Identified barriers that delay seeking professional care following school vision screening. Focus groups of parents, students, teachers, school and community health professionals, and community leaders highlighted several barriers, including lack of community awareness about certain visual problems, high costs of glasses, inconvenient appointment…

Rapid changes in the health care industry have forced physicians and nurses into specialized graduate programs in business administration. At the same time, business administration students are attracted to the programs by job prospects for knowledgeable graduates. For business schools competing for the best students, such a program can set the…

Traditional characteristics of academic health centers are outlined, and conflicts with managed care are identified. Operating strategies designed to resolve the conflicts are discussed in light of tax statutes and regulations, Internal Revenue Service interpretations, and case law. Detailed references are included to provide a complete resource…

Identifies how the legal regulation of sex education in Great Britain incorporates conflicting problematizations of HIV/AIDS and childhood sexuality through constructing distinct categories within the curriculum and legitimizing distinct roles for teachers, parents, and health professionals. Explains why school-based sex education fails to be a…

The Individuals with Disabilities Education Act includes school health services among possible related services. A review of relevant documents and court decisions from the past 10 years provides insight into congressional intent, federal regulations, and local implementation of service delivery related to children with extensive health care…

Outlines factors that have influenced the approach of fully integrating children and family services into the fabric of their community and culture. Describes how school-based mental health services provide the foundation for the actualization of the interagency systems. States that significantly better outcomes have been noted from this model…

Healthy Families Alaska is a program that identifies families at risk of having children with poor health outcomes and provides intensive paraprofessional home visitation services specific to individual family needs and culturally relevant to Native families. Program goals, elements of effective home visitations, enrollment procedures, service…

A study of 150 children and adolescents with reactive attachment disorder found that inpatient admission was related to limited psychosocial strengths, previous hospitalization, and history of sexual abuse. Most children admitted to inpatient care were rural and had never received community-based services. Implications for public health education,…

Based on a sample of 1747 from the Chinese American Psychiatric Epidemiological Study, this report examined perceived barriers to mental health treatment. Two factors emerged, namely "practical barriers", which included cost of treatment, time, knowledge of access, and language, and "cultural barriers" consisting of credibility…

Cultural competency in the delivery of mental health services has gained considerable momentum. This momentum has been accompanied by questions about the meaning, usefulness, and precision of cultural competency. The author argues that cultural competency is composed of general processes (scientific mindedness, dynamic sizing, and culture-specific…

While psychology has tended to focus on urban issues in research and practice, rural areas have undergone a series of changes in recent years that have increased the need for behavioral health services. A variety of social and economic factors has contributed both to the increasing needs and to the inability of the existing services to meet them.…

Whether the higher rates of mental hospitalization and involuntary treatment for marginal social groups are due to differential labeling or simply to the occurrence of higher rates of disorder in these groups remains unresolved. I reexamine this issue with data from the National Comorbidity Survey (N = 5,877) that allow comparisons between…

The authors examined changes in mental health services and violence prevention strategies in public high schools since the shootings at Columbine High School. Surveys were mailed to school mental health professionals at public high schools in Colorado. Respondents included school counselors, school psychologists, school social workers, principals,…

In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive…

Youth with emotional and behavioral disorders (EBD) are at an increased risk for school problems and negative consequences into adulthood, increasing the need for collaboration between families, school personnel and mental health providers. Current treatment guidelines emphasize the importance of information-sharing between providers and schools,…