Describes Primary Care/Substance Abuse Linkage Initiative, federal effort to improve integration of health care services. Identifies barriers to achieving initiative's objectives: health care reimbursement issues; problems of professional/public attitudes toward alcohol/drug dependency and treatment; substance abuse treatment service deficiencies;…

Describes one researcher's experiences as she interviewed rural families during a comprehensive survey of Johnson County, Tennessee. Discusses health care problems and needs, family support systems for the sick and elderly, fears about cancer risks, and the real picture of underemployment versus the official unemployment rate. (SV)

Findings from a 1985-86 study of mentally retarded persons (N=370) over age 62 living in residential facilities indicated similarities in their medical care needs compared with needs of the general older population. Differences were in areas such as level of retardation and independent living skills, which increase assistance needs but not…

Health issues for First Nations of Canada emerged from the context of colonialization/dominance to restoration of their relationship to the land a process of healing aided by the devolution of federal health programs to First Nations and provincial organizations. Adult educators working with such programs must ask whether they are participating in…

Current diabetes vision care guidelines suggest that people receive at least an annual dilated eye examination 5 years after the diagnosis of Type I diabetes and a dilated eye examination at the time of diagnosis of Type II diabetes, and at least annually thereafter. Hispanics in the United States have a three-fold greater prevalence of diabetes…

The large achievement gap between white and minority children cannot be bridged by only improving schools. The factors which need to be looked into are health need of the children, providing stable housing to low-income families and increasing the number of professional caregivers during the out-of- school hours.

Over the last decade increased attention has been paid to identifying and responding to the mental health needs of children and adolescents with intellectual disabilities. There is, however, little information available on the use of self-report scales by young people with intellectual disabilities. This study sought to determine the reliability…

Recent trends show noticeable increases in the involvement of girls in the juvenile justice system. A disproportionately high number of these girls have co-occurring mental health diagnoses that are related in part to their victimization through sexual, physical, and emotional abuse. Many girls also come from unstable families, whereas others are…

This article broadens our knowledge about family caregiving across the life course by examining caregiving and employment effects experienced by women with children with special needs, using data from a survey conducted in 1998-1999. Almost one fifth of the mothers provide at least 20 hours a week of home health care to these children. More than…

Student psychiatric morbidity is rising. Whilst the influence of university counselling services is widely reported, NHS involvement by psychiatrists and general practitioners is not so well described. Counselling and mental health service providers for students at the University of Leeds were approached for numerical data and a university Group…

The central thesis of this article is that focusing on cross-cultural competence will enhance both the science and the practice of counseling psychology. Developing cross-cultural competence is a lifelong journey, replete with many joys and challenges, that will (a) increase the sophistication of our research, (b) expand the utility and…

Diabetes is a condition where high amounts of glucose are found in the bloodstream due to impaired secretion of insulin. The hormone insulin was discovered by two physicians, Fredrick Banting and James Mcleod in 1921. Individuals with severe diabetes typically controlled their glucose level with multiple daily injections of insulin. Recently the…

Context: Uneven distribution of physicians across geographic areas of the United States remains a significant problem that may have implications for health. Purpose: To develop a statistical model of physician distribution in Illinois counties that predicts where specialists and family physicians practice, and to suggest policy strategies for…

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary…

It is widely recognized throughout the health care industry that the United States leads the world in health care spending per capita. However, the chilling dose of reality for American health care consumers is that for all of their spending, the World Health Organization ranks the country's health care system 37th in overall performance--right…