Reviews the history of providing noneducational services to children in a school setting from the perspective of past and present reform efforts. Argues that urban school reform should be based on a "children-at-risk" model rather than a "nation-at-risk" model and should incorporate lessons from the past. (SLD)

Discusses establishing relative priorities between health care needs of the young and the old. Argues that it is fair to limit assistance to those already old when there are genuine social needs for children. The elderly should lead the way in recognizing the importance of the needs of children. (SLD)

Describes the Vaughn Street Elementary School in San Fernando (California) plan to become a family services delivery site. Plans include cooperation among agencies; a family center for coordination of services, child care, and educational resources; a social network of mutual assistance; and a parent service exchange bank. (JB)

This paper proposes structural reforms in the U.S. health care system based on the need for (1) workable, affordable solutions; (2) preserving and strengthening the biomedical research enterprise; (3) increased minority participation in science and the health professions; and (4) a culture of character emphasizing health promotion and disease…

Describes proceedings of a meeting of the Association of American Medical Schools' Forum on the Future of Academic Medicine, focusing on ways in which medical schools can and are responding to changing, more competitive marketplaces for health services while sustaining their missions; the health care industry perspective; and characteristics of…

Summarizes Canadian Native Indian's objections to recent health care budget cuts. For many years Canadian Indians enjoyed subsidized health care that included therapy, prescriptions, eyeglasses, dental, and medical transportation. Details the programs to be cut and laments their passing. (MJP)

A survey of 754 University of California at San Francisco doctoral pharmacy graduates from 1980 to 1994 investigated how managed care affected practice patterns and perceptions of the profession. Graduates generally remained satisfied with their education and were optimistic about the profession. Although managed care has created a stressful…

Describes a classroom project in which pharmacy student teams developed a World Wide Web page to market a hypothetical pharmacy and promote pharmaceutical care services. The exercise successfully involved students in using both creative and analytic skills to gain hands-on experience in constructing a mission statement and marketing plan for a new…

Reports on data from national review of preschool service provision for deaf children and their families in the United Kingdom. Presents families' responses to early identification; information available after identification; perceptions of partnerships with professionals; and value of family-centered services for themselves, for their children,…

Risk and protective factors associated with disordered eating were examined in girls in middle-level school. Analysis showed that low competence in physical appearance, high importance of social acceptance, high self-oriented perfectionism, and low parental support were correlated significantly with reports of high levels of disordered eating.…

In this article we describe the development and implementation of the Substance Abuse and Mental Health Services Administration's (SAMHSA's) multisite Women, Co-Occurring Disorders and Violence Study (WCDVS), highlighting some of the challenges encountered, decisions made, and lessons learned. Four themes are discussed. First, the unique…

The Cincinnati School Health Demonstration Project was a 3-year collaboration that evaluated school-linked health services in 6 urban elementary (kindergarten to eighth grade) schools. Partners from the Cincinnati Health Department, Cincinnati Public Schools, Cincinnati Children's Hospital Medical Center, and The Health Foundation of Greater…

This study identified specific access barriers to seven commonly used in-home and community-based services (CBS) and examined factors that were related to barriers to these services. The data used in this study were extracted from the 1999 National Long Term Care Survey and included 283 dyads of rural older adults and their caregivers. The CBS to…

Outcomes are reported for youths with serious emotional disturbance receiving customary services from community mental health service providers who receive state mental health funds. Various outcome indicators for the Child and Adolescent Functional Assessment Scale (CAFAS) are described, as well as a procedure for categorizing youths into client…

Thomasgard, a physician, and Warfield, a psychologist, describe the multidisciplinary Collaborative Peer Supervision Group Project, originally developed and implemented in Columbus, Ohio. Collaborative Peer Supervision Groups (CPSGs) foster the development of case-based, interdisciplinary, continuing education. CPSGs are designed to improve the…