With the highest national HIV prevalence in the world, the issue of HIV/AIDS is one of the most pressing socio-political matters in South Africa. It directly affects between five and six million people. A conservative estimate suggests that 600 people die every day of illnesses related to HIV/AIDS and the number of AIDS orphans in South Africa is…

In April 2002, the President's New Freedom Commission on Mental Health was created by executive order to study the mental health care delivery system in our nation and to make recommendations for improvements so that individuals with serious mental disorders can live, work, learn, and fully participate in their homes and communities. In its…

In an effort to address the problem behaviors of children and youth, professionals have advocated for the implementation of three-tiered prevention programs: primary, secondary, and tertiary. The wraparound approach has been advanced as an appropriate tertiary program that can be used to address the complex behaviors and needs of students and…

In the past five years, there has been a surge in the attention shown to community and community-based health programs among Native Americans, particularly for chronic health problems such as diabetes. Community participation in health programming--from the efforts of community health workers (CHWs), to participatory research, to the impact of…

This newsletter addresses managing the spread of communicable diseases in childhood settings as well as educational program concerns for children who are HIV infected. Noting that communicable diseases are a source of concern no matter how minor they might appear, the newsletter suggests that it is important for individuals who work with the…

The American Indian Rehabilitation Project aimed to provide older American Indians with vision problems useful skills for carrying out daily activities as independently as possible and for preventing unnecessary dependence on others and premature and unwarranted institutionalization. The project goals were to: (1) develop a 5-day, seven-module…

The mental health policies of the past 20 years and the evidence of unserved populations suffering from serious mental illness constitute a public health crisis. Currently there are at least 3,000,000 people in the United States suffering from mental disorders. A fully developed continuum of care is needed to respond effectively to the diverse…

In 1969, the Joint Commission on the Mental Health of Children made several recommendations based on the conclusions in their report entitled "Crisis in Child Mental Health: Challenge for the 1970's." These recommendations included formation of a child advocacy system at every level of society; the development of supportive, preventive,…

The role of epidemiology in health administration is considered in 11 articles, and three course descriptions and a bibliography are provided. Titles and authors include the following: "The Need for Creative Managerial Epidemiology" (Gary L. Filerman); "The Growing Role of Epidemiology in Health Administration" (Maureen M.…

Tasks required of nurses in community settings were investigated as an initial step in identifying the competencies that comprise the role of community health nurse (CHN). An instrument to assess task performance was devised as a survey mailed to 376 field, outpost, child health, and school health nurses employed by the Western Australia Health…

Home care has not consistently proven to prevent institutionalization, reduce mortality rates, reduce hospital use, or improve functional status and morale; and indeed, these objectives may be unreasonable. Rather, the purpose of home care should be to meet immediate needs of recipients which they can no longer meet themselves. Publicly-funded…

To respond to the need for a coordinated system of training and training resources for West Virginia mental health personnel, the West Virginia Training Resources Center was established in 1979. Hospital and community mental health center administrators and staffs were surveyed to obtain program planning input, i.e., selection of trainee groups,…

A series of mini courses in the basics of management, information systems, and personnel, the workshop was developed for tribal health program managers. The workshop aimed to provide: supervisory management training which was relevant to the need of tribal health supervisors; demonstrable evidence of understanding and application of new skills;…

A humanistic ideology which emphasizes self-determination, self-reliance, and personal responsibility in decision making, is congruent with the goal of community psychiatry to integrate the ex-institutionalized psychiatric client in the community. The following applications of this ideology in a small community mental health center are described:…

As mental health policies and systems become subject to legislative and public scrutiny, more information is needed to evaluate such programs in the United States and abroad. A cross-national survey of 42 countries and provinces compared mental health policies, mental health services, awareness of these services, evaluation, and financing. Notable…