The Yakima First Steps Mobilization Project for Pregnant Substance Abusers, known as First Steps PLUS, is a demonstration project. The project seeks to improve the health outcomes of pregnant substance abusing women and their infants by enhancing existing perinatal services provided through Washington's First Steps Maternity Care Program and by…

This publication is a compilation of papers presented at an April 1994 workshop sponsored by the National Center for Education in Maternal and Child Health and the Bureau-funded Johns Hopkins Child and Adolescent Health Policy Center (CAHPC). The papers are as follows: (1) "Defining the Issues and Planning for Change: Health Care Systems,…

This document provides a topical reference on school health issues in urban areas from the perspective of the local health department, based on the results of the 1995 CityMatCH Survey of Urban Maternal and Child Health (MCH) Programs. The document includes four sections. Section 1 provides an overview of the background, purposes, and methodology…

This report examines the efforts of several visionary partnerships that have pioneered in bringing Head Start and child care services together for the children in their programs. While the partnerships vary in scope and design, all of the initiatives discussed in this report provide comprehensive services to children and families, including:…

In 1990 the Kentucky General Assembly passed one of the most sweeping educational reform measures in the nation's history. Among the provisions of the Kentucky Education Reform Act (KERA) was the creation of family resource and youth services centers in or near schools with large numbers of at-risk students. Family resource centers are primarily…

This report discusses the results of a study that assessed the current system of health care for children with chronic conditions in a staff-model health maintenance organization (HealthPartners) setting. The project interviewed 35 parents of children with chronic conditions, completed a financial analysis of 410 children within eight categories…

Positing the relevance of well-being and social support to educational achievement, this book explores the status of children's health and its importance to the education of young children. A mail questionnaire survey of 1031 of approximately 20,000 Primary Education Schools in England and Wales in the fall of 1993 yielded 620 replies; a response…

Noting that there is a significant gap between the number of young children eligible for Medicaid and the number actually enrolled, this report describes a year-long effort to promote collaboration between local Head Start grantees and county Medicaid offices in New Jersey. The primary goal of the project was to define and implement policies and…

This report describes clients served by the Washington State Department of Social and Health Services (DSHS) from July 1990 through June 1991. The report lists the number of clients served in ten DSHS programs--broken down by county--and the direct service dollars spent on those clients. Researchers also grouped the clients by age and by…

This paper presents an agenda for worldwide change in medical education to meet current and future requirements of society. The first of four sections offers the central arguments for change in medical education noting global patterns in the search for better use of resources for health care, describing a profound shift underway in the present…

This catalog was developed to help schools or health personnel train nurses, administrators, teachers, and aides in medical and technological aspects of serving children with complex medical conditions in the educational setting. The first chapter lists resources that document changes in medical care since 1980 and increases in the number of…

Hudson Valley Migrant Health (HVMH) (a Public Health Service program) collaborated with the Center for Disease Control (CDC) and the New York State Department of Health (NYSDOH) on a study of the incidence of sexually transmitted diseases and tuberculosis among migrant farmworkers in the mid-Hudson region of New York. CDC research personnel…

COPE (Client-Oriented, Provider-Efficient) methodology, a self-assessment tool that has been used in 35 countries around the world, was used to improve the quality of care in family planning clinics in Kenya. COPE involves a process that legitimately invests power with providers and clinic-level staff. It gives providers more control over their…

Smart Start is North Carolina's partnership between state government and local leaders, service providers, and families to better serve children under 6 years of age and their families. This report describes the comprehensive plan to evaluate the state and local goals and objectives of the program, focusing on the components addressing the…

This report is the result of a study by a committee charged with developing strategies for financing graduate medical education (GME) for primary care (general internal medicine, general pediatrics, and family practice) practitioners in ambulatory settings. Historically, systems of financing for most physicians in GME have favored inpatient and…