Describes a program which draws on interagency collaboration, principles of care, needs assessment, and other components to create a community-based system of care. Presents the rationale for each of these components and how they were implemented, data on the children and families served by the program, and a case study. (RJM)

It is proposed that medical schools recruit students from rural areas, have them choose family practice, and train them in rural settings. Specific recommendations for improving content and context of rural medical care education are made, including merging internal medicine, family practice, and pediatrics as a single primary care specialty.…

Key points in the articles of this issue are discussed and preliminary criteria for school-linked service efforts are reviewed. Six critical issues requiring additional attention in implementing school-linked services are the following: (1) systemic change; (2) targeting; (3) financing; (4) evaluation; (5) state and federal leadership; and (6)…

Summarizes the private health insurance market, focusing on recent trends. Efforts should be made to preserve the current private health insurance system through comprehensive reforms that reduce cost and shift from public programs; control costs by competition, managed care, and global spending limits; and guarantee coverage for all groups. (SLD)

Special edition discusses adolescent sexuality, focusing on pregnancy, sexually transmitted diseases, and prevention. The articles focus on demographics, risk factors, school-based risk reduction programs, contraception, early intervention, options, school-based prenatal and postpartum care programs, teenage parenting, abortion, HIV and AIDS,…

Because the growth of health and social service professionals in schools has implications for schools, teachers, and teacher education, coordination and collaboration among these professions should be improved. Modifications which reflect the need for knowledge and understanding of human services that affect at-risk students are needed in teacher…

Explores sources of societal disapproval of drug-abusing pregnant women, and examines the relationship between society's moral judgments and public policies. A pregnant woman's fundamental moral obligations to the fetus are comparable to a parent's obligations to a child already born. Society has an obligation to provide needed health care. (SLD)

A Purdue University (Indiana) pharmacy course on issues facing health care providers, consumers, and payers incorporated discussion of articles from health care journals, writing assignments, and small group exercises. Course assessment by pretest/posttest, students' brief essays, and formal course evaluation pointed to the course's positive…

A review of optometry's twentieth-century history looks at curriculum standardization and recognition of the doctorate in Optometry, federal legislation, public health movement, optometry in universities, use of pharmaceuticals, the primary care concept, Optometry in group health care, growth of professional publications, and entry into health…

Discusses six findings of the Northeast Hispanic Acquired Immune Deficiency Syndrome (AIDS) consortium's assessment of 2,527 members of the Hispanic community of the northeast United States and Puerto Rico. Highlights the subjects' needs for information, education, risk reduction, and services related to AIDS and the human immunodeficiency virus…

The problems of rural children are discussed. Rural children are threatened by many of the same social and health problems that urban children face, complicated by distance, which affects access to health care and other services. Recommendations are made to assure that rural children receive the services they need. (SLD)

Apartheid policies adversely affected the health and social status of South African children. South Africa adopted the conceptual framework of the health promoting schools network (HPSN) to address school health comprehensively. The HPSN emphasizes school environment, community involvement, policy development, and appropriate health and social…

Investigates rural and urban adolescents' perceptions of mental health. Provides insight into rural and urban students' perceptions of problematic behaviors, who should intervene, and how. Recommends that health care providers help adolescents expand their range of coping behaviors, especially in regard to alcohol abuse and violence. (Author/GCP)

Evaluated the need for school-based health centers in rural New York state. Examination of existing data, community organizational activities, parent telephone surveys, school staff surveys, and focus groups with community members, school staff, and 6th- to 12th-grade students indicated that respondents had varying opinions about school-based…

As part of its mission to increase the availability of primary care providers in rural and other underserved areas of the country, the national Area Health Education Center Program has developed new rural-focused initiatives, including expanded student experiences in underserved areas, rural-track residencies, and telehealth links to rural…