Presents demographic information on California's increasing population and ethnic diversity. Describes age pyramids and fertility rates by ethnic group, indicating that Asians and Hispanics will comprise over two-thirds of the state's population by 2030. Discusses implications for education, teenage pregnancy, political representation, prenatal…

The ability of individuals to gain mastery over their environment is considered empowerment. However, empowerment often is assessed without attention to the historical, social, or political context the individual is embedded within. This context often is contingent upon social policies that enhance or limit the choices an individual has to behave…

To identify rates and factors associated with timely prenatal care (PNC) initiation, HIV test counseling, test offering, and test offer acceptance, we conducted a semistructured survey of a convenience sample of pregnant/recently delivered Hispanic women (n = 453, 418 with analyzable data) in four California counties in 2000. Only 68.4% and 43.5%…

Biology, biochemistry, and other science students are well trained in science and familiar with how to conduct and evaluate scientific experiments. They are less aware of cultural issues or how these will impact their careers in research, education, or as professional health care workers. A course was developed for advanced undergraduate science…

Schools are moving toward a human service approach that encompasses the physical and mental needs of its students on top of the traditional role of educating. School-based collaboratives are one delivery model that satisfies this expanding role. Lacking in the research on this emerging setting, particularly in the realm of mental health, is…

This study examined correlates of past-year chronic medical conditions and lifetime contact with health care professionals for mental health and substance abuse problems in women with differing histories of sexual victimization (N = 627) identified from the National Comorbidity Survey (e.g., assault in childhood, adulthood, or both life phases).…

Background: In most countries, the majority of children with attention deficit/hyperactivity disorder (ADHD) are undiagnosed. In the United Kingdom, a major barrier to accessing specialist services is the limited recognition of disorders by general practitioners. However, it is unclear whether there are also barriers at other stages of the…

Purpose--The purpose of this paper is to investigate the dramatic reforms in the health service in recent years. Design/methodology/approach--Examines management development in health care, and explores the experiences of clinical nurse managers. Findings--Duplication of agencies and multiplication of roles have led to tensions in terms of both…

Educators in the United States generally agree that cultural education is increasingly important because of the expanding ethnic diversity in America. According to the Cable News Network (CNN), with the predicted doubling of the population in the U.S. over the next century, there will be a demographic shift as well. Whites will comprise 53 percent…

A national-level needs assessment of high school psychologists, social workers, counselors, and nurses was conducted to identify training and educational resource material needs of these staff relevant to providing health and mental health services to gay, lesbian, bisexual, and questioning (GLBQ) youth. Systematic sampling procedures were…

This practice parameter reviews the topic of psychiatric consultation to schools. The review covers the history of school consultation and current consultative models; the process of developing a consultative relationship; school administrative procedures, personnel, and milieu; legal protections for students with mental disabilities; and issues…

The authors examined the relationship among trauma, coping, depression, and mental health service seeking in a probability sample of sheltered homeless and low-income housed women. Results highlight the diversity of trauma. In a longitudinal analysis, women who lived in shelters or experienced major violence had a twofold increase in their risk of…

Conversations with school superintendents, board members, principals, teachers, counselors, and nurses about their students' social and emotional health show how actively they are working to help students confront difficult issues. Topping the list of issues are drug and alcohol use and abuse, depression, and violence among students. Equally…

Objective: Among psychiatric educators of medical students and residents are those who are referred to as volunteer faculty. Their unpaid status, limited time to devote to teaching, and isolation from most of the core faculty present us with the challenge of better integrating them with the team of educators. The author describes a faculty…

Objective: This longitudinal, prospective study examines the role of specialty mental health care as provided by community-based, usual-care practice settings in predicting out-of-home placements among children served by a child welfare and juvenile justice system. Method: The mental health needs of 1,249 children from 22 counties in Tennessee…