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Sample records for indian health services

  1. Indian Health Trends and Services, 1974 Edition.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    The American Indian Health Service (AIHS), subsidiary of the Department of Health, Education, and Welfare, is dedicated to elevating the health status of Indian and Alaskan Native peoples by: developing modern health facilities; encouraging Indian acquaintance with and participation in existing programs; being responsive to the concept of…

  2. A Study of the Indian Health Service and Indian Tribal Involvement in Health.

    ERIC Educational Resources Information Center

    Press, Daniel S.; And Others

    Addressing American Indians and the Indian Health Service (IHS), this report focuses on the process of Indian involvement and self-determination in health, emphasizing improvement of the effectiveness and responsiveness of Indian health services. Data derived from written documents, statistical figures, and personal interviews with over 200 people…

  3. Indian Health Service: A Comprehensive Health Care Program for American Indians and Alaska Natives.

    ERIC Educational Resources Information Center

    Indian Health Service (PHS/HSA), Rockville, MD.

    Comprehensive health care (preventive, curative, rehabilitative, and environmental) for more than 930,000 eligible American Indians and Alaska Natives is the responsibility of the Indian Health Service (IHS). Since 1955, this agency of the U.S. Public Health Service has made notable progress in raising the health status of Indians and Alaska…

  4. The organization of health services for Indian people.

    PubMed Central

    Rhoades, E R; Reyes, L L; Buzzard, G D

    1987-01-01

    The Indian Health Service (IHS) is a bureau of the Health Resources and Services Administration, an agency of the Public Health Service. It was formed in 1955 by a transfer of health services from the Bureau of Indian Affairs, Department of the Interior. Since that time, IHS has grown larger and more complicated and has become a truly complex national organization that is responsible for direct and contract health care services to approximately 1 million Indian people. The historical background of the Service, its present organization, and the services that it provides through a variety of organizational structures are outlined in this report. PMID:3112842

  5. The Indian Health Program of the U.S. Public Health Service, 1972.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    The American Indian Health Service (AIHS) is a component of the Department of Health, Education, and Welfare's Health Services and Mental Health Administration. AIHS is responsible to 422,000 Indians belonging to more than 250 tribes and 53,000 Indians living in 300 Alaskan villages. The goal of the AIHS is to raise the health of the Indian and…

  6. Characteristics of Telemental Health Service Use by American Indian Veterans

    PubMed Central

    Shore, Jay H.; Brooks, Elizabeth; Anderson, Heather; Bair, Byron; Dailey, Nancy; Kaufmann, L. Jeanne; Manson, Spero

    2016-01-01

    Objective This study examined use by American Indian and Alaska Native veterans of services provided by specialty telemental health clinics focused on posttraumatic stress disorder. These clinics offer services via videoconferencing to address challenges faced by rural veterans in accessing care. Methods A retrospective chart and electronic medical record review was conducted for 85 male veteranswho used services at two rural telemental health clinics in 2006 and 2007. Service use and other characteristics were documented before and after their initial telemental health intake. Results After intake, patients use of any health services (both general medical and mental health services) significantly increased (p<.01), as did the proportion receiving appropriate psychotropic medication (p<.01). Conclusions This first examination of service use by American Indian and Alaska Native veterans at specialty telemental health clinics will help inform research and clinical strategies for improving telemental health for this and other rural populations. PMID:22302338

  7. 78 FR 16685 - Indian Health Professions Preparatory, Indian Health Professions Pre-graduate, and Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indian Health Professions Preparatory, Indian Health Professions Pre-graduate, and Indian Health Professions Scholarship Programs Announcement Type: Initial. ]...

  8. 75 FR 1384 - Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health Professions Scholarship Programs Announcement Type: Initial. CFDA Numbers:...

  9. The Indian Health Program of the U.S. Public Health Service.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Arlington, VA.

    As reported in this publication, about 410,000 Alaskan Indians, Eskimos, and Aleuts receive a full range of curative, preventive, and rehabilitative health services--including hospitalization, outpatient medical care, public health nursing, maternal and child health care, dental and nutrition services, and health education. The U.S. Public Health…

  10. 77 FR 21568 - Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-10

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indian Health Professions Preparatory, Indian Health Professions Pregraduate and Indian Health Professions Scholarship Programs Overview Information: Indian Health Professions Preparatory, Indian Health...

  11. Health and health services among the Navajo Indians.

    PubMed

    Haraldson, S S

    1988-01-01

    The Navajo are the largest Indian tribe in the continental U.S. with a population in 1986 estimated at 171,097. The Navajo Nation (Reservation) is located along the borders where Arizona, New Mexico, Colorado and Utah meet. Social and economic changes have accrued among the Navajo at a rapid rate during this century. At present, revenues are derived from oil, coal and uranium and from federal grants and contracts. High unemployment rates have been a major problem among the Navajo. This article reviews health, disease and health care among the present day Navajo. Mortality rates from accidents and suicide are disproportionately high and have as their causes longstanding social and behavioral problems. Although there has been a sharp decline in morbidity and mortality from infectious diseases, there are still major environmental health problems. PMID:3068261

  12. Studies in Ambulatory Care Quality Assessment in the Indian Health Service. Volume III: Comparison of Rural Private Practice, Health Maintenance Organizations, and the Indian Health Service.

    ERIC Educational Resources Information Center

    Nutting, Paul A.; And Others

    Utilizing a quality assessment methodology for ambulatory patient care currently under development by the Indian Health Service's (IHS) Office of Research and Development, comparisons were made between results derived from a pilot test in IHS service units, 2 metropolitan Health Maintenance Organizations (HMO), and 3 rural private practices.…

  13. Aberdeen Area Indian Health Service Environmental Health Program Review Conducted by: Indian Health Committee of the National Environmental Health Association (Aberdeen, South Dakota, May 23-27, 1977).

    ERIC Educational Resources Information Center

    Bureau of Indian Affairs (Dept. of Interior), Aberdeen, SD. Aberdeen Area Office.

    The Indian Health Committee met in Aberdeen, South Dakota, during the week of May 23, 1977 to (1) review the environmental health services provided to the tribal units on the 15 Indian reservations located in North Dakota, South Dakota, Nebraska and Iowa, and (2) make recommendations for improvement or expansion of current programs, if needed. The…

  14. 77 FR 50128 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education Cooperative Agreement Announcement Type: Limited Competition Catalog of Federal Domestic Assistance Number: 93.933...

  15. 75 FR 38112 - Organization, Functions, and Delegations of Authority; Part G; Indian Health Service; Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ...; Indian Health Service; Proposed Functional Statement Program Integrity and Ethics Staff (PIES) (GAL1) (1... the IHS Director, to functional area managers at IHS Headquarters in developing, modifying,...

  16. 75 FR 3906 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-25

    ...: Indian Health Service Customer Satisfaction Survey AGENCY: Indian Health Service, HHS. ACTION: Notice... the Federal Register (74 FR 46201) on September 8, 2009 and allowed 60 days for public comment. No... Service Customer Satisfaction Survey.'' Type of Information Collection Request: Three year approval...

  17. The Aberdeen Indian Health Service Infant Mortality Study: Design, Methodology, and Implementation

    ERIC Educational Resources Information Center

    Randall, Leslie L.; Krogh, Christopher; Welty, Thomas K.; Willinger, Marian; Iyasu, Solomon

    2001-01-01

    Of all Indian Health Service areas, the Aberdeen Area has consistently had the highest infant mortality rate. Among some tribes in this area the rate has exceeded 30/1000 live birth and half the infant deaths have been attributed to Sudden Infant Death Syndrome, a rate four to five times higher than the national average. The Indian Health Service,…

  18. The Indian Health Service approach to alcoholism among American Indians and Alaska Natives.

    PubMed

    Rhoades, E R; Mason, R D; Eddy, P; Smith, E M; Burns, T R

    1988-01-01

    The transfer to the Indian Health Service (IHS) of 158 alcohol treatment programs that had been administered by the National Institute on Alcohol Abuse and Alcoholism began in 1978. Today, approximately 300 alcohol and substance abuse treatment programs offer services to American Indians, among them primary residential treatment, halfway houses, outreach, and aftercare. This system provides a national network upon which additional activities may be established. Along with increasing its attention to health promotion and disease prevention, the IHS has moved toward the prevention of alcoholism. A variety of preventive programs are in place that emphasize improved self-image, value and attitude clarification, decision-making, and physical and emotional effects of alcohol and substance abuse. Many begin as Head Start programs and continue through adulthood. In 1986, after consulting with both academic and tribal experts, the IHS devised a strategic plan for alcoholism control that stresses comprehensive care and prevention activities; it serves as a guide for further program development. The Secretary of Health and Human Services created a Task Force on Indian Alcoholism in 1986 to serve as a coordinating body for activities carried out by the IHS and other agencies and units of the Department. Passage of the Anti-Drug Abuse Act in 1986 added resources for the development of adolescent treatment centers and, more importantly, for community-based pre- and post-residential care for youths and their families. Concomitant with these initiatives have been several instances of increased attention by various tribes to the problem of alcoholism. The IHS strategic plan, together with the Secretary's initiative, the Anti-Drug Act, and tribal actions, has added substantial momentum to efforts directed at controlling alcoholism among American Indians. Although the mortality rate from alcoholism is about four times greater for the American Indian population than for the entire U

  19. Evaluation of American Indian Health Service Training in Pain Management and Opioid Substance Use Disorder.

    PubMed

    Katzman, Joanna G; Fore, Chris; Bhatt, Snehal; Greenberg, Nina; Griffin Salvador, Julie; Comerci, George C; Camarata, Christopher; Marr, Lisa; Monette, Rebecca; Arora, Sanjeev; Bradford, Andrea; Taylor, Denise; Dillow, Jenny; Karol, Susan

    2016-08-01

    We examined the benefits of a collaboration between the Indian Health Service and an academic medical center to address the high rates of unintentional drug overdose in American Indians/Alaska Natives. In January 2015, the Indian Health Service became the first federal agency to mandate training in pain and opioid substance use disorder for all prescribing clinicians. More than 1300 Indian Health Service clinicians were trained in 7 possible 5-hour courses specific to pain and addiction. We noted positive changes in pre- and postcourse knowledge, self-efficacy, and attitudes as well as thematic responses showing the trainings to be comprehensive, interactive, and convenient. PMID:27196642

  20. The Indian Health Service approach to alcoholism among American Indians and Alaska Natives.

    PubMed Central

    Rhoades, E R; Mason, R D; Eddy, P; Smith, E M; Burns, T R

    1988-01-01

    The transfer to the Indian Health Service (IHS) of 158 alcohol treatment programs that had been administered by the National Institute on Alcohol Abuse and Alcoholism began in 1978. Today, approximately 300 alcohol and substance abuse treatment programs offer services to American Indians, among them primary residential treatment, halfway houses, outreach, and aftercare. This system provides a national network upon which additional activities may be established. Along with increasing its attention to health promotion and disease prevention, the IHS has moved toward the prevention of alcoholism. A variety of preventive programs are in place that emphasize improved self-image, value and attitude clarification, decision-making, and physical and emotional effects of alcohol and substance abuse. Many begin as Head Start programs and continue through adulthood. In 1986, after consulting with both academic and tribal experts, the IHS devised a strategic plan for alcoholism control that stresses comprehensive care and prevention activities; it serves as a guide for further program development. The Secretary of Health and Human Services created a Task Force on Indian Alcoholism in 1986 to serve as a coordinating body for activities carried out by the IHS and other agencies and units of the Department. Passage of the Anti-Drug Abuse Act in 1986 added resources for the development of adolescent treatment centers and, more importantly, for community-based pre- and post-residential care for youths and their families. Concomitant with these initiatives have been several instances of increased attention by various tribes to the problem of alcoholism.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3141956

  1. Indian Health Service Oversight and Reauthorization of Indian Health Care Improvement Act. Hearing before the Select Committee on Indian Affairs, United States Senate, Ninety-Sixth Congress, Second Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

    The transcript of the March 28, 1980, Senate hearing on the Indian Health Service (IHS) and reauthorization of the Indian Health Care Improvement Act (Public Law 94-437) held in Billings, Montana, is presented with testimony from the Three Affiliated Tribes of North Dakota, Montana United Indian Association, Montana Indian Health Board, Fort Peck…

  2. Indian Health Service Mental Health Program Review Plenary Session (Portland, Oregon, January 17-19, 1984). Summary Report.

    ERIC Educational Resources Information Center

    Listening Post, 1984

    1984-01-01

    This special edition summarizes the discussions which proceeded during the Indian Health Service (IHS) Mental Health Plenary Session. Following introductory comments by four session participants are seven discussion topics: mental health status of American Indians and Alaska Natives; history and description of the program; services for children…

  3. Partnering in Research: A National Research Trial Exemplifying Effective Collaboration With American Indian Nations and the Indian Health Service

    PubMed Central

    Chadwick, Jennifer Q.; Copeland, Kenneth C.; Daniel, Mary R.; Erb-Alvarez, Julie A.; Felton, Beverly A.; Khan, Sohail I.; Saunkeah, Bobby R.; Wharton, David F.; Payan, Marisa L.

    2014-01-01

    Despite the fact that numerous major public health problems have plagued American Indian communities for generations, American Indian participation in health research traditionally has been sporadic in many parts of the United States. In 2002, the University of Oklahoma Health Sciences Center (Oklahoma City, Oklahoma) and 5 Oklahoma American Indian research review boards (Oklahoma City Area Indian Health Service, Absentee Shawnee Tribe, Cherokee Nation, Chickasaw Nation, and Choctaw Nation) agreed to participate collectively in a national research trial, the Treatment Options for Type 2 Diabetes in Adolescence and Youth (TODAY) Study. During that process, numerous lessons were learned and processes developed that strengthened the partnerships and facilitated the research. Formal Memoranda of Agreement addressed issues related to community collaboration, venue, tribal authority, preferential hiring of American Indians, and indemnification. The agreements aided in uniting sovereign nations, the Indian Health Service, academics, and public health officials to conduct responsible and ethical research. For more than 10 years, this unique partnership has functioned effectively in recruiting and retaining American Indian participants, respecting cultural differences, and maintaining tribal autonomy through prereview of all study publications and local institutional review board review of all processes. The lessons learned may be of value to investigators conducting future research with American Indian communities. PMID:25389367

  4. Partnering in research: a national research trial exemplifying effective collaboration with American Indian Nations and the Indian Health Service.

    PubMed

    Chadwick, Jennifer Q; Copeland, Kenneth C; Daniel, Mary R; Erb-Alvarez, Julie A; Felton, Beverly A; Khan, Sohail I; Saunkeah, Bobby R; Wharton, David F; Payan, Marisa L

    2014-12-15

    Despite the fact that numerous major public health problems have plagued American Indian communities for generations, American Indian participation in health research traditionally has been sporadic in many parts of the United States. In 2002, the University of Oklahoma Health Sciences Center (Oklahoma City, Oklahoma) and 5 Oklahoma American Indian research review boards (Oklahoma City Area Indian Health Service, Absentee Shawnee Tribe, Cherokee Nation, Chickasaw Nation, and Choctaw Nation) agreed to participate collectively in a national research trial, the Treatment Options for Type 2 Diabetes in Adolescence and Youth (TODAY) Study. During that process, numerous lessons were learned and processes developed that strengthened the partnerships and facilitated the research. Formal Memoranda of Agreement addressed issues related to community collaboration, venue, tribal authority, preferential hiring of American Indians, and indemnification. The agreements aided in uniting sovereign nations, the Indian Health Service, academics, and public health officials to conduct responsible and ethical research. For more than 10 years, this unique partnership has functioned effectively in recruiting and retaining American Indian participants, respecting cultural differences, and maintaining tribal autonomy through prereview of all study publications and local institutional review board review of all processes. The lessons learned may be of value to investigators conducting future research with American Indian communities. PMID:25389367

  5. Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 8: Phoenix Area, 1966-1974.

    ERIC Educational Resources Information Center

    Attneave, Carolyn L.; Beiser, Morton

    The eighth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Phoenix Area Office and the Tucson Sub-Area Office. Included in this document are: (1) The Context: Political and Geographic (the…

  6. Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 4: Albuquerque Area, 1966-1973.

    ERIC Educational Resources Information Center

    Attneave, Carolyn L.; Beiser, Morton

    The fourth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Albuquerque Area Office. Included in this report are: (1) The Context (geographic distribution; IHS facilities; population served;…

  7. Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 9: Portland Area, 1966-1973.

    ERIC Educational Resources Information Center

    Attneave, Carolyn L.; Beiser, Morton

    The ninth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Portland Area Office. Included in this document are: (1) The Context (early history of the Oregon Territory, geography and tribal…

  8. Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 1: Overview and Recommendations.

    ERIC Educational Resources Information Center

    Attneave, Carolyn L.; Beiser, Morton

    Constituting an overview of a 10-volume report on the historical development and contemporary activities (1966-1973) of each of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this volume includes: the methods used for data collection (personal interviews with both past and present IHS key officials,…

  9. 76 FR 8743 - Indian Health Professions Preparatory, Indian Health Professions Pre-Graduate and Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-15

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indian Health Professions Preparatory, Indian Health Professions Pre-Graduate and Indian Health Professions Scholarship Programs Announcement Type: Initial. ] CFDA Numbers: 93.971, 93.123, and 93.972. DATES:...

  10. 78 FR 78976 - Indian Health Professions Preparatory, Indian Health Professions Pre-graduate and Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Indian Health Professions Preparatory, Indian Health Professions Pre-graduate and Indian Health Professions Scholarship Programs Announcement Type: Initial. CFDA Numbers: 93.971, 93.123, AND 93.972 Key...

  11. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  12. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  13. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  14. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  15. 42 CFR 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... rates of payment established under 42 CFR part 136, subpart D as payment in full for the following programs: (1) A contract health service (CHS) program under 42 CFR part 136, subpart C, of the Indian Health Service (IHS); (2) A CHS program under 42 CFR part 136, subpart C, carried out by an Indian...

  16. The Public Health Foundation of Health Services for American Indians & Alaska Natives

    PubMed Central

    2014-01-01

    The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined geographic areas. The earliest services consisted of smallpox vaccination to a few AI/AN groups, a purely public health endeavor. Later, emphasis on public health was codified in the Snyder Act of 1921, which provided for, among other things, conservation of the health of AI/AN persons. Attention to the community was greatly expanded with the 1955 transfer of the Indian Health Service from the US Department of the Interior to the Public Health Service and has continued with the assumption of program operations by many tribes themselves. We trace developments in integration of community and public health practices in the provision of federal health care services for AI/AN persons and discuss recent trends. PMID:24758580

  17. Where Nursing Counts. Careers for Nurses in the Indian Health Service.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Rockville, MD. Indian Health Service.

    To meet the health needs of Native Americans, the Indian Health Service (IHS) administers a large community health and medical care program, operating 51 hospitals, 99 health care centers, and 108 health stations in 24 states. Registered nurses can be employed by the IHS through either of two systems: the Commissioned Corps of the U.S. Public…

  18. Cancer and Cancer Prevention and Control Programs in the Aberdeen Area Indian Health Service.

    ERIC Educational Resources Information Center

    Welty, Thomas K.

    1992-01-01

    Describes cancer control activities by the Indian Health Service in North Dakota, South Dakota, Iowa, and Nebraska, including risk factor assessment and cancer screening using a modified Health Risk Appraisal; interventions to reduce smoking; community empowerment; development of health education materials; and clinical preventive services. (SV)

  19. 78 FR 7436 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ... in the Federal Register (77 FR 69865) on November 21, 2012, and allowed 60 days for public comment... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed Information...

  20. American Indian identity in mental health services utilization data from a rural midwestern sample.

    PubMed

    Hack, Samantha M; Larrison, Christopher R; Gone, Joseph P

    2014-01-01

    The governing bodies for psychiatry, psychology, and social work all publicly support culturally competent mental health care and have called for increased awareness of the importance of racial, ethnic, and cultural identity in mental health treatment and outcomes. However, since 1960 the population of people identifying as American Indian in the United States has grown faster than can be explained by birth rates, raising questions about the personal meaning of identity for newly self-designated American Indians. For this research, interviews were conducted with 14 self-identified American Indian clients receiving rural mental health care services in the Midwest. The goal was to assess clients' cultural connection to their racial identity and to understand what impact their American Indian identity had on their mental health care experiences. A modified Consensual Qualitative Research (CQR) method was used to develop the interview protocol and code responses. Interview data revealed that clients primarily based their racial identity on family stories of an American Indian ancestor and the majority did not feel their identification as American Indian was relevant to their mental health care. Regardless of lack of cultural connection, participants often reported feeling personal pride associated with identifying as American Indian. Implications for both researchers collecting self-reported race data and for mental health practitioners who might serve self-identified American Indian clients are discussed. PMID:23834258

  1. 77 FR 36563 - Indian Health Service; Reimbursement Rates for Calendar Year 2012 Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ....) Corrections In the Federal Register of June 6, 2012, in FR Doc. 2012-13627, on page 33470, in the second... document in the Federal Register on June 6, 2012, concerning rates for inpatient and outpatient medical care provided by Indian Health Service facilities for Calendar Year 2012 for Medicare and...

  2. Trends in Indian Health, 1996.

    ERIC Educational Resources Information Center

    Indian Health Service (PHS/HSA), Rockville, MD.

    The Indian Health Service (IHS), an agency within the U.S. Department of Health and Human Services, is responsible for providing health services to American Indians and Alaska Natives living on or near federal reservations (about 60 percent of the Native population). This publication is composed primarily of data tables and graphs that describe…

  3. 42 CFR 136.330 - Indian health scholarships.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Indian health scholarships. 136.330 Section 136.330 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  4. 42 CFR 136.330 - Indian health scholarships.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Indian health scholarships. 136.330 Section 136.330 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  5. 42 CFR 136.330 - Indian health scholarships.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Indian health scholarships. 136.330 Section 136.330 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  6. 42 CFR 136.330 - Indian health scholarships.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Indian health scholarships. 136.330 Section 136.330 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  7. 42 CFR 136.330 - Indian health scholarships.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Indian health scholarships. 136.330 Section 136.330 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs...

  8. Treating hepatitis C in American Indians/Alaskan Natives: A survey of Project ECHO® (Extension for Community Healthcare Outcomes) utilization by Indian Health Service providers

    PubMed Central

    Pindyck, Talia; Kalishman, Summers; Flatow-Trujillo, Lainey; Thornton, Karla

    2015-01-01

    Background: American Indians/Alaskan Natives have a high mortality associated with hepatitis C virus, yet treatment rates are low. The ECHO (Extension for Community Healthcare Outcomes) model™, a videoconferencing technology for primary care providers, is underutilized at Indian Health Service facilities. Purpose: To ascertain Indian Health Service providers’ benefit of and barriers to utilizing hepatitis C virus TeleECHO clinics. Methods: We electronically sent an Active Participant Survey to Indian Health Service providers utilizing hepatitis C virus TeleECHO clinic and a Non-Participant Survey to other Indian Health Service providers interested in this clinic. Results: In total, 100% of Active Participant Survey respondents perceive moderate to major benefit of hepatitis C virus TeleECHO clinic in managing hepatitis C virus, and 67% of Non-Participant Survey respondents reported lack of administrative time as the major barrier to utilizing this resource. Conclusion: Indian Health Service providers participating in hepatitis C virus TeleECHO clinic perceive this resource as highly beneficial, but widespread utilization may be impractical without allocating time for participation. PMID:26770809

  9. Community injury control programs of the Indian Health Service: an early assessment.

    PubMed Central

    Robertson, L S

    1986-01-01

    In response to the high rates of injury morbidity and mortality among Native Americans, the Indian Health Service initiated community injury control programs in 1982 mainly aimed at educating the populations served. Substantial declines in hospitalization rates per population for falls, motor vehicle injuries, and assaults were observed through 1984. Regression analyses of changes in hospitalization rates for particular types of injury in relation to rates of persons served in 54 service units suggests some favorable effect of certain activities and possible adverse effect of a few. Increased targeting of effort based on detailed surveillance of serious injuries is planned. PMID:3097744

  10. Service Networks and Patterns of Utilization: Mental Health Programs, Indian Health Service (IHS). Volume 6: Navajo (Window Rock) Area, 1966-1974.

    ERIC Educational Resources Information Center

    Attneave, Carolyn L.; Beiser, Morton

    The sixth volume in a 10-volume report on the historical development (1966-1973) of the 8 administrative Area Offices of the Indian Health Service (IHS) Mental Health Programs, this report presents information on the Navajo (Window Rock) Area Office. Included in this document are: (1) The Context (geography and description of the Dine, a tribe and…

  11. The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals

    PubMed Central

    Ross, Raven E.; Garfield, Lauren D.; Brown, Derek S.; Raghavan, Ramesh

    2016-01-01

    American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS. PMID:26548665

  12. The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals.

    PubMed

    Ross, Raven E; Garfield, Lauren D; Brown, Derek S; Raghavan, Ramesh

    2015-11-01

    American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS. PMID:26548665

  13. Reproductive rights denied: the Hyde Amendment and access to abortion for Native American women using Indian health service facilities.

    PubMed

    Arnold, Shaye Beverly

    2014-10-01

    Restrictions on the use of federal funds to provide abortions have limited the access to abortion services for Native American women receiving care at Indian Health Service facilities. Current data suggest that the vast majority of Indian Health Service facilities are unequipped to provide abortions under any circumstances. Native American women experience disproportionately high rates of sexual assault and unintended pregnancy. Hyde Amendment restrictions systematically infringe on the reproductive rights of Native American women and present a pressing public health policy concern. PMID:25122025

  14. Studies in Ambulatory Care Quality Assessment in the Indian Health Service. Volume II: Appraisal of System Performance.

    ERIC Educational Resources Information Center

    Nutting, Paul A.; And Others

    Six Indian Health Service (IHS) units, chosen in a non-random manner, were evaluated via a quality assessment methodology currently under development by the IHS Office of Research and Development. A set of seven health problems (tracers) was selected to represent major health problems, and clinical algorithms (process maps) were constructed for…

  15. Bringing Baby-Friendly to the Indian Health Service: A Systemwide Approach to Implementation.

    PubMed

    Karol, Susan; Tah, Tina; Kenon, Clifton; Meyer, Jenna; Yazzie, Jeannette; Stephens, Celissa; Merewood, Anne

    2016-05-01

    The Baby-Friendly Hospital Initiative (BFHI) increases exclusive breastfeeding. Breastfeeding protects against obesity and diabetes, conditions to which American Indians and Alaska Natives are particularly prone. As part of the First Lady'sLet's Move! in Indian Countryinitiative, the US Department of Health and Human Services' Indian Health Service (IHS) began implementing the BFHI in 2011. The IHS administers 13 US birthing hospitals. There are 5 tribally administered hospitals in the lower 48 states that receive IHS funding, and the IHS encouraged them to seek Baby-Friendly designation also. In the 13 federally administered hospitals, the IHS implemented a Baby-Friendly infant feeding policy, extensive clinician training, and Baby-Friendly compatible medical records. All hospitals also became compliant with the World Health Organization's International Code of Marketing of Breast-Milk Substitutes. Strategies and solutions were shared systemwide via webinars and conference calls. Quality improvement methods, technical assistance, and site visits assisted with the implementation process. Between 2011 and December 2014, 100% (13 of 13) of IHS federally administered hospitals gained Baby-Friendly designation. The first Baby-Friendly hospitals in Arizona, New Mexico, North Dakota, Oklahoma, and South Dakota were all IHS sites; 6% of all US Baby-Friendly hospitals are currently IHS hospitals. One tribal site has also been Baby-Friendly designated and 3 of the 5 remaining tribally administered hospitals in the lower 48 states are pursuing Baby-Friendly status. Baby-Friendly Hospital Initiative implementation systemwide is possible in a US government agency serving a high-risk, underprivileged population. Other systems looking to implement the BFHI can learn from the IHS model. PMID:26561492

  16. Indian Adolescent Mental Health. OTA Special Report.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Office of Technology Assessment.

    The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

  17. Indian Health Service Training Center, Training Course TC-70-4 (April 13-May 1, 1970): A Descriptive Analysis of the Utilization of Health Resources in the Zuni, New Mexico Service Unit.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    A descriptive study of health services utilization patterns, and possible factors contributing to such patterns, was conducted in April 1970 at the Zuni, New Mexico, Indian Health Service Unit. Health service utilization was explored by selected disease categories, preventative services (maternal and child health), and general population attitudes…

  18. Studies in Ambulatory Care Quality Assessment in the Indian Health Service. Volume I: Overview of the Methodology.

    ERIC Educational Resources Information Center

    Nutting, Paul A.; And Others

    Describing the methodology by which the quality of ambulatory health care in the Indian Health Service (IHS) might be measured, this report presents a brief review of the literature; discusses design decisions basic to the methodology; presents a pilot study; and presents examples of process maps, indicators and adult criteria, and data collection…

  19. Providing Culturally Competent Services for American Indian and Alaska Native Veterans to Reduce Health Care Disparities

    PubMed Central

    Kaufman, Carol E.; Kaufmann, L. Jeanne; Brooks, Elizabeth; Shore, Jay H.

    2014-01-01

    Objectives. We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. Methods. In 2011 to 2012, we adapted the Organizational Readiness to Change Assessment (ORCA) for a survey of 27 VA facilities in the Western Region to assess organizational readiness and capacity to adopt and implement native-specific services and to profile the availability of AI/AN veteran programs and interest in and resources for such programs. Results. Several ORCA subscales (Program Needs, Leader’s Practices, and Communication) statistically significantly predicted whether VA staff perceived that their facilities were meeting the needs of AI/AN veterans. However, none predicted greater implementation of native-specific services. Conclusions. Our findings may aid in developing strategies for adopting and implementing promising native-specific programs and services for AI/AN veterans, and may be generalizable for other veteran groups. PMID:25100420

  20. Birth Cohort Testing for Hepatitis C Virus - Indian Health Service 2012-2015.

    PubMed

    Reilley, Brigg; Leston, Jessica; Hariri, Susan; Neel, Lisa; Rudd, Miles; Galope, Megan; Ward, John; Vellozzi, Claudia

    2016-01-01

    Hepatitis C virus (HCV) infection is a substantial and largely unrecognized public health problem. An estimated 3.5 million persons in the United States are currently living with HCV infection, at least half of whom are unaware of their infection (1-3). Persons born during 1945-1965 (the "baby boomer" birth cohort) have a sixfold higher prevalence (2.6%) than adults of other ages, and represent 81% of all persons chronically infected with HCV (4). Therefore, in addition to recommending testing for all persons at risk for HCV infection, CDC and the U.S. Preventive Services Task Force (USPSTF) recommend one-time HCV testing for the birth cohort (5,6). Compared with the national average, American Indian/Alaska Native (AI/AN) persons have approximately twofold the rate of acute HCV incidence and HCV associated mortality (2). In June 2012, the Indian Health Service (IHS) implemented HCV testing in the 1945-1965 birth cohort and created a nationally standardized performance measure to monitor implementation of the recommendation. As of June 2015, the proportion of the birth cohort screened for HCV increased from a baseline of 7.9% (14,402/182,503) to 32.5% (68,514/211,014) among the AI/AN population served by IHS nationwide; provider training and the use of clinical decision tools were associated with increases in HCV testing. With this fourfold increase in testing in just 3 years, IHS needs to prepare for the challenges associated with increased identification of persons living with HCV infection. PMID:27171026

  1. Health and aging of urban American Indians.

    PubMed Central

    Kramer, B J

    1992-01-01

    Although half of the American Indian population resides off the reservation, mostly in the western states, research on the health of urban American Indians remains sparse. American Indians living in urban areas are not eligible for the federally mandated health care provided by the Indian Health Service and receive health care services in a variety of settings. This population is at high risk for many health problems, especially cardiovascular disease and diabetes mellitus. Social, cultural, and economic barriers that impede access to health care for this group, particularly for elders living in an urban setting, could be reduced if physicians improved their understanding of and communication with American Indian patients. PMID:1413770

  2. Economic Analysis of Delivering Primary Health Care Services through Community Health Workers in 3 North Indian States

    PubMed Central

    Prinja, Shankar; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2014-01-01

    Background We assessed overall annual and unit cost of delivering package of services and specific services at sub-centre level by CHWs and cost effectiveness of Government of India’s policy of introducing a second auxiliary nurse midwife (ANM) at the sub-centre compared to scenario of single ANM sub-centre. Methods We undertook an economic costing of health services delivered by CHWs, from a health system perspective. Bottom-up costing method was used to collect data on resources spent in 50 randomly selected sub-centres selected from 4 districts. Mean unit cost along with its 95% confidence intervals were estimated using bootstrap method. Multiple linear regression model was used to standardize cost and assess its determinants. Results Annually it costs INR 1.03 million (USD 19,381), or INR 187 (USD 3.5) per capita per year, to provide a package of preventive, curative and promotive services through community health workers. Unit costs for antenatal care, postnatal care, DOTS treatment and immunization were INR 525 (USD 10) per full ANC care, INR 767 (USD 14) per PNC case registered, INR 974 (USD 18) per DOTS treatment completed and INR 97 (USD 1.8) per child immunized in routine immunization respectively. A 10% increase in human resource costs results in 6% rise in per capita cost. Similarly, 10% increment in the ANC case registered per provider through-put results in a decline in unit cost ranging from 2% in the event of current capacity utilization to 3% reduction in case of full capacity utilization. Incremental cost of introducing 2nd ANM at sub-centre level per unit percent increase ANC coverage was INR 23,058 (USD 432). Conclusion Our estimates would be useful in undertaking full economic evaluations or equity analysis of CHW programs. Government of India’s policy of hiring 2nd ANM at sub-centre level is very cost effective from Indian health system perspective. PMID:24626285

  3. 78 FR 49533 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ... Health-- Methamphetamine and Suicide Prevention Intervention (MSPI) outreach and education award and the... methamphetamine use and suicide in Indian Country. The MSPI supports the use and development of evidence-based and... methamphetamine abuse and suicide in a community driven context. The six goals of the MSPI are to...

  4. Indian Health. Hearing Before the Select Committee on Indian Affairs. United States Senate, Ninety-Sixth Congress. First Session on Indian Health.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

    The Senate Select Committee on Indian Affairs held its first session on Indian health on August 2, 1979, to consider the Indian Health Service (IHS) and to receive testimony from organizations concerned about the status of Indian health. The National Indian Health Board representatives discussed difficulties related to tribal efforts to achieve an…

  5. A National Survey of Indian Health Service Employees and the Development of a Model Job Training Demonstration Project: Identifying Work Opportunities for American Indians and Alaska Natives with Disabilities. Executive Summary.

    ERIC Educational Resources Information Center

    Marshall, Catherine A.; Longie, Bryan J.; Miller, Janneli F.; Cerveny, Lee K.; Monongye, Dushon

    This project involved a national survey of Indian Health Sevice (IHS) agencies to assess the working environment, the extent to which IHS agencies employ and provide support services for persons with disabilities, and the need for program and consumer services to enhance the employability of American Indians with disabilities. A total of 676…

  6. 77 FR 69865 - 60-Day Proposed Information Collection; Request for Public Comment: Indian Health Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    ... Office of Resource Access and Partnerships, needs this information to certify that the health care... validate services provided; to process payments for health care services performed by such providers; and to serve as a legal document for health and medical care authorized by IHS and rendered by...

  7. American Indian Health

    MedlinePlus

    ... Contact Us HEALTH TOPICS PEOPLE & TRADITIONS PROGRAMS & SERVICES RESEARCH & DATA HEALTH TOPICS Cancer Diabetes Flu and H1N1 (Influenza) ... Human Services Health Topics | People & Traditions Programs & Services | Research & Data Home | About | Site Map & Search | Contact Us

  8. Evaluating an Electronic Measure of Colorectal Cancer Screening at Indian Health Service Facilities, 2008-2010

    PubMed Central

    Redwood, Diana; Suryaprasad, Anil; Haverkamp, Donald; Wong, Charlene; Provost, Ellen; Espey, David

    2015-01-01

    Background Colorectal cancer (CRC) is a leading cause of cancer mortality in American Indian and Alaska Native (AIAN) people, and incidence rates vary considerably among AIAN populations throughout the United States. Screening has the potential to prevent CRC deaths by detection and treatment of early disease or removal of precancerous polyps. Surveillance of CRC screening is critical to efforts to improve delivery of this preventive service, but existing CRC screening surveillance methods for AIAN are limited. The Government Performance and Results Act (GPRA) CRC screening clinical care measure provides data on CRC screening among AIAN populations. Purpose The aim of this study was to evaluate the accuracy of the GPRA measure for CRC screening (sensitivity, specificity, positive predictive value and negative predictive value), determine reasons for CRC screening misclassification (procedures noted as screening when they were actually diagnostic exams), and to suggest opportunities for improving surveillance for CRC screening nationwide for AIAN populations. Methods Medical record reviews (paper and electronic) were compared to the GPRA-reported CRC screening status for 1,071 patients receiving care at tribal health facilities. A total of 8 tribal health facilities (2 small, 3 medium, and 3 large) participated in the study from the Pacific Coast, the Southwest, the Southern Plains, and Alaska IHS regions. Screening-eligible patients were identified using queries of the local electronic health record from January 2007 to December 2008, and medical chart reviews were completed at participating facilities from September 2008 to June 2010. Results Among 545 patients classified as screened by the GPRA measure, 305 (56%, CI: 52%-60%) had a false positive for screening as compared with medical record review. The overall sensitivity of the GPRA measure for CRC screening was 93% (CI=89%-95%) while specificity was 62% (CI: 59%-66%). The most common reasons for

  9. Comprehensive Health Care Program for American Indians & Alaska Natives.

    ERIC Educational Resources Information Center

    Indian Health Service (PHS/HSA), Rockville, MD.

    This booklet summarizes programs of the Indian Health Service (IHS). The IHS was created in 1954 as part of the Public Health Service when responsibility for American Indian and Alaska Native health care was transferred from the Department of the Interior's Bureau of Indian Affairs to the Department of Health, Education, and Welfare. The goal of…

  10. 77 FR 50121 - Office of Direct Service and Contracting Tribes National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... quantifiable indicator of progress and achievement that includes outcome, output, input, efficiency, and... IHS and the Department of Health and Human Services (HHS) based on Tribal input through a broad based..., information regarding technologies currently used (i.e., hardware, software, services, etc.), and identify...

  11. Indian health care professionals' attitude towards spiritual healing and its role in alleviating stigma of psychiatric services.

    PubMed

    Ramakrishnan, P; Rane, A; Dias, A; Bhat, J; Shukla, A; Lakshmi, S; Ansari, B K; Ramaswamy, R S; Reddy, R A; Tribulato, A; Agarwal, A K; SatyaPrasad, N; Mushtaq, A; Rao, P H; Murthy, P; Koenig, H G

    2014-12-01

    Persons with mental illnesses in India and rest of developing world continue to consult religious/spiritual (R/S) healers or traditional, complementary and alternative medicine (TCAM) professionals prior to seeking psychiatric services that are devoid of spiritual components of care. We aim to understand TCAM and allopathic professionals' perspectives on patients' R/S needs within mental health services, cross-sectional study was conducted at five TCAM and two allopathic tertiary care hospitals in three different Indian states; 393 participants completed RSMPP, a self-administered, semi-structured survey questionnaire. Perspectives of TCAM and allopathic health professionals on role of spirituality in mental health care were compared. Substantial percentage, 43.7 % TCAM and 41.3 % allopathic, of participants believe that their patients approach R/S or TCAM practitioners for severe mental illness; 91.2 % of TCAM and 69.7 % of allopaths were satisfied with R/S healers (p = 0.0019). Furthermore, 91.1 % TCAM and 73.1 % allopaths (p = 0.000) believe that mental health stigma can be minimized by integrating with spiritual care services. Overall, 87 % of TCAM and 73 % of allopaths agreed to primary criterion variable: 'spiritual healing is beneficial and complementary to psychiatric care.' A quarter of allopaths (24.4 %) and 38 % of TCAM physicians reportedly cross-refer their grieving patients to religious/TCAM healer and psychiatrist/psychologist, respectively; on logistic regression, significant (p < 0.05) predictors were clinical interactions/references to r/s healers. Providing spiritual care within the setup of psychiatric institution will not only complement psychiatric care but also alleviate stigma against mental health services. Implications on developing spiritual care services like clinical chaplaincy are discussed. PMID:24430129

  12. Technology Serves the People: The Story of a Co-operative Telemedicine Project by NASA, the Indian Health Service and the Papago People. STARPAHC.

    ERIC Educational Resources Information Center

    Bashshur, Rashid

    In the story of STARPAHC (Space Technology Applied to Rural Papago Advanced Health Care) the genesis of the telemedicine concept at NASA is traced; a brief account of the history of the Indian Health Service (IHS) and the activities of the Office of Research and Development (ORD) are given; the culture and aspirations of the Papago people are…

  13. A Canadian Indian Health Status Index.

    PubMed

    Connop, P J

    1983-01-01

    Health care services for registered "band" Indians in Ontario are provided primarily by the Canadian Federal Government. Complex management methods preclude the direct involvement of Indian people in the decisions for their health resource allocation. Health indicators, need, and health status indexes are reviewed. The biostatistics of mortality and demography of the Indian and reference populations are aggregated with hospitalization/morbidity experience as the Chen G'1 Index, as an indicator of normative and comparative need. This is weighted by linear measurements of perceived need for preventive medicine programs, as ranked and scaled values of priorities, Zj. These were determined by community survey on 11 Indian reserves using a non-probabilistic psychometric method of "pair comparisons," based upon "Thurstone's Law of Comparative Judgement.," The calculation of the aggregate single unit Indian Health Status Index [Log.G'1].Zj and its potential application in a "zero-base" budget is described. PMID:6601223

  14. Asian Indian American Students: Attitudinal Motivation to Seek Mental Health Services

    ERIC Educational Resources Information Center

    Nair, Rejitha; Harman, Marsha J.; Kordinak, S. Thomas; Bruce, A. Jerry

    2007-01-01

    Help seeking attitudes and acculturation of Asian Indian Americans were examined in a sample consisted of 69 Asian Indian American students. Participants completed a demographic questionnaire, the Suinn-Lew Asian Self-Identity Acculturation Scale and the Attitudes toward Seeking Professional Psychological Help Scale. There were no significant…

  15. 42 CFR 136.24 - Authorization for contract health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Authorization for contract health services. 136.24 Section 136.24 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health Services §...

  16. 42 CFR 136a.13 - Authorization for contract health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Authorization for contract health services. 136a.13 Section 136a.13 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who...

  17. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  18. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  19. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  20. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  1. 42 CFR 136a.15 - Health Service Delivery Areas.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Health Service Delivery Areas. 136a.15 Section 136a.15 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible...

  2. 77 FR 11558 - Request for Public Comment; 60-Day Proposed Information Collection: Indian Health Service; Loan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... professional staff at IHS health care facilities. Any health professional wishing to have their health... isolated area. When an applicant accepts employment at a location, they in turn ``pick-up'' the score...

  3. Examining inter-generational differentials in maternal health care service utilization: insights from the Indian Demographic and Health Survey.

    PubMed

    Singh, Prashant Kumar; Singh, Lucky

    2014-05-01

    This study examines the association between age cohort and utilization of maternal health care services in India, before and after adjusting for individual, household and contextual factors. Using data from the Demographic and Health Survey 2005-06, women were classified into three distinct age cohorts based on their age at childbirth: 15-24, 25-34 and 35-49 years. Binary logistic regression models were applied to assess the influence of women's age cohort on receiving full antenatal care (ANC) and skilled birth attendance (SBA). The analytical sample included the women who delivered their most recent birth at any time in the 5 years preceding the survey. Women belonging to the younger age cohort were found to be disadvantaged in receiving full ANC, whereas increasing age of women was negatively associated with receiving SBA. Low level of education, low mass media exposure, low autonomy, belonging to deprived social groups, poor economic status and residence in the central region were found to be major constraining factors in receiving full ANC and SBA for women in India. The findings support the need for 'age-sensitive' interventions that tailor programmes and incentives to women's health care needs through the reproductive life-stage. Urgent efforts are needed to ensure that women who are illiterate and those belonging to low autonomy and low socioeconomic groups receive the recommended maternal health care benefits. PMID:23866261

  4. 78 FR 19721 - Request For Public Comment: 60-Day Proposed Information Collection: Indian Health Service Medical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-02

    ... including: Physicians (M.D. and D.O.), dentists, psychologists, optometrists, podiatrists, audiologists... midwives. IHS policy specifically requires physicians and dentists to be members of the health...

  5. Commentary: Medicaid reform issues affecting the Indian health care system.

    PubMed

    Wellever, A; Hill, G; Casey, M

    1998-02-01

    Substantial numbers of Indian people rely on Medicaid for their primary health insurance coverage. When state Medicaid programs enroll Indians in managed care programs, several unintended consequences may ensue. This paper identifies some of the perverse consequences of Medicaid reform for Indians and the Indian health care system and suggests strategies for overcoming them. It discusses the desire of Indian people to receive culturally appropriate services, the need to maintain or improve Indian health care system funding, and the duty of state governments to respect tribal sovereignty. Because of their relatively small numbers, Indians may be treated differently under Medicaid managed care systems without significantly endangering anticipated program savings. Failure of Medicaid programs to recognize the uniqueness of Indian people, however, may severely weaken the Indian health care system. PMID:9491006

  6. 77 FR 67657 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service (IHS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-13

    ... Register (77 FR 52748) on August 30, 2012, and allowed 60 days for public comment. No public comment was... divisions (i.e., Behavioral Health, Health Promotion/Disease Prevention, Nursing, and Dental) have developed... the data collection instruments and/or instruction(s) contact: Tamara Clay, Reports Clearance...

  7. Mental health and substance abuse services to parents of children involved with child welfare: a study of racial and ethnic differences for American Indian parents.

    PubMed

    Libby, Anne M; Orton, Heather D; Barth, Richard P; Webb, Mary Bruce; Burns, Barbara J; Wood, Patricia A; Spicer, Paul

    2007-03-01

    American Indian (AI) parents of children involved with child welfare were compared to White, Black and Hispanic parents on mental health and substance abuse problems and access to treatment. Data came from the National Study of Child and Adolescent Well-Being, a longitudinal study of a nationally representative sample of children aged 0-14 years involved with child welfare. Weighted statistics provided population estimates, and multivariate logistic regression was used to predict the likelihood of caregivers receiving mental health or substance abuse services. There were significant disparities in the likelihood of receiving mental health, but not substance abuse, services. Unmet need for mental health and substance abuse treatment characterized all parents in this study. AI parents fared the worst in obtaining mental health treatment. Parents of children at home and of older children were less likely to access mental health or substance abuse treatment. PMID:17066330

  8. 78 FR 52538 - Office of Direct Service and Contracting Tribes; National Indian Health Outreach and Education...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-23

    ... education activities on the following: the Patient Protection and Affordable Care Act, Public Law 111-148 (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010, Public Law 111- 152... care delivery systems through self-determination contracts and compacts with the IHS and Tribes...

  9. 78 FR 2412 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Forms...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... previously published in the Federal Register (77 FR 60219) on October 2, 2012, and allowed 60 days for public... implement these protection standards and access requirements. The IHS will continue to use the following... protect individuals' personal health information, and gives patients increased access to their...

  10. 42 CFR 136.411 - Are the requirements for IHS adjudication different from the requirements for Indian Tribes and...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention §...

  11. 17. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    17. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 Elevations - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM

  12. 14. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    14. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, N&, 1934 Foundation Plan - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM

  13. 18. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    18. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 Detail sheet - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM

  14. 15. Photocopy of architectural drawing (from Albuquerque Area Indian Health ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    15. Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers, Murray, and Phillip, Architects, New York, NY, 1934 First Floor - plumbing - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM

  15. 16 Photocopy of architectural drawing (from Albuquerque Area Indian Health ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    16 Photocopy of architectural drawing (from Albuquerque Area Indian Health Service, Division of Health Facilities, Albuquerque, New Mexico) Mayers Murray, and Phillip, Architects, New York, NY, 1934 first floor mechanical plan - heating - Taos Indian Health Center, 0.3 mile south-southwest of Pueblos Plaza, Taos Pueblo, Taos County, NM

  16. Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated With Non-Hospital-Based Care. Final rule with comment period.

    PubMed

    2016-03-21

    The Secretary of the Department of Health and Human Services (HHS) hereby issues this final rule with comment period to implement a methodology and payment rates for the Indian Health Service (IHS) Purchased/Referred Care (PRC), formerly known as the Contract Health Services (CHS), to apply Medicare payment methodologies to all physician and other health care professional services and non-hospital-based services. Specifically, it will allow the health programs operated by IHS, Tribes, Tribal organizations, and urban Indian organizations (collectively, I/T/U programs) to negotiate or pay non-I/T/U providers based on the applicable Medicare fee schedule, prospective payment system, Medicare Rate, or in the event of a Medicare waiver, the payment amount will be calculated in accordance with such waiver; the amount negotiated by a repricing agent, if applicable; or the provider or supplier's most favored customer (MFC) rate. This final rule will establish payment rates that are consistent across Federal health care programs, align payment with inpatient services, and enable the I/T/U to expand beneficiary access to medical care. A comment period is included, in part, to address Tribal stakeholder concerns about the opportunity for meaningful consultation on the rule's impact on Tribal health programs. PMID:26999831

  17. American Indian Health Careers Handbook. Third Edition.

    ERIC Educational Resources Information Center

    Jennings, Don, Ed.

    Designed to inform Indian students about health career opportunities, this handbook prepared by the Association of American Indian Physicians describes the great need for more American Indians as health professionals and gives information on specific health fields, preparation for health professions, and assistance available (financial and other).…

  18. The Indian burden of illness and future health interventions.

    PubMed Central

    Rhoades, E R; Hammond, J; Welty, T K; Handler, A O; Amler, R W

    1987-01-01

    This article describes the burden of illness of Indians eligible for services from the Indian Health Service (IHS) and discusses strategies for reducing morbidity and mortality related to those conditions. To improve health to an extent that parallels the IHS's past achievements, the illnesses that now are prevelant among Indians require changes in personal and community behavior rather than intensified medical services. Analysis of these conditions leads to the conclusion that much of the existing burden of illness can be reduced or eliminated. IHS is responding to this challenge by continuing to ensure Indians' access to comprehensive health care services, by increasing educational efforts aimed at prevention, and by enlisting the support of other government and private organizations in activities that have as their purpose treating diseases if intervention will lessen morbidity and mortality (such as diabetes and hypertension) and encouraging of dietary changes, cessation of smoking, exercise, reduction in alcohol consumption, and other healthy behavior. PMID:3112844

  19. 78 FR 2413 - Office of Urban Indian Health Programs; Announcement Type: Meeting Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... HUMAN SERVICES Indian Health Service Office of Urban Indian Health Programs; Announcement Type: Meeting... Urban Indian Organizations (UIOs). IHS will provide an opportunity for interested parties to provide... July 26, 2012. Name of Listening Session: IHS Urban Listening Session. Type of Meeting: Open...

  20. American Indian Veterans' Views about Their Choices in Health Care: VA, IHS, and Medicare

    ERIC Educational Resources Information Center

    Reifel, Nancy; Bayhylle, Ruth; Harada, Nancy; Villa, Valentine

    2009-01-01

    Legislation during the past three decades has gradually drawn Indian Health Service (IHS)-funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal…

  1. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  2. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  3. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  4. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  5. 45 CFR 96.45 - Preventive health and health services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION BLOCK GRANTS Direct Funding of Indian Tribes and Tribal Organizations § 96.45 Preventive health and health...

  6. Progress Report--The Implementation of the Indian Health Care Improvement Act P.L. 94-437.

    ERIC Educational Resources Information Center

    Health Services Administration (DHEW/PHS), Rockville, MD. Indian Health Service.

    The Indian Health Care Improvement Act authorizes 612 positions and $208,797,000 for fiscal year 1978. Title I augments the inadequate number of health professionals serving Indians, and with such aid as grants and scholarships removes barriers to health professionals' entry into the Indian Health Service (IHS) and private practice for Indians.…

  7. Access to Specialty Health Care for Rural American Indians in Two States

    ERIC Educational Resources Information Center

    Baldwin, Laura-Mae; Hollow, Walter B.; Casey, Susan; Hart, L. Gary; Larson, Eric H.; Moore, Kelly; Lewis, Ervin; Andrilla, C. Holly A.; Grossman, David C.

    2008-01-01

    Context: The Indian Health Service (IHS), whose per capita expenditure for American Indian and Alaska Native (AI/AN) health services is about half that of the US civilian population, is the only source of health care funding for many rural AI/ANs. Specialty services, largely funded through contracts with outside practitioners, may be limited by…

  8. Why mental health services in low- and middle-income countries are under-resourced, underperforming: an indian perspective.

    PubMed

    Goel, D S

    2011-01-01

    The inadequacies of mental health services in low- and middleincome countries are often attributed to inadequate allocation of resources. This may not be entirely true. The experience in India suggests that a top-down approach to planning, divorced from the ground realities, poor governance, managerial incompetence and unrealistic expectations from low-paid/poorly motivated primary healthcare personnel play an important role and may result in the failure of even adequately funded programmes. The ambitious National Mental Health Programme (NMHP), launched in 1983 and aimed at providing basic mental health services through the existing primary healthcare system, using the Bellary model, failed to achieve any of its targets over the subsequent decades. In early 2001, the NMHP was radically revamped. It was re-launched as part of the Tenth Five-Year Plan (2002-07) and the budgetary allocation was increased more than 7-fold. However, the programme faltered due to techno-managerial underperformance and the initial momentum was lost. The reasons for this failure are analysed and possible remedial strategies suggested. While the experience documented in the paper is country-specific and relates to India, it may hold useful lessons for other low- and middle-income countries. PMID:21668055

  9. A bill to deem the submission of certain claims to an Indian Health Service contracting officer as timely.

    THOMAS, 112th Congress

    Sen. Begich, Mark [D-AK

    2012-04-26

    09/20/2012 By Senator Akaka from Committee on Indian Affairs filed written report. Report No. 112-228. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  10. Indian Health Service Training Center, Health Services Management Training Course TC-72-1 (January 24-February 11, 1972): A Descriptive Analysis of Health Care Communications Pertaining to the Canoncito Navajo Community.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    Members of the Health Services Management class conducted a descriptive analysis of health care communication pertaining to the Canoncito Navajo Community and offered "meaningful" alternatives of communication and management to the community. Two committees gathered data to describe communications within and between organizations supplying health…

  11. Minority Women's Health: American Indians/Alaska Natives

    MedlinePlus

    ... Health > American Indians/Alaska Natives Minority Women's Health American Indians/Alaska Natives Related information How to Talk to ... disease. Return to top Health conditions common in American Indian and Alaska Native women Accidents Alcoholism and drug ...

  12. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... areas. 136.22 Section 136.22 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health... area after consultation with the tribal governing body or bodies on those reservations included...

  13. 42 CFR 136.22 - Establishment of contract health service delivery areas.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... areas. 136.22 Section 136.22 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Contract Health... area after consultation with the tribal governing body or bodies on those reservations included...

  14. OTA Study on Indian Health Care. Hearing before the Subcommittee on Health and the Environment of the Committee on Energy and Commerce. House of Representatives, Ninety-Ninth Congress, Second Session (February 20, 1986).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Energy and Commerce.

    Health care for American Indians and Alaska Natives eligible for medical and health-related services from the federal government, specifically the Indian Health Service (IHS), is assessed. The basic population eligible for IHS services consists of "persons of Indian descent belonging to the Indian community served by the local facilities and…

  15. 77 FR 52748 - 60-Day Proposed Information Collection: Indian Health Service (IHS) Sharing What Works-Best...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ...., Behavioral Health (BH), Health Promotion/Disease Prevention (HP/DP), Nursing, and Dental) have developed a... of the data collection instrument(s) and instructions to: Tamara Clay, IHS Reports Clearance...

  16. 34 CFR 361.30 - Services to American Indians.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Services to American Indians. 361.30 Section 361.30... Services to American Indians. The State plan must assure that the designated State agency provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in...

  17. 34 CFR 361.30 - Services to American Indians.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Services to American Indians. 361.30 Section 361.30... Services to American Indians. The State plan must assure that the designated State agency provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in...

  18. 34 CFR 361.30 - Services to American Indians.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 2 2011-07-01 2010-07-01 true Services to American Indians. 361.30 Section 361.30... Services to American Indians. The State plan must assure that the designated State agency provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in...

  19. 34 CFR 361.30 - Services to American Indians.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Services to American Indians. 361.30 Section 361.30... Services to American Indians. The State plan must assure that the designated State agency provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in...

  20. 34 CFR 361.30 - Services to American Indians.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Services to American Indians. 361.30 Section 361.30... Services to American Indians. The State plan must assure that the designated State agency provides vocational rehabilitation services to American Indians who are individuals with disabilities residing in...

  1. Estimating Health Services Requirements

    NASA Technical Reports Server (NTRS)

    Alexander, H. M.

    1985-01-01

    In computer program NOROCA populations statistics from National Center for Health Statistics used with computational procedure to estimate health service utilization rates, physician demands (by specialty) and hospital bed demands (by type of service). Computational procedure applicable to health service area of any size and even used to estimate statewide demands for health services.

  2. 77 FR 60129 - 60-Day Proposed Information Collection: Indian Health Service Forms To Implement the Privacy Rule...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-02

    ... gives patients increased access to their medical records. 45 CFR 164.508, 164.522, 164.526 and 164.528... information are filed in the IHS medical, health and billing record, a Privacy Act System of Records...

  3. 76 FR 16427 - Memorandum of Agreement Between the Indian Health Service and the Department of Interior; Bureau...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... depression, domestic violence, child neglect and abuse, elderly abuse, property damage, gang activity, and... coordinate delivery of healthcare and wellness support services to boarding school residents and their... for Field Operations), BIE line offices (through the BIE Deputy Director, School Operations), and...

  4. Occupational health scenario of Indian informal sector

    PubMed Central

    NAG, Anjali; VYAS, Heer; NAG, Pranab

    2016-01-01

    Workers in the Indian informal sector are engaged with different occupations. These occupations involve varied work related hazards. These occupational hazards are a consequent risk to health. The study aimed to determine occupational health scenario in the Indian Informal sector. One thousand eleven hundred twenty two workers from five different occupations namely weaving (handloom and power loom), construction, transportation, tobacco processing and fish processing were assessed by interviewer administered health questionnaire. Workers suffered from musculo-skeletal complaints, respiratory health hazards, eye problems and skin related complaints. There was a high prevalence of self-reported occupational health problems in the selected sectors. The study finds that workers have occupational exposures to multiple hazards. The absence of protective guards aggrevate their health condition. The study attempts to draws an immediate attention on the existing health scenario of the Indian Informal sector. PMID:26903262

  5. Occupational health scenario of Indian informal sector.

    PubMed

    Nag, Anjali; Vyas, Heer; Nag, Pranab

    2016-08-01

    Workers in the Indian informal sector are engaged with different occupations. These occupations involve varied work related hazards. These occupational hazards are a consequent risk to health. The study aimed to determine occupational health scenario in the Indian Informal sector. One thousand eleven hundred twenty two workers from five different occupations namely weaving (handloom and power loom), construction, transportation, tobacco processing and fish processing were assessed by interviewer administered health questionnaire. Workers suffered from musculo-skeletal complaints, respiratory health hazards, eye problems and skin related complaints. There was a high prevalence of self-reported occupational health problems in the selected sectors. The study finds that workers have occupational exposures to multiple hazards. The absence of protective guards aggrevate their health condition. The study attempts to draws an immediate attention on the existing health scenario of the Indian Informal sector. PMID:26903262

  6. Health Differences Among Lumbee Indians Using Public and Private Sources of Care

    ERIC Educational Resources Information Center

    Bryant Jr., Alfred; Goins, R. Turner; Bell, Ronny; Herrell, Richard; Manson, Spero M.; Buchwald, Dedra

    2004-01-01

    Context: Of 2.4 million American Indians, approximately 60% are eligible to receive Indian Health Service (IHS) benefits, leaving many to seek care elsewhere. It is unknown if their quality of care, health behaviors, and health status vary by source of care, as demonstrated for other populations. Purpose: The purpose of this study was to determine…

  7. Library Services to Indian-Americans in the United States.

    ERIC Educational Resources Information Center

    Sharman, R. N.

    1994-01-01

    Surveys the history of Indian immigration to the United States and the development of Indian collections in academic, public, and special libraries. Library services to Indian populations are discussed, with descriptions of specific collections, and suggestions are given to improve services and collections. (SLD)

  8. 75 FR 65357 - Request for Public Comment: 30-Day Proposed Information Collection: Office of Urban Indian Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... Register (74 FR 59544) on November 18, 2009 and allowed 60 days for public comment. No public comment was...: Office of Urban Indian Health Programs; Uniform Data System AGENCY: Indian Health Service. ACTION: Notice... submitted directly to OMB. Proposed Collection: Title: Office of Urban Indian Health Programs...

  9. Health Care Provider--Consumer Communication in the Miccosukee Indian Community.

    ERIC Educational Resources Information Center

    Liberman, David B.; Knigge, Rose Marie

    1979-01-01

    Twenty-five Indian patients at a Public Health Service clinic indicated that inadequate communication influenced by age, English fluency, and cultural differences contributed to abuses in the health care system. Journal availability: see RC 503 481. (DS)

  10. The persistence of American Indian health disparities.

    PubMed

    Jones, David S

    2006-12-01

    Disparities in health status between American Indians and other groups in the United States have persisted throughout the 500 years since Europeans arrived in the Americas. Colonists, traders, missionaries, soldiers, physicians, and government officials have struggled to explain these disparities, invoking a wide range of possible causes. American Indians joined these debates, often suggesting different explanations. Europeans and Americans also struggled to respond to the disparities, sometimes working to relieve them, sometimes taking advantage of the ill health of American Indians. Economic and political interests have always affected both explanations of health disparities and responses to them, influencing which explanations were emphasized and which interventions were pursued. Tensions also appear in ongoing debates about the contributions of genetic and socioeconomic forces to the pervasive health disparities. Understanding how these economic and political forces have operated historically can explain both the persistence of the health disparities and the controversies that surround them. PMID:17077399

  11. The Persistence of American Indian Health Disparities

    PubMed Central

    Jones, David S.

    2006-01-01

    Disparities in health status between American Indians and other groups in the United States have persisted throughout the 500 years since Europeans arrived in the Americas. Colonists, traders, missionaries, soldiers, physicians, and government officials have struggled to explain these disparities, invoking a wide range of possible causes. American Indians joined these debates, often suggesting different explanations. Europeans and Americans also struggled to respond to the disparities, sometimes working to relieve them, sometimes taking advantage of the ill health of American Indians. Economic and political interests have always affected both explanations of health disparities and responses to them, influencing which explanations were emphasized and which interventions were pursued. Tensions also appear in ongoing debates about the contributions of genetic and socioeconomic forces to the pervasive health disparities. Understanding how these economic and political forces have operated historically can explain both the persistence of the health disparities and the controversies that surround them. PMID:17077399

  12. 25 CFR 900.193 - Does FTCA coverage extend to individuals who provide health care services under a personal...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... health care services under a personal services contract providing services in a facility that is owned... provide health care services under a personal services contract providing services in a facility that is... INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND...

  13. Confronting Oral Health Disparities Among American Indian/Alaska Native Children: The Pediatric Oral Health Therapist

    PubMed Central

    Nash, David A.; Nagel, Ron J.

    2005-01-01

    American Indian and Alaska Native (AIAN) children are disproportionately affected by oral disease compared with the general population of American children. Additionally, AIAN children have limited access to professional oral health care. The Indian Health Service (IHS) and AIAN tribal leaders face a significant problem in ensuring care for the oral health of these children. We discuss the development and deployment of a new allied oral health professional, a pediatric oral health therapist. This kind of practitioner can effectively extend the ability of dentists to provide for children not receiving care and help to confront the significant oral health disparities existing in AIAN children. Resolving oral health disparities and ensuring access to oral health care for American Indians and Alaska Natives is a moral issue—one of social justice. PMID:16006412

  14. An Indian-controlled mental health program.

    PubMed

    Ostendorf, D; Hammerschlag, C A

    1977-09-01

    The control of health care programs for American Indians is shifting slowly from the federal government to the tribes. In 1971 the Apaches began operating a community mental health center on a reservation in northeastern Arizona. The tribal council appointed a 14-member board to administer the center; a majority of the members were Apaches. The board then hired an executive director who was not an Indian. There were 15 professional and paraprofessional staff members; 12 were Apaches or other Indians. In January 1976 the tribal council fired the director and disbanded the board of directors, although the clinic continued operation. The authors discuss sociocultural factors that influenced the center's development and give several reasons for the center's problems, including the general expectation that agencies run by Indians will not be successful. PMID:892727

  15. Screening American Indian Youth for Referral to Drug Abuse Prevention and Intervention Services

    ERIC Educational Resources Information Center

    Winters, Ken C.; Dewolfe, Jerome; Graham, Donald

    2006-01-01

    The development and psychometric properties of a brief screening tool for use with American Indian youth suspected of abusing substances is described. The Indian Health Service-Personal Experience Screening Questionnaire (IHS-PESQ) is a brief questionnaire that screens for drug abuse problem severity, response distortion tendencies, and…

  16. School Health Assessment of Bureau of Indian Education Schools in New Mexico

    ERIC Educational Resources Information Center

    Bureau of Indian Education, 2008

    2008-01-01

    An assessment of school health programs, policies and practices in the Bureau of Indian Education (BIE) schools was initiated because of concerns by Native American serving providers and advocates that American Indian youth have limited access to school health services, and because there is increasing national and state momentum with respect to…

  17. An Examination of the Vocational Rehabilitation Needs of American Indians with Behavioral Health Diagnoses in New York State. Final Report.

    ERIC Educational Resources Information Center

    Marshall, Catherine A.; And Others

    A participatory action research project examined vocational rehabilitation (VR) services provided in New York State to American Indians with behavioral health diagnoses, including dual diagnoses involving substance abuse. In 1991, the New York public VR system had 81 American Indians apply for VR services (only 2.8 percent of American Indians with…

  18. Trade in health services.

    PubMed Central

    Chanda, Rupa

    2002-01-01

    In light of the increasing globalization of the health sector, this article examines ways in which health services can be traded, using the mode-wise characterization of trade defined in the General Agreement on Trade in Services. The trade modes include cross- border delivery of health services via physical and electronic means, and cross-border movement of consumers, professionals, and capital. An examination of the positive and negative implications of trade in health services for equity, efficiency, quality, and access to health care indicates that health services trade has brought mixed benefits and that there is a clear role for policy measures to mitigate the adverse consequences and facilitate the gains. Some policy measures and priority areas for action are outlined, including steps to address the "brain drain"; increasing investment in the health sector and prioritizing this investment better; and promoting linkages between private and public health care services to ensure equity. Data collection, measures, and studies on health services trade all need to be improved, to assess better the magnitude and potential implications of this trade. In this context, the potential costs and benefits of trade in health services are shaped by the underlying structural conditions and existing regulatory, policy, and infrastructure in the health sector. Thus, appropriate policies and safeguard measures are required to take advantage of globalization in health services. PMID:11953795

  19. 25 CFR 170.166 - What services do Indian LTAP centers provide?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What services do Indian LTAP centers provide? 170.166 Section 170.166 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Indian Local Technical Assistance Program § 170.166 What services...

  20. Indian Launch Services - Its Evolution and Potential

    NASA Astrophysics Data System (ADS)

    Balakrishnan, S. S.; Narayana Moorthi, D.; Sridhara Murthy, K. R.; Ramakrishnan, S.

    2002-01-01

    Development and operationalisation of the Polar Satellite Launch Vehicle (PSLV) has enabled the Indian Space Research Organisation (ISRO) end-to-end capability from launch to application in remote sensing satellites from the year 1997. Even as the PSLV was getting developed, its potential to provide launch services to international customers after meeting the internal demand was recognized. A unique method of carrying two microsatellites in every launch was worked out. Four piggyback payloads were flown in the last two flights of PSLV. The main payload has been flown with a standard interface. Having deployed through PSLV five primary satellites and four piggyback satellites, PSLV can carry a combination of satellites of different masses including the use of a dual launch adapter. With the successful flight of the Geosynchronous Satellite Launch Vehicle (GSLV) in its very first attempt, soon this will also be available on a commercial basis. Thus, ISRO has the capability to offer commercial launch opportunity through Antrix Corporation Limited, the commercial wing of the Department of Space from 10 kg to 1300 kg in SSO or 1000-2000 kg in to GTO or into any other LEO or MEO. This paper provides a brief account of the evolution of Indian Launch Services over the years and the future potential.

  1. "Our Vision: A Journey to Better Health": Proceedings of the National Indian/Alaska Native Health Conference (3rd, Spokane, Washington, July 22-26, 1979).

    ERIC Educational Resources Information Center

    O'Connor, John P.; Rosall, Judith

    Nearly 1,500 Indian representatives from across the United States attended the 4-day conference, sponsored by the National Indian Health Board (NIHB), to discuss and learn more about significant issues regarding the delivery of health services to American Indians. Each day participants attended workshop sessions to discuss and debate issues…

  2. 76 FR 11494 - List of Recipients of Indian Health Scholarships Under the Indian Health Scholarship Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... Health Sciences Center, Cherokee Nation, Oklahoma Battese, Anthony Steven, Northeastern State University... Oklahoma Beck, Dustin Ryan, Oklahoma State University, Cherokee Nation, Oklahoma Begay, Lisa, Arizona... Band of Chippewa Indians of North Dakota Bighorse, Amanda Nicole, Oklahoma State University,...

  3. Sahaja: an Indian ideal of mental health.

    PubMed

    Neki, J S

    1975-02-01

    Sahaja is an Indian ideal of mental and spiritual health that has received special emphasis in the Sikh scriptures--especially, the Adi Granth. Since the concept of sahaja has long been associated with mystical thought and practice, its description has become shrouded in peculiar esoteric terminologies. It is the purpose of this communication to divest sahaja of its esoteric, mystic connotations and to redefine it as a mental health ideal in the context of contemporary conditions. PMID:1114187

  4. College Health: Health Services and Common Health Problems

    MedlinePlus

    ... Conditions Nutrition & Fitness Emotional Health College Health: Health Services and Common Health Problems Posted under Health Guides . ... March 2015. +Related Content What are student health services? The student health services (sometimes called the student ...

  5. Selected Health Service Occupations.

    ERIC Educational Resources Information Center

    Coleman, Arthur D.

    Prepared by an occupational analyst of the Utah Department of Employment Security, this manual provides job guides for 39 health service occupations concerned mainly with doctors, nurses, and related hospital-medical-health consultants and services. Classified according to "The Dictionary of Occupational Titles," each occupational description…

  6. 78 FR 40746 - Urban Indian Education and Research Organization Cooperative Agreement Program; Office of Urban...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-08

    ... HUMAN SERVICES Indian Health Service Urban Indian Education and Research Organization Cooperative... Statutory Authority The Indian Health Service (IHS) is accepting competitive cooperative agreement applications for the Urban Indian Education and Research Organization Cooperative Agreement Program...

  7. 78 FR 42788 - American Indians Into Nursing; Notice of Competitive Grant Applications for American Indians Into...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-17

    ... HUMAN SERVICES Indian Health Service American Indians Into Nursing; Notice of Competitive Grant Applications for American Indians Into Nursing Program Announcement Type: Competing Continuation. Funding... (OPHS) is accepting competitive cooperative agreement applications for the American Indians into...

  8. 25 CFR 170.167 - How does a tribe obtain services from an Indian LTAP center?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false How does a tribe obtain services from an Indian LTAP center? 170.167 Section 170.167 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER INDIAN RESERVATION ROADS PROGRAM Indian Reservation Roads Program Policy and Eligibility Indian Local Technical Assistance Program § 170.167...

  9. Health Care Delivery Systems to American Indian Families: A Plea for Culturally Relevant Treatment Modalities.

    ERIC Educational Resources Information Center

    Lewis, Ronald G.

    The effective social worker or family counselor delivering health care services to the American Indian community will focus on the strengths rather than the weaknesses of the community and will recognize and use existing natural helping systems. The American Indian family network, for example, is unique in Western society and contains a variety of…

  10. Federal Government Health, Education, and Welfare Programs of Assistance to American Indians Residing on Federal Reservations (Including Table of Contents and Index).

    ERIC Educational Resources Information Center

    Langone, Stephen A.

    Federal health, education, and welfare programs for 1970 benefiting American Indians residing on Federal reservations are listed. The report is divided into 3 sections: (1) Federal Indian programs aimed at improving or providing Indian health services, tribal management services, housing, higher education, and conservation; (2) Federal programs…

  11. Psychiatric Function and Roles in an Indian Health Program Context.

    ERIC Educational Resources Information Center

    Smith, Margaret Ann

    1990-01-01

    Relates the experiences of a non-Indian psychiatrist as she became part of the mental health team in an urban Indian health care center. Reflects on the evolution of her varied roles and the importance of cultural sensitivity. Includes three case examples of American Indian psychotherapy patients. (Author/SV)

  12. American Indian Health Careers Handbook. Second Edition, 1975.

    ERIC Educational Resources Information Center

    Jennings, Don, Ed.

    Prepared by the Association of American Indian Physicians (AAIP), this handbook provides information relative to American Indian health careers in terms of need, opportunity, preparation, and information sources. Designed to encourage American Indian youth to seek careers in the health professions, this handbook describes the enormous need for…

  13. 75 FR 22140 - Office of Clinical and Preventive Services; Division of Oral Health; Dental Preventive and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services; Division of Oral Health... Start Date: August 31, 2010. I. Funding Opportunity Description Statutory Authority The Indian...

  14. Public Health Legal Preparedness in Indian Country

    PubMed Central

    Schaefer, Rebecca McLaughlin; DeBruyn, Lemyra; Stier, Daniel D.

    2009-01-01

    American Indian/Alaska Native tribal governments are sovereign entities with inherent authority to create laws and enact health regulations. Laws are an essential tool for ensuring effective public health responses to emerging threats. To analyze how tribal laws support public health practice in tribal communities, we reviewed tribal legal documentation available through online databases and talked with subject-matter experts in tribal public health law. Of the 70 tribal codes we found, 14 (20%) had no clearly identifiable public health provisions. The public health–related statutes within the remaining codes were rarely well integrated or comprehensive. Our findings provide an evidence base to help tribal leaders strengthen public health legal foundations in tribal communities. PMID:19150897

  15. Dental health attitude in Indian society.

    PubMed

    Singh, Pritma; Bey, Afshan; Gupta, N D

    2013-07-01

    Every society provides a unique soil for a health-care programmer to build upon. Indian society is similarly unique in factors such as social mindset, prevalent beliefs and customs. These factors should not be given a passive glance and should be explored carefully giving an adequate weight to each factor's background and its progress to the present status in contemporary dental practice. Only a careful scientific analysis of society is therefore the need of the hour for oral health-care programmers. PMID:24778985

  16. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

  17. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

  18. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

  19. 42 CFR 457.125 - Provision of child health assistance to American Indian and Alaska Native children.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Provision of child health assistance to American Indian and Alaska Native children. 457.125 Section 457.125 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

  20. Utilization of emergency dental services by rural, nonreservation Indians.

    PubMed

    Freed, J R; Bernstein, A S

    1975-01-01

    The Shasta-Trinity-Siskiyou Indian dental clinic, which serves rural, nonreservation Indians in California, implemented a health education program designed to convert patients from an emergency to a routine care basis. A study was conducted, therefore, of the utilization patterns of 109 emergency patients treated at a clinic from September, 1971, through November, 1972, in order to provide information to improve this educational program. The results of the study showed that 58.7 percent of the emergency patients returned for routine care. Analyses of those patients who returned and those who did not return for care were made with regard to age, sex, time since last dental visit, and type of emergency treatment received. There were significant differences between the two groups of emergency patients with regard to age and type of treatment received. Those most likely to return for routine care were the patients 15 years or younger, and those who had received operative care. The emergency patients in the 16-25 age group, and those who received periodontal care were the least likely to return. No significant differences were found with regard to sex, or time since last dental visit. The emergency patients and patients whose initial visit to the clinic was for routine care were compared. A significant difference was found with regard to age. The patients 15 years or younger had the lowest percentage of initial visits for emergency care, and the 16-25 year age group had the highest. No significant differences were found with regard to sex, or time since last dental visit. This study may well be the first to examine the utilization of dental services by rural, non reservation Indians. The findings presented can serve as a basis for future investigation to improve the provision of dental services to this patient population. PMID:1057023

  1. National Indian/Alaska Native Health Conference: "Improving Health for Improving Life". The Proceedings of the Annual Conference (1st, Palm Springs, California, June 29 - July 1, 1976).

    ERIC Educational Resources Information Center

    Dukepoo, Janis Herman; And Others

    The conference was the first conference at a national level to deal solely with American Indian health needs. Representatives of 31 Indian health boards and 49 states gathered together to learn more about and discuss some of the most vital issues facing the delivery of health services to Native Americans today. In an important attempt to…

  2. Financing American Indian health care: impacts and options for improving access and quality.

    PubMed

    Langwell, Kathryn; Anagnopoulos, Cheryl; Ryan, Frank; Melson, Jacob; Iron Rope, Sandor

    2009-10-01

    (1) Indian Health Service (HIS) per patient funding is less than half of national per capita health spending, and declined further between 2003 and 2006. (2) Under-funding of the IHS system has led to explicit rationing of services to American Indian and Alaska Native patients, with many specialized services provided only for "life or limb threatening" conditions. (3) IHS patients report experiencing access barriers and rate the quality of care process substantially lower than do Medicaid beneficiaries, but most indicate they prefer to use IHS for their health care. (4) Options to increase the funding for American Indian and Alaska Native health care exist, but would impose higher costs on federal and state budgets and are unlikely to be feasible in the current economic environment. However, IHS might be able to make certain organizational changes that would increase efficiency and its ability to extend existing funding to cover more services. PMID:19847975

  3. Understanding Prenatal Health Care for American Indian Women in a Northern Plains Tribe

    PubMed Central

    Hanson, Jessica D.

    2014-01-01

    Early and regular prenatal care appointments are imperative for the health of both the mother and baby to help prevent complications associated with pregnancy and birth. American Indian women are especially at risk for health disparities related to pregnancy and lack of prenatal health care. Previous research has outlined a basic understanding of the reasons for lack of prenatal care for women in general; however, little is known about care received by pregnant women at Indian Health Service hospitals. Qualitative interviews were carried out with 58 women to better understand the prenatal health experiences of American Indian women from one tribe in the Northern Plains. Several themes related to American Indian women’s prenatal health care experiences were noted, including communication barriers with physicians, institutional barriers such as lack of continuity of care, and sociodemographic barriers. Solutions to these barriers, such as a nurse midwife program, are discussed. PMID:22052090

  4. Consumer Health: Products and Services.

    ERIC Educational Resources Information Center

    Haag, Jessie Helen

    This book presents a general overview of consumer health, its products and services. Consumer health is defined as those topics dealing with a wise selection of health products and services, agencies concerned with the control of these products and services, evaluation of quackery and health misconceptions, health careers, and health insurance.…

  5. 25 CFR 170.167 - How does a tribe obtain services from an Indian LTAP center?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Local Technical Assistance Program § 170.167 How does a tribe obtain services from an Indian LTAP center? A tribe that wants to obtain services should contact the Indian LTAP center serving its service area... center? 170.167 Section 170.167 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND...

  6. Indian-born patients attending a sexual health clinic in Australia have differing characteristics to their Australian-born counterparts.

    PubMed

    Sawleshwarkar, S; Kakar, S R; Jones, R; Lagios, K; Mindel, A; Hillman, R J

    2013-12-01

    We report a retrospective cross-sectional study from Western Sydney that assessed the sexual health characteristics of Indian-born patients attending sexual health services compared with Australian-born controls. The sexual health needs of Indian-born patients differed significantly from controls with those born in India reporting more sexual dysfunction and controls having more sexually transmitted infections (STI). These issues should be considered when delivering services to people from culturally and linguistically diverse backgrounds. PMID:24330362

  7. 42 CFR 136.350 - Contracts with Urban Indian organizations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 136.350 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs... training programs to accomplish the referral and education tasks set forth in paragraphs (a)(3) through...

  8. Barriers and Survival: A Study of an Urban Indian Health Center.

    ERIC Educational Resources Information Center

    Joe, Jennie R.; Miller, Dorothy Lonewolf

    1989-01-01

    A sample of 300 recent patient records at the Tucson Indian Clinic and 60 client interviews provided data on tribal affiliation, poverty status, patterns of medical services utilization, chronic health problems, family structure, extent of traditionalism and acculturation, employment, educational attainment, stress levels, and health care needs.…

  9. Indian research on disaster and mental health.

    PubMed

    Kar, Nilamadhab

    2010-01-01

    The primary source for this annotation on disaster mental health research is the Indian Journal of Psychiatry. Key words like disasters, earthquake, cyclone, tsunami and flood were searched from its electronic database and relevant articles are discussed. The cross-referenced articles and relevant researches conducted on disasters in India which are published elsewhere were the secondary sources of information. There have been many epidemiological studies and only a few interventional studies on disasters in India. Prevalence figures of psychiatric disorders varied considerably across studies, secondary to nature and severity of disaster, degree of loss, support available and probably also due to the study methodology. Suggestions for intervention included pre-disaster planning, training of disaster workers, utilization of community-level volunteers as counselors, and strengthening existing individual, social and spiritual coping strategies. There is a need for more longitudinal follow-up studies and interventional studies. PMID:21836696

  10. Expanding the Circle: Decreasing American Indian Mental Health Disparities through Culturally Competent Teaching about American Indian Mental Health

    ERIC Educational Resources Information Center

    Mays, Vickie M.; Gallardo, Miguel; Shorter-Gooden, Kumea; Robinson-Zanartu, Carol; Smith, Monique; McClure, Faith; Puri, Siddarth; Methot, Laurel; Ahhaitty, Glenda

    2009-01-01

    Recognizing that there has been a lack of systematic teaching about the unique mental health experiences of urban American Indians, this article examines data from national studies and specific case studies to illustrate some issues regarding the mental health of American Indians in urban areas. Some studies have reported that when American…

  11. Health Occupations Education. Health Services Careers.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    Twenty-four units on health service careers are presented in this teacher's guide. The units are organized into four sections as follow: Section A--Orientation (health careers, career success, Health Occupations Students of America); Section B--Health and First Aid (personal health, community health, and first aid); Section C--Body Structure and…

  12. Indian Health Service Training Center, Training Course TC-72-2 (April 17-May 5, 1972): Pueblo de Santa Clara - A Description of the Perceived Health Needs of the People of Santa Clara Pueblo and the Management Processes Involved in the Delivery of Health Services to Them.

    ERIC Educational Resources Information Center

    Public Health Service (DHEW), Washington, DC. Div. of Indian Health.

    Members of the Health Services Management class conducted a descriptive study of the perceived health problems of the people of Santa Clara Pueblo and the management processes involved in the delivery of health services to them. Data were obtained from personal interviews with 38 Tribal members, 9 officals, 6 employees working primarily in the…

  13. 77 FR 41190 - Office of Urban Indian Health Programs Funding Opportunity: Title V HIV/AIDS Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-12

    ... number.) Corrections In the Federal Register of June 19, 2012, in FR DOC 2012-14887, on page 36550, in... HIV/AIDS Program AGENCY: Indian Health Service, HHS. ] ACTION: Notice: correction. SUMMARY: The...

  14. Health Factors Influencing Education of American Indians. A Position Paper.

    ERIC Educational Resources Information Center

    deMontigny, Lionel H.

    The resume of health problems facing the American Indian school child emphasized that health, culture, education, and economics are mutually interdependent and must be evaluated and planned for jointly. Specific health problems discussed include general health, nutrition, fever and chronic illness, hearing, sight, and mental health.…

  15. 42 CFR 136.332 - Service obligation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Service obligation. 136.332 Section 136.332 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act Programs Subdivision...

  16. Indian legal system and mental health

    PubMed Central

    Narayan, Choudhary Laxmi; Shikha, Deep

    2013-01-01

    Although there was a rich tradition of legal system in Ancient India, the present judicial system of the country derives largely from the British system and is based on English Common Law, a system of law based on recorded judicial precedents. Earlier legislations in respect of mental health were primarily concerned with custodial aspects of persons with mental illness and protection of the society. Indian laws are also concerned with determination of competency, diminished responsibility and/or welfare of the society. United Nations Convention for Rights of Persons with Disabilities (UNCRPD) was adopted in 2006, which marks a paradigm shift in respect of disabilities (including disability due to mental illness) from a social welfare concern to a human right issue. The new paradigm is based on presumption of legal capacity, equality and dignity. Following ratification of the convention by India in 2008, it became obligatory to revise all the disability laws to bring them in harmony with the UNCRPD. Therefore, the Mental Health Act – 1987 and Persons with Disability Act – 1995 are under process of revision and draft bills have been prepared. Human right activists groups are pressing for provisions for legal capacity for persons with mental illness in absolute terms, whereas the psychiatrists are in favor of retaining provisions for involuntary hospitalization in special circumstances. PMID:23858251

  17. 77 FR 43560 - American Indian Vocational Rehabilitation Services Program; Proposed Waivers and Extensions of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-25

    ...) published on March 14, 2007 (72 FR 11851), provide vocational rehabilitation services to American Indians... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION 34 CFR Chapter III American Indian Vocational Rehabilitation Services Program; Proposed Waivers...

  18. Factors Associated with American Indian Teens' Self-Rated Health

    ERIC Educational Resources Information Center

    Parker, Tassy

    2004-01-01

    Factors related to American Indian (AI) high school students' self-rated health were examined. Self rated health was measured as a single-item with a four-point response option ranging from poor to excellent health. Of the 574 participants, 19% reported "fair" or "poor" health, a percentage more than twice that for U.S. high school students in…

  19. Social determinants of health and oral health: An Indian perspective

    PubMed Central

    Mehta, Viral V.; Rajesh, G.; Rao, Ashwini; Shenoy, Ramya; Pai, Mithun

    2015-01-01

    Several conventional approaches have been tried in the past to resolve health inequities in India. However, achieving Universal Health Coverage (UHC) is yet to be fully realized as the benefits have been meager. The recent concept of targeting social determinants of general and oral health in order to achieve health for all has shown positive results in the developed as well as the developing nations. Based on the framework recommended by the Commission on Social Determinants of Health, several policies have been introduced and suitably backed up with the intention of providing health care even to people living in remote sections of the society. This paper intends to highlight the rationale for social determinants approach in Indian context, its application and future recommendations for the same. It is considered as a radical approach, and adequate measures have been implemented by health systems to achieve the desired targets without delay. However, in order to achieve UHC, redistribution of the available resources and converting the “normative” needs into “felt” needs of the people is going to be an uphill task to accomplish. PMID:26500407

  20. Climate change and human health: Indian context.

    PubMed

    Singh, Poonam K; Dhiman, Ramesh C

    2012-06-01

    The article reviews the issue of climate change and health in the Indian context. The importance of climate change leading to estimated loss of above 2.5 million DALYs in southeast Asia, mortality due to heat waves, and the importance of air quality related respiratory diseases, disasters due to excessive floods, malnutrition due to reduction in rice, maize and sorghum crops etc. Latest work undertaken in India, vis-a-vis current scenario and need for further work has been discussed. There is felt need of further studies on assessing the impact on dengue and chikungunya as the transmission dynamics of these diseases involve water availability, storage and life style, etc. Uncertainties and knowledge gaps identified in the studies undertaken so far have also been highlighted. As regards to vector borne diseases, there is a need to concentrate in the areas which are presently free from malaria and with use of best available tools of interventions in already disease endemic areas like northeastern states, the risk of climate change impacts can be minimized. PMID:22898475

  1. The Indian Health Promotion and Disease Prevention Act of 1985. Hearing before the Select Committee on Indian Affairs. United States Senate, Ninety-Ninth Congress, First Session on S. 400. (Gallup, NM, June 1, 1985).

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Select Committee on Indian Affairs.

    The document contains transcripts of a Congressional hearing on providing health promotion and disease prevention services to American Indians. The bill under consideration would add the following programs to the Indian Health Care Improvement Act (25, U.S.C. 1603): reduction of drug, alcohol, and tobacco use; improvement of nutrition and physical…

  2. Improving Health Promotion to American Indians in the Midwest United States: Preferred Sources of Health Information and Its Use for the Medical Encounter

    PubMed Central

    Geana, Mugur V.; Greiner, K. Allen; Cully, Angelia; Talawyma, Myrietta; Daley, Christine Makosky

    2014-01-01

    American Indians and Alaska Natives suffer significant health disparities for many infectious and chronic diseases as compared to the general population. Providing accurate and culturally tailored health information to underserved groups has been shown to influence health behaviors and health outcomes. Little prior research has explored American Indians health information use and preferences. National representative sample surveys such as the Health Information National Trends Survey provide some data on minority groups but are underpowered to provide useful information on American Indians. The present study analyzes data from a survey of over 900 American Indians from the Midwest United States and explores their sources of health information, their preferences for information presentation, and their use of health information prior to and during medical encounters. We conclude that campaigns targeting Natives should be narrowly focused and be community driven or employing community resources. American Indians use a diversity of media sources to obtain health information, with the Internet being underutilized compared to the general population. Partnership with Indian Health Service providers and pharmacists, as well as traditional healers, in the development and dissemination of new health information for Natives may provide the “expert” tone needed to promote health improvements in American Indians. PMID:22477671

  3. Palliative Care Services for Indian Migrants in Australia: Experiences of the Family of Terminally Ill Patients

    PubMed Central

    Shanmugasundaram, Sujatha; O'Connor, Margaret

    2009-01-01

    Background: The way that health care systems in developing countries like India care for dying patients, has an impact on the expectations of such care for those who migrate to other countries faces. At the end of life, cultural issues may impact on the quality of life remaining and for that reason, it is important that particular cultural practices are understood. This paper describes a study that investigated the cultural issues of access to palliative care services for Indian migrants in Australia. Purpose of the Study: To investigate the experiences of the family members of terminally ill Indian migrants in Victoria, Australia. Objective of the Study: To explore the issues related to accessing palliative care services for Indian migrants; to identify the effectiveness of palliative care in supporting the patient and family and to recommend strategies for improving this care. Materials and Methods: A qualitative descriptive design was utilized. Up to 6 family members were selected for in-depth interviews in understanding cultural issues related to the palliative care services for a family member. Results: Analysis of the interviews revealed that families of Indian patients experience difficulties whilst receiving palliative care services, which fell into three main categories: Indian support systems, cultural issues, and caring experiences. Although each of these issues had a direct influence on the experience of terminal care that their family member received, cultural issues and support systems also influenced the caring experiences. Conclusion: Despite the successful implementation of palliative care services across Australia, there are still problems in accessing and receiving the services among minority and disadvantaged groups like various cultural groups. PMID:20606861

  4. 25 CFR 900.195 - Does FTCA coverage extend to the contractor's health care practitioners providing services to...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Does FTCA coverage extend to the contractor's health care... AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES... General Provisions Medical-Related Claims § 900.195 Does FTCA coverage extend to the contractor's...

  5. 78 FR 6113 - Office of Clinical and Preventive Services Indigenous Child Health-Strong Communities, Healthy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services Indigenous Child Health--Strong Communities, Healthy Children; Single Source Cooperative Agreement; Funding Announcement Number... Indigenous Child Health. This program is authorized under: the Snyder Act, 25 U.S.C. 13. This program...

  6. 75 FR 51083 - Office of Clinical and Preventive Services Maternal and Child Health Program: Project Choices...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    ... children. This is consistent with the HHS mission to protect and advance the physical and mental health of... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Office of Clinical and Preventive Services Maternal and...

  7. 42 CFR 136a.12 - Persons to whom health services will be provided.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... and Who Is Eligible To Receive Care? § 136a.12 Persons to whom health services will be provided. (a...) In emergencies under section 322(b) of the Public Health Service Act, 42 U.S.C. 249(b), and 42 CFR 32... allocated to the particular Health Service Delivery Area permit, to persons of Indian or Alaska...

  8. 42 CFR 136a.12 - Persons to whom health services will be provided.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... and Who Is Eligible To Receive Care? § 136a.12 Persons to whom health services will be provided. (a...) In emergencies under section 322(b) of the Public Health Service Act, 42 U.S.C. 249(b), and 42 CFR 32... allocated to the particular Health Service Delivery Area permit, to persons of Indian or Alaska...

  9. 42 CFR 136a.12 - Persons to whom health services will be provided.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... and Who Is Eligible To Receive Care? § 136a.12 Persons to whom health services will be provided. (a...) In emergencies under section 322(b) of the Public Health Service Act, 42 U.S.C. 249(b), and 42 CFR 32... allocated to the particular Health Service Delivery Area permit, to persons of Indian or Alaska...

  10. Health issues and the Pala Indian Reservation, 1903-20.

    PubMed

    Hyer, J R

    2001-01-01

    Joel R. Hyer investigates health conditions on one Indian reservation in Southern California during the first two decades of the twentieth century. Hyer contends that unsanitary conditions on the Pala Reservation actually facilitated the spread of diseases among local Cupeño, Luiseño, and Kumeyaay Indians. He also describes how the United States federal government employed doctors, field matrons, and others to promote good health and combat disease among Indians at Pala. The author asserts that, despite their altruistic intentions, some of these government workers attempted to discourage local indigenous peoples from consulting their shamans for medical attention - Native healers whose extensive knowledge of roots and herbs had cured many forms of illness for years. In addition, the teacher at the reservation's day school sought to prevent the spread of disease among her Indian pupils by exposing them to American modes of health care. Furthermore, Hyer maintains that one national health program, the "Save the Babies" campaign, was successful on the Pala Reservation because Indian mothers believed in it and followed specific guidelines to lower mortality rates among their own children. Throughout his essay, the author addresses the pressures of assimilation and acculturation that were so accute at this time in the United States. Hyer concludes by suggesting that many of his findings reflect broader health trends on Indian reservations throughout the United States during this period. PMID:14515872

  11. 42 CFR 136.121 - Indian preference in training and employment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Indian preference in training and employment. 136.121 Section 136.121 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Grants for...

  12. Good Medicine for Our People. A Coloring Book about Indians and Health Careers.

    ERIC Educational Resources Information Center

    Gourneau, Linda

    The Indians into Medicine (INMED) program helps Indian students to attend college and earn degrees in health care fields. Developed by INMED, this coloring book for children conveys through pictures and picture captions the message that American Indians can become health professionals, and that health professionals are needed by the Indian people.…

  13. Health care's service fanatics.

    PubMed

    Merlino, James I; Raman, Ananth

    2013-05-01

    The Cleveland Clinic has long had a reputation for medical excellence. But in 2009 the CEO acknowledged that patients did not think much of their experience there and decided to act. Since then the Clinic has leaped to the top tier of patient-satisfaction surveys, and it now draws hospital executives from around the world who want to study its practices. The Clinic's journey also holds Lessons for organizations outside health care that must suddenly compete by creating a superior customer experience. The authors, one of whom was critical to steering the hospital's transformation, detail the processes that allowed the Clinic to excel at patient satisfaction without jeopardizing its traditional strengths. Hospital leaders: Publicized the problem internally. Seeing the hospital's dismal service scores shocked employees into recognizing that serious flaws existed. Worked to understand patients' needs. Management commissioned studies to get at the root causes of dissatisfaction. Made everyone a caregiver. An enterprisewide program trained everyone, from physicians to janitors, to put the patient first. Increased employee engagement. The Clinic instituted a "caregiver celebration" program and redoubled other motivational efforts. Established new processes. For example, any patient, for any reason, can now make a same-day appointment with a single call. Set patients' expectations. Printed and online materials educate patients about their stays--before they're admitted. Operating a truly patient-centered organization, the authors conclude, isn't a program; it's a way of life. PMID:23898737

  14. 25 CFR 36.91 - What are the program requirements for behavioral health services?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What are the program requirements for behavioral health... health services? (a) The homeliving behavioral health program must make available the following services: (1) Behavioral Health Screening/Assessment; (2) Diagnosis; (3) Treatment Plan; (4) Treatment...

  15. 25 CFR 36.91 - What are the program requirements for behavioral health services?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What are the program requirements for behavioral health... health services? (a) The homeliving behavioral health program must make available the following services: (1) Behavioral Health Screening/Assessment; (2) Diagnosis; (3) Treatment Plan; (4) Treatment...

  16. Religion, spirituality, health and medicine: why should Indian physicians care?

    PubMed

    Chattopadhyay, S

    2007-01-01

    Religion, spirituality, health and medicine have common roots in the conceptual framework of relationship amongst human beings, nature and God. Of late, there has been a surge in interest in understanding the interplay of religion, spirituality, health and medicine, both in popular and scientific literature. A number of published empirical studies suggest that religious involvement is associated with better outcomes in physical and mental health. Despite some methodological limitations, these studies do point towards a positive association between religious involvement and better health. When faced with disease, disability and death, many patients would like physicians to address their emotional and spiritual needs, as well. The renewed interest in the interaction of religion and spirituality with health and medicine has significant implications in the Indian context. Although religion is translated as dharma in major Indian languages, dharma and religion are etymologically different and dharma is closer to spirituality than religion as an organized institution. Religion and spirituality play important roles in the lives of millions of Indians and therefore, Indian physicians need to respectfully acknowledge religious issues and address the spiritual needs of their patients. Incorporating religion and spirituality into health and medicine may also go a long way in making the practice of medicine more holistic, ethical and compassionate. It may also offer new opportunities to learn more about Ayurveda and other traditional systems of medicine and have more enriched understanding and collaborative interaction between different systems of medicine. Indian physicians may also find religion and spirituality significant and fulfilling in their own lives. PMID:18097118

  17. [Coverage of health services].

    PubMed

    Martínez-Narváez, G

    1992-01-01

    In this paper the concepts and criteria related to health coverage are discussed in the context of the organization of national health systems. The main international agreements based on WHO/PAHO proposals are also described. The relationship between primary health care and health coverage is analyzed and the evolution of the programs for the extension of health coverage in Mexico are discussed, with emphasis on the problems of overlap and definition of the universe in the several institutions of the health sector. Finally, the author reviews the problems to measure coverage in order to guarantee social and operative efficiency of the Mexican health system. PMID:1411776

  18. School Health Services.

    ERIC Educational Resources Information Center

    Wilson, Charles C., Ed.

    A comprehensive guide for health procedures in small and large school systems, this volume emphasizes the need for coordination of school efforts with those of parents, departments of health, private practitioners of medicine and dentistry, and community health agencies. Particular attention is given to the role of the teacher in school health…

  19. Guidelines for School Health Services.

    ERIC Educational Resources Information Center

    Dougherty, Sarah; And Others

    This publication was designed to assist chief school administrators, school nurses, school physicians, staff, and other school health personnel in developing, implementing, and evaluating sound school health programs for New Jersey public school students. Section I delineates responsibility for school health services, discussing the role of…

  20. Mobile Health (mHealth) Services and Online Health Educators

    PubMed Central

    Anshari, Muhammad; Almunawar, Mohammad Nabil

    2016-01-01

    Mobile technology enables health-care organizations to extend health-care services by providing a suitable environment to achieve mobile health (mHealth) goals, making some health-care services accessible anywhere and anytime. Introducing mHealth could change the business processes in delivering services to patients. mHealth could empower patients as it becomes necessary for them to become involved in the health-care processes related to them. This includes the ability for patients to manage their personal information and interact with health-care staff as well as among patients themselves. The study proposes a new position to supervise mHealth services: the online health educator (OHE). The OHE should be occupied by special health-care staffs who are trained in managing online services. A survey was conducted in Brunei and Indonesia to discover the roles of OHE in managing mHealth services, followed by a focus group discussion with participants who interacted with OHE in a real online health scenario. Data analysis showed that OHE could improve patients’ confidence and satisfaction in health-care services. PMID:27257387

  1. 25 CFR 36.97 - What basic requirements must a program's health services meet?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What basic requirements must a program's health services... SITUATIONS Homeliving Programs Program Requirements § 36.97 What basic requirements must a program's health... necessary health services for all students residing in the homeliving program, subject to agreements...

  2. 25 CFR 36.97 - What basic requirements must a program's health services meet?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What basic requirements must a program's health services... SITUATIONS Homeliving Programs Program Requirements § 36.97 What basic requirements must a program's health... necessary health services for all students residing in the homeliving program, subject to agreements...

  3. Health Services and Collective Bargaining

    ERIC Educational Resources Information Center

    Torrence, William D.

    1974-01-01

    A rationale is suggested for designing and developing education and training programs in labor relations for hospital managements. Also, federal work stoppage data are identified as they relate to medical and other health services. (AG)

  4. Incorporating Traditional Healing into an Urban American Indian Health Organization: A Case Study of Community Member Perspectives

    ERIC Educational Resources Information Center

    Hartmann, William E.; Gone, Joseph P.

    2012-01-01

    Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available…

  5. American Indian Youth: Who Southwestern Urban and Reservation Youth Turn to for Help with Mental Health or Addictions.

    ERIC Educational Resources Information Center

    Stiffman, Arlene Rubin; Striley, Catherine; Brown, Eddie; Limb, Gordon; Ostmann, Emily

    2003-01-01

    Interviews concerning mental health needs and service configurations with 401 Southwestern American Indian youth aged 12-19 found that 79 percent had mental health or addiction problems. Regardless of disorder, youth were least likely to seek help from traditional healers or specialists and most likely to seek help from informal, natural helping…

  6. 25 CFR 36.82 - May behavioral health professional(s) provide services during the academic school day?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... during the academic school day? 36.82 Section 36.82 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL...) provide services during the academic school day? Behavioral health professional(s) must average at...

  7. 25 CFR 36.82 - May behavioral health professional(s) provide services during the academic school day?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... during the academic school day? 36.82 Section 36.82 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR EDUCATION MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL...) provide services during the academic school day? Behavioral health professional(s) must average at...

  8. Adoption and the American Indian Child: A Manual for Social Service Workers.

    ERIC Educational Resources Information Center

    Zokan delos Reyes, Louise

    Written for social service workers involved with Indian child welfare cases in which adoption through a state court is being considered, this manual presents basic information about the requirements of the Indian Child Welfare Act of 1978 (ICWA) in cases of Indian adoption. Background material explains that the ICWA--intended to establish…

  9. 75 FR 34295 - Vocational Rehabilitation Service Projects for American Indians With Disabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ...The Secretary is adopting as final, without changes, interim final regulations for the American Indian Vocational Rehabilitation Services (AIVRS) program to permit a consortium of Indian tribes to establish a separate legal entity to apply for a grant under this program. These final regulations are needed to enable the Department to make grants to Indian tribes that choose to form a consortium......

  10. Health services in Indonesia.

    PubMed

    Kosen, S; Gunawan, S

    In Indonesia, rapid economic development has led to a reduction in poverty among the 195 million inhabitants. While population increased more than 50% from 1971 to 1990, the annual growth rate, crude birth rate, and total fertility rates have declined rapidly. Life expectancy has increased from 45.7 years in 1971 to 62.7 in 1994 as crude death rates and infant and child mortality rates have declined. Causes of death have shifted from infectious to chronic diseases, but in 1992 major causes of death in children under 5 years old were preventable, and the maternal mortality rate was 425/100,000. Policies which guide the development of health care call for improvements in quality of life, adherence to humanitarian principles, use of scientifically approved traditional medicine, and provision of public health through a three-tiered system. Health care is financed by the government and the community, and managed care has been encouraged. Foreign aid has bolstered development in the health sector. Adequate sanitation has been achieved for 35% of the population, and 65% of urban and 35% of rural residents have reasonable access to clean water. Improvements in health indicators include 55% contraceptive prevalence, reduction in prevalence of anemia during pregnancy, 55.8% of pregnant women receiving prenatal care, a decrease in protein-energy malnutrition among children under five, and high vaccination coverage. Remaining public health problems include malaria, tuberculosis, dengue hemorrhagic fever, an increase in HIV/AIDS, iodine-deficiency, an increasing number of traffic fatalities, and an increasing number of smokers. New health policies have been instituted to meet these challenges as Indonesia's need for a productive and competitive labor force increases. PMID:8985447

  11. 25 CFR 900.51 - What is an Indian tribe or tribal organization's property management system expected to do?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false What is an Indian tribe or tribal organization's property management system expected to do? 900.51 Section 900.51 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND...

  12. AMERICAN INDIAN CULTURAL IDENTIFICATION (NPBI), SPIRITUALITY (INSPIRIT-R) AND HEALTH

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Relationships have been found between spirituality/religiosity and health/mental health. However, few have investigated that relationship among American Indians. The forced loss of traditional components of Indian life (through warfare, acculturation, boarding schools, missionaries, and commodity...

  13. 42 CFR 136a.11 - Services available.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Services available. 136a.11 Section 136a.11 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible To...

  14. 42 CFR 136.11 - Services available.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Services available. 136.11 Section 136.11 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is Eligible To...

  15. American Indian & Alaska Native Sources of Health Materials.

    ERIC Educational Resources Information Center

    Office of Minority Health (PHS/DHHS), Washington, DC.

    This brief directory lists 28 agencies providing culturally sensitive printed health materials for American Indians and Alaska Natives. Each entry provides the agency's address; telephone number; fax number; and annotated titles available, with price. Many materials are free. There is also a subject index with these categories: adolescent…

  16. 42 CFR 136.310 - Health professions recruitment grants.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Health professions recruitment grants. 136.310 Section 136.310 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...

  17. 42 CFR 136.310 - Health professions recruitment grants.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Health professions recruitment grants. 136.310 Section 136.310 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...

  18. 42 CFR 136.310 - Health professions recruitment grants.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Health professions recruitment grants. 136.310 Section 136.310 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...

  19. 42 CFR 136.310 - Health professions recruitment grants.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Health professions recruitment grants. 136.310 Section 136.310 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...

  20. 42 CFR 136.310 - Health professions recruitment grants.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Health professions recruitment grants. 136.310 Section 136.310 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Health Care Improvement Act...

  1. Electronic Health Services

    PubMed Central

    Khalil, Mounir M; Jones, Ray

    2007-01-01

    Information and communication technologies have made dramatic changes in our lives. Healthcare communities also made use of these technologies. Using computerized medical knowledge, electronic patients’ information and telecommunications a lot of applications are now established throughout the world. These include better ways of information management, remote education, telemedicine and public services. Yet, a lot of people don't know about these technologies and their applications. Understanding the concepts and ideologies behind these terms, knowing how they will be implemented, what is it like to use them and what benefit will be gained, are basic knowledge steps approaching these technologies. Difficulties using these services, especially in developing countries should not be neglected or underestimated. PMID:21503245

  2. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 34 Education 2 2012-07-01 2012-07-01 false Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and...

  3. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 34 Education 2 2013-07-01 2013-07-01 false Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and...

  4. 34 CFR 303.16 - Health services.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 34 Education 2 2014-07-01 2013-07-01 true Health services. 303.16 Section 303.16 Education... DISABILITIES General Definitions Used in This Part § 303.16 Health services. (a) Health services mean services..., the changing of dressings or colostomy collection bags, and other health services; and...

  5. 25 CFR 12.2 - What is the role of the Bureau of Indian Affairs Director of Law Enforcement Services?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is the role of the Bureau of Indian Affairs Director of Law Enforcement Services? 12.2 Section 12.2 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER INDIAN COUNTRY LAW ENFORCEMENT Responsibilities § 12.2 What is the role of...

  6. Traditional Indian spices and their health significance.

    PubMed

    Krishnaswamy, Kamala

    2008-01-01

    India has been recognized all over the world for spices and medicinal plants. Both exhibit a wide range of physiological and pharmacological properties. Current biomedical efforts are focused on their scientific merits, to provide science-based evidence for the traditional uses and to develop either functional foods or nutraceuticals. The Indian traditional medical systems use turmeric for wound healing, rheumatic disorders, gastrointestinal symptoms, deworming, rhinitis and as a cosmetic. Studies in India have explored its anti-inflammatory, cholekinetic and anti-oxidant potentials with the recent investigations focusing on its preventive effect on precarcinogenic, anti-inflammatory and anti atherosclerotic effects in biological systems both under in vitro and in vivo conditions in animals and humans. Both turmeric and curcumin were found to increase detoxifying enzymes, prevent DNA damage, improve DNA repair, decrease mutations and tumour formation and exhibit antioxidative potential in animals. Limited clinical studies suggest that turmeric can significantly impact excretion of mutagens in urine in smokers and regress precancerous palatal lesions. It reduces DNA adducts and micronuclei in oral epithelial cells. It prevents formation of nitroso compounds both in vivo and in vitro. It delays induced cataract in diabetes and reduces hyperlipidemia in obese rats. Recently several molecular targets have been identified for therapeutic / preventive effects of turmeric. Fenugreek seeds, a rich source of soluble fiber used in Indian cuisine reduces blood glucose and lipids and can be used as a food adjuvant in diabetes. Similarly garlic, onions, and ginger have been found to modulate favourably the process of carcinogenesis. PMID:18296352

  7. Pathways curriculum and family interventions to promote healthful eating and physical activity in American Indian schoolchildren

    PubMed Central

    Davis, Sally M.; Clay, Theresa; Smyth, Mary; Gittelsohn, Joel; Arviso, Vivian; Flint-Wagner, Hilary; Rock, Bonnie Holy; Brice, Richard A.; Metcalfe, Lauve; Stewart, Dawn; Vu, Maihan; Stone, Elaine J.

    2016-01-01

    Background Pathways, a multisite school-based study aimed at promoting healthful eating and increasing physical activity, was a randomized field trial including 1704 American Indian third to fifth grade students from 41 schools (21 intervention, 20 controls) in seven American Indian communities. Methods The intervention schools received four integrated components: a classroom curriculum, food service, physical activity, and family modules. The curriculum and family components were based on Social Learning Theory, American Indian concepts, and results from formative research. Process evaluation data were collected from teachers (n = 235), students (n = 585), and families. Knowledge, Attitudes, and Behavior Questionnaire data were collected from 1150 students including both intervention and controls. Results There were significant increases in knowledge and cultural identity in children in intervention compared to control schools with a significant retention of knowledge over the 3 years, based on the results of repeating the third and fourth grade test items in the fifth grade. Family members participated in Family Events and take-home activities, with fewer participating each year. Conclusion A culturally appropriate school intervention can promote positive changes in knowledge, cultural identity, and self-reported healthful eating and physical activity in American Indian children and environmental change in school food service. PMID:14636806

  8. [Mental health services in Australia].

    PubMed

    Kisely, Steve; Lesage, Alain

    2014-01-01

    Canada is 1.5 times the size of Australia. Australia's population of 20 million is located principally on the east coast. Like Canada, the Australia has a federal system of Government with 5 States and two territories. Each State and territory has its own legislation on mental health. The federal (Commonwealth) Government is responsible for health care planning. In addition, the federal Government subsidizes an insurance program (Medicare) that covers visits to specialists and family physicians, while provincial governments are involved in the provision of hospital care and community mental health services. The Commonwealth government also subsidises the cost of medication through the Pharmaceutical Benefits Scheme. These funds are supplemented by private health insurance. Mental health costs account for 6.5 per cent of all health care costs. Primary care treats the majority of common psychological disorders such as anxiety or depression, while specialist mental health services concentrate on those with severe mental illness. There have been 4 national mental health plans since 1992 with the long term aims of promoting mental health, increasing the quality and responsiveness of services, and creating a consistent approach to mental health service system reform among Australian states and territories. These systematic cycles of planning have first allowed a shift from psychiatric hospitals to community services, from reliance on psychiatric hospitals as pivotal to psychiatric care system. Community care budgets have increased, but overall have decreased with money not following patients; but recent deployment of federally funded through Medicare access to psychotherapy by psychologists for common mental disorders in primary care have increased overall budget. Concerns remain that shift to youth first onset psychosis clinics may come from older long-term psychotic patients, a form of discrimination whilst evidence amount of excess mortality by cardio

  9. 25 CFR 12.2 - What is the role of the Bureau of Indian Affairs Director of Law Enforcement Services?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is the role of the Bureau of Indian Affairs Director... Bureau of Indian Affairs Director of Law Enforcement Services? The Director of the Office of Law Enforcement Services for the Bureau of Indian Affairs (Director) has been delegated the responsibility for...

  10. 76 FR 30437 - Indian Child Welfare Act; Designated Tribal Agents for Service of Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ...The regulations implementing the Indian Child Welfare Act provide that Indian tribes may designate an agent other than the tribal chairman for service of notice of proceedings under the Act. This notice includes the current list of designated tribal agents for service of...

  11. 75 FR 28103 - Indian Child Welfare Act; Designated Tribal Agents for Service of Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-19

    ...The regulations implementing the Indian Child Welfare Act provide that Indian Tribes may designate an agent other than the Tribal chairman for service of notice of proceedings under the Act. This notice includes the current list of designated Tribal agents for service of notice. The names are those received by the Secretary of the Interior before the date of this...

  12. 78 FR 40458 - American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-05

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF EDUCATION American Indian Vocational Rehabilitation Services Program; Notice of Tribal Consultation and Request for Comments AGENCY: Rehabilitation Services Administration, Office of Special Education and...

  13. 25 CFR 900.167 - If an Indian tribe or tribal organization objects to the recommended decision, what will the...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false If an Indian tribe or tribal organization objects to the recommended decision, what will the Secretary of Health and Human Services or the IBIA do? 900.167 Section 900.167 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  14. 25 CFR 900.174 - If an Indian tribe or tribal organization objects to the recommended decision, what will the...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false If an Indian tribe or tribal organization objects to the recommended decision, what will the Secretary of Health and Human Services or the IBIA do? 900.174 Section 900.174 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN...

  15. Federal health services grants, 1985.

    PubMed

    Zwick, D I

    1986-01-01

    Federal health services grants amounted to about $1.8 billion in fiscal year 1985. The total amount was about $100 million less, about 6 percent, than in 1980. Reductions in the health planning program accounted for most of the decline in absolute dollars. The four formula grants to State agencies amounted to about $1.0 billion in 1985, about 60 percent of the total. The largest formula grants were for maternal and child health services and for alcohol, drug abuse, and mental health services. Project grants to selected State and local agencies amounted to about $.8 billion. There was 12 such grants in 1985 (compared with 34 in 1980). The largest, for community health services, equaled almost half the total. In real, inflation-adjusted dollars, the decline in Federal funds for these programs exceeded a third during the 5-year period. The overall dollar total in real terms in 1985 approximated the 1970 level. The ratio of formula grants to project grants in 1985 was similar to that in 1965. Studies of the impact of changes in Federal grants have found that while the development of health programs has been seriously constrained in most cases, their nature has not been substantially altered. In some cases broader program approaches and allocations have been favored. Established modes of operations and administration have generally been strengthened. Some efficiencies but few savings in administration have been identified. Replacement of reduced Federal funding by the States has been modest but has increased over time, especially for direct service activities. These changes reflect the important influence of professionalism in the health fields and the varying strengths of political interest and influence among program supporters. The long-term impact on program innovation is not yet clear. PMID:3094081

  16. Medical Student Mental Health Services

    PubMed Central

    Roman, Brenda

    2009-01-01

    Medical school is a stressful and challenging time in the academic career of physicians. Because of the psychological pressure inherent to this process, all medical schools should have easily accessible medical student mental health services. Some schools of medicine provide these services through departments of psychiatry or other associated training programs. Since this stressful lifestyle often continues through residency training and life as a physician, this is a critical period in which to develop and utilize functional and effective coping strategies. When psychiatrists provide the mental health treatment to medical students, it is important to consider transference and countertransference issues, over intellectualization, and instances of strong idealization and identification. PMID:19724734

  17. Gender-planned health services.

    PubMed

    Raikes, A; Shoo, R; Brabin, L

    1992-08-01

    Gender-planned health services are planned on the basis that women and men play different roles in society and have different medical needs. The feminist movement has provided a broad charter of rights for women, reflecting women's needs, but these have yet to be translated into operational programmes. National programmes for women would allow co-ordination of broad-based programmes to improve women's health and social position. To change social norms discriminating against women will require changing male attitudes. Health programmes for males have received little attention, except from family planning organizations, although in most countries, males have a high rate of accidents, infections and parasitic disease. Controlled studies are required to evaluate the benefits of gender-planned health services. PMID:1489242

  18. 75 FR 39697 - Indians Into Psychology Program; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-12

    ...-2443. Correction In the Federal Register of June 25, 2010, in FR Doc. 2010-15423, on page 36414, in the... HUMAN SERVICES Indian Health Service Indians Into Psychology Program; Correction AGENCY: Indian Health... the Indians Into Psychology Program. The document contained an incorrect Funding Opportunity...

  19. 25 CFR 900.105 - Who takes title to excess or surplus Federal property donated to an Indian tribe or tribal...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Who takes title to excess or surplus Federal property donated to an Indian tribe or tribal organization? 900.105 Section 900.105 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION...

  20. 75 FR 36414 - American Indians Into Psychology; Notice of Competitive Grant Applications for American Indians...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-25

    ... HUMAN SERVICES Indian Health Service American Indians Into Psychology; Notice of Competitive Grant Applications for American Indians Into Psychology Program Announcement Type: New. Funding Opportunity Number... Indians into Psychology Program. This program is authorized under the authority of ``25 U.S.C....

  1. 75 FR 35070 - American Indians Into Medicine; Notice of Competitive Grant Applications for American Indians...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-21

    ... HUMAN SERVICES Indian Health Service American Indians Into Medicine; Notice of Competitive Grant Applications for American Indians Into Medicine Program Announcement Type: New. Funding Opportunity Number: HHS... American Indians into Medicine Program. This program is authorized under the authority of 25 U.S.C....

  2. Indian system of medicine and women's health: a clients' perspective.

    PubMed

    Guha Mazumdar, Papiya; Gupta, Kamla

    2007-11-01

    India has a strong base of ancient indigenous systems of medicine and its national health policies and programmes have consistently promoted the integration of Indian Systems of Medicine (ISM) into the country's official health system. Realizing the safety and efficacy of ISM drugs, the Department of Indian Systems of Medicine and Homoeopathy (ISM&H) has suggested their use for certain women's health problems and during pregnancy. Although the Government of India has attempted to integrate ISM through the country's contemporary health programme of Reproductive and Child Health (RCH), utilization dynamics from the clients' perspective is little understood. This study shows that, at least in urban areas, for the majority of women's health problems biomedicine is regarded as the first choice, failure of which leads clients to seek treatment from ISM as a final resort. Nevertheless, women showed a preference for ISM treatment for certain specific health problems, strongly backed by a belief in their efficacy. Of the predictors that positively influenced women's choice of ISM treatment, 'strong evidenced-based results' was found to be the most important. Women's preference for ISM is dependent on the availability of competent providers. PMID:17537277

  3. India-EU relations in health services: prospects and challenges

    PubMed Central

    2011-01-01

    Background India and the EU are currently negotiating a Trade and Investment Agreement which also covers services. This paper examines the opportunities for and constraints to India-EU relations in health services in the context of this agreement, focusing on the EU as a market for India's health services exports and collaboration. The paper provides an overview of key features of health services in the EU and India and their bearing on bilateral relations in this sector. Methods Twenty six semi-structured, in-person, and telephonic interviews were conducted in 2007-2008 in four Indian cities. The respondents included management and practitioners in a variety of healthcare establishments, health sector representatives in Indian industry associations, health sector officials in the Indian government, and official representatives of selected EU countries and the European Commission based in New Delhi. Secondary sources were used to supplement and corroborate these findings. Results The interviews revealed that India-EU relations in health services are currently very limited. However, several opportunity segments exist, namely: (i) Telemedicine; (ii) Clinical trials and research in India for EU-based pharmaceutical companies; (iii) Medical transcriptions and back office support; (iv) Medical value travel; and (v) Collaborative ventures in medical education, research, training, staff deployment, and product development. However, various factors constrain India's exports to the EU. These include data protection regulations; recognition requirements; insurance portability restrictions; discriminatory conditions; and cultural, social, and perception-related barriers. The interviews also revealed several constraints in the Indian health care sector, including disparity in domestic standards and training, absence of clear guidelines and procedures, and inadequate infrastructure. Conclusions The paper concludes that although there are several promising areas for India

  4. Poverty, tobacco, and health: an Indian scenario.

    PubMed

    Majra, J P; Gur, A

    2009-06-01

    Poverty and health have a two-way relationship. Poverty increases the vulnerability of people to disease, and sickness affects their income leading to poverty. Tobacco has been identified as a major avoidable cause of illness and premature death. In India, more than half of men and one-tenth of women use one or more forms of tobacco. Tobacco-use shows a clear and continual increase with decreasing wealth quintiles. Poor smokers, who are at a greater risk of illness, are also at a greater risk of not being treated or of falling into greater poverty if they seek treatment. Poor people spend money on tobacco that could be spent on food, shelter, education, and healthcare. These decisions can entrench families in an ongoing cycle of poverty and ill-health. The direct and indirect costs of tobacco-use are immense for national economy. This has positioned control of tobacco relevant in India's per suite to achieve the goals of poverty eradication and health for all. PMID:19507746

  5. [Smart cards in health services].

    PubMed

    Rienhoff, O

    2001-10-01

    Since the early 1980-ties it has been tried to utilise smart cards in health care. All industrialised countries participated in those efforts. The most sustainable analyses took place in Europe--specifically in the United Kingdom, France, and Germany. The first systems installed (the service access cards in F and G, the Health Professional Card in F) are already conceptionally outdated today. The senior understanding of the great importance of smart cards for security of electronic communication in health care does contrast to a hesitating behaviour of the key players in health care and health politics in Germany. There are clear hints that this may relate to the low informatics knowledge of current senior management. PMID:11688229

  6. Birth of a health service.

    PubMed

    Anderson, G

    On April 18th, independent Zimbabwe celebrated its 3rd birthday. In 1980, within days after taking power, Robert Mugabe's government announced that health care was to be free to everyone earning less then Z150 (60 British pounds) a month--the vast majority of the population. Although the free services are a good public relations policy, more important was the decision to expand the health services at grassroots level and to shift emphasis from an urban based curative system to rural based preventive care. Zimbabwe desperately needs doctors. According to the World Health Organization (WHO), the country has some 1400 registered doctors, roughly 1 for every 6000 people. Yet, of the 1400, under 300 work in the government health services and many of those are based in Harare, the capital. Of Zimbabwe's 28 district hospitals, only 14 have a full-time doctor. In some rural areas, there is 1 doctor/100,000 or more people. The nature of the country's health problems, coupled with the government's severe shortage of cash, shows why nursing is so crucial to Zimbabwe's development. If the rural communities, which make up 85% of the population, were to have easy access to a qualified nurse, or even a nursing assistant, the quality of life would double. The only thing that is more important is a clean water supply. Possibly the most important role for nurses in Zimbabwe is that of education. Nurses can spread awareness of basic hygiene, raise the skill of local people in dealing with minor health problems independently, carry out immunization programs, offer contraceptive advice, give guidance on breastfeeding and infant nutrition, and work with practitioners of traditional African medicines to make sure they possess basic scientific knowledge. Rebuilding after the war was not a major problem for the Mugabe health ministry, for in many areas there was simply nothing to rebuild. There were never any health services. A far greater problem has been the top heavy structure of the

  7. Developing School Health Services in Massachusetts: A Public Health Model

    ERIC Educational Resources Information Center

    Sheetz, Anne H.

    2003-01-01

    In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative…

  8. Abortion health services in Canada

    PubMed Central

    Norman, Wendy V.; Guilbert, Edith R.; Okpaleke, Christopher; Hayden, Althea S.; Steven Lichtenberg, E.; Paul, Maureen; White, Katharine O’Connell; Jones, Heidi E.

    2016-01-01

    Abstract Objective To determine the location of Canadian abortion services relative to where reproductive-age women reside, and the characteristics of abortion facilities and providers. Design An international survey was adapted for Canadian relevance. Public sources and professional networks were used to identify facilities. The bilingual survey was distributed by mail and e-mail from July to November 2013. Setting Canada. Participants A total of 94 abortion facilities were identified. Main outcome measures The number and location of services were compared with the distribution of reproductive-age women by location of residence. Results We identified 94 Canadian facilities providing abortion in 2012, with 48.9% in Quebec. The response rate was 83.0% (78 of 94). Facilities in every jurisdiction with services responded. In Quebec and British Columbia abortion services are nearly equally present in large urban centres and rural locations throughout the provinces; in other Canadian provinces services are chiefly located in large urban areas. No abortion services were identified in Prince Edward Island. Respondents reported provision of 75 650 abortions in 2012 (including 4.0% by medical abortion). Canadian facilities reported minimal or no harassment, in stark contrast to American facilities that responded to the same survey. Conclusion Access to abortion services varies by region across Canada. Services are not equitably distributed in relation to the regions where reproductive-age women reside. British Columbia and Quebec have demonstrated effective strategies to address disparities. Health policy and service improvements have the potential to address current abortion access inequity in Canada. These measures include improved access to mifepristone for medical abortion; provincial policies to support abortion services; routine abortion training within family medicine residency programs; and increasing the scope of practice for nurses and midwives to include abortion

  9. Health, illness, and immigration. East Indians in the United States.

    PubMed Central

    Ramakrishna, J; Weiss, M G

    1992-01-01

    East Indian immigrants to the United States represent the diversity in religion, language, and culture that exists in India, so it is difficult to make unequivocal statements about their health beliefs and behaviors. Despite the diversity, an understanding of Ayurvedic humoral concepts of health and illness provides a key to some pervasive and persistent ideas and practices. India has a pluralistic medical system in which Western medicine, which is increasingly popular for some ailments, is one option among many. Even those who are familiar with the "Western" medical system in India may find American medicine alien. PMID:1413767

  10. 34 CFR 303.13 - Health services.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Health services. 303.13 Section 303.13 Education... DISABILITIES General Purpose, Eligibility, and Other General Provisions § 303.13 Health services. (a) As used in this part, health services means services necessary to enable a child to benefit from the...