediatrics (AAP). Recommendations are included for each of these components. Health status indicators for minority children…