This paper examines key steps in the integration of school-based health centers in Massachusetts into managed care and describes the administrative and clinical impact of these relationships. Strategies include enhancing communication between SBHCs and health maintenance organizations, standardizing school-based care, and mandating integration of…

Describes a Baltimore City Head Start project that was designed to provide educational and other services to children from birth to age five years who have human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS). Services are also provided to children's families. (BB)

Personal computer technology has arrived in health care. Specific technological advances are optical disc storage, smart cards, voice recognition, and robotics. This paper discusses computers in medicine, in nursing, in conglomerates, and with patients. Future health care will be delivered in primary care centers, medical supermarkets, specialized…

Analysis of a survey of 234 early childhood special education (ECSE) teachers in Virginia found that ECSE staff conducted gastrostomy feedings and/or catheterizations, that nurses provided care for tracheostomies and mechanical ventilation, and that 38% of school systems (mostly urban and suburban) had written policies concerning preschoolers with…

Discusses how the Veterinary Science Library at the University of Pretoria (South Africa) promotes electronic communication through various Internet and other network links. Provides a sample of online information sources available to veterinary teams and animal health workers, and a list of electronic addresses for South African libraries and…

Two household surveys (n=629, n=544) of a community served by the Columbia-Presbyterian Medical Center (New York) found that despite a rapid rise in services provided, unmet needs continued to be great. In the survey report, a model for service provision in underserved communities is examined. (Author/MSE)

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…

Examined over 200 perinatal variables relating to mothers and to children's neurological, cognitive, and motor functions at 15 months and 4 and 7 years. Factor analysis identified latent variables that characterized covariations among perinatal variables. There were many correlations to children's outcomes, particularly for variables relating to…

Describes the role of tribally controlled colleges in increasing the number of American Indian physicians working as a part of the Indian Health Service. Discusses health problems in the Indian community. Reviews the benefits and difficulties of Indian doctors working in their own communities. (MAB)

Describes a program cosponsored by Navajo Community College and Northern Arizona University that teaches health workers and professionals about the Navajo philosophy of life and its connection to their modern world view. Indicates that the program is designed to give participants the understanding required to better serve native clients. (MAB)

Describes a preschool curriculum unit that includes activities designed to help prepare young children for medical treatment, visits to hospitals, and health care. (BB)

This section presents two pragmatic studies focusing on a real-life situation and specific applications in managerial decision making. One study deals with improving occupational safety in a bedding manufacturing plant, whereas the other concentrates on managing a state mental health program. (SLD)

Suggests that most bioethical decisions concerning children born with catastrophic illnesses should be made by parents with input from physicians and health care workers and guidance from hospital infant ethics committees. The child protective service system should have the final authority to assure that the decisions of caregivers do not…

Investigates the use of and satisfaction with counseling and social care services for HIV-infected clients attending HIV specialist clinics at Guy's Hospital and Southwark Social Services, London. A survey of 71 HIV positive clients was carried out using a self-administered questionnaire. Discusses findings and makes recommendations for future…

Investigates experiences of Greek mothers who cared for a child dying of cancer. Highlighted some needs during the terminal period. Fifteen mothers were interviewed and both quantitative and qualitative procedures were used to analyze findings. Family networks played a significant role in supporting mother-child units, especially when death…