A study at the University of Texas, San Antonio's dental school resulted in development of a system of caries risk assessment, applied to all undergraduate clinic patients. The rationale, structure, elements, and application of the system are outlined, and course content supporting the system is noted. Need for validation and other improvements is…

A study examined the health service use of 5,088 West Virginia University freshmen and compared the use patterns of students who returned the next fall with those who did not return. Nonreturning students had a higher usage rate and were significantly different in the types of services needed. The influence of student health problems on attrition…

Describes the unmet health and mental health needs of children and youth, particularly the needs of disadvantaged youth. Explores existing models of the school as a health care services delivery setting, and describes the implications for the practice of psychology in schools for the future. (JPS)

A survey of pregnant inner-city adolescents at school-based and public hospitals examined relationships between demographics, psychosocial and behavioral characteristics, and tobacco and alcohol behaviors. Results highlighted the heterogeneity of pregnant adolescents served in different clinical settings and indicated a need to tailor educational…

Assesses the social and environmental problems of 132 patients seen in a primary care clinic at a university-affiliated Veterans Affairs (VA) medical center. Prevalent social problems included financial difficulties, personal stress, family problems, legal concerns, and employment concerns. Findings suggest a clear need for social work…

Examines various services available to migrant farmworkers and their families in northwest Ohio, including labor recruiting, welfare services, health services, day care and Head Start, and legal services. Argues that although such services were established ostensibly to help farmworkers, they assist farmers in crucial ways and help perpetuate the…

A study of 203 community health center preceptors who attended workshops on educational planning, teaching styles, evaluation, and feedback found that participants showed significant increases in use of five of seven teaching concepts while analyzing a role-play interaction; increased familiarity with, and retained for three months, nine of 11…

In the late 1980s, a gold rush in Roraima state, Brazil, had devastating effects on the health of indigenous populations. Since then, a new health system emerged combining the assets of nongovernmental organizations, government agencies, and Native peoples such as the Macuxi. Community-chosen indigenous health workers and microscope technicians…

When physicians ascribe errors to systemic causes, they may be less likely to modify future behaviors and more likely to repeat past errors. Academic medical centers should balance protecting patients from errors that a systems approach can identify against providing optimal education for house officers by teaching them to focus also on personal…

The School Health Index (SHI) is a self-assessment and planning tool that helps individual schools identify the strengths and weaknesses of their health policies and programs. To determine the percentage of US schools meeting the recommendations in the SHI, the present study analyzed data from the School Health Policies and Programs Study (SHPPS)…

The complex formed by chronic illness, episodes of acute illness, physiological disabilities, functional limitations, and cognitive problems is prevalent among frail elderly persons. These individuals rely on assistance from social and health care programs, which in Canada are still fragmented. SIPA is an integrated service model based on…

The Healthy Learners Asthma Initiative (HLAI) involved collaboration between Minneapolis Public Schools (MPS), local health care providers/payors, parents, and other partners. The intervention included development of enhanced asthma care in school health offices and clinic performance improvement projects to foster adoption of National Institutes…

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by…

We assessed parent satisfaction with children's mental health services with a new instrument: The Youth Services Survey for Families (YSSF). The Dillman method was used to administer the survey to a random sample of 1,500 parents of Medicaid youth from Kentucky's 14 community mental health centers (CMHCs). The response rate was 37% (n = 534…

This article provides an introduction to The Health Practitioners Competency Assurance Act (HPCAA) which took effect on 18 September 2004. The Act was introduced to provide consistent accountability across health professions and make it easier for the New Zealand public to understand what health service each registered professional provides. To…