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Last update: November 12, 2013.
1

Indian Health Trends and Services, 1974 Edition.  

ERIC Educational Resources Information Center

|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…

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

2

Indian Health Service: Find Health Care  

MedlinePLUS

... Patients Find Health Care Share This Page: Find Health Care IMPORTANT If you are having a health emergency ... services, continuous nursing services and that provides comprehensive health care including diagnosis and treatment. Health Locations An ambulatory ...

3

73 FR 50037 - Request for Public Comment: 60-Day Proposed Information Collection: Indian Health Service; Health...  

Federal Register 2010, 2011, 2012, 2013

...Collection: Indian Health Service; Health Promotion/Disease Prevention Grantee...Indian Health Service Health Promotion/Disease Prevention Grantee...Indian Health Service Health Promotion/Disease Prevention...

2008-08-25

4

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

ERIC Educational Resources Information Center

|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…

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

5

Indian Health Service Basic Series, Diabetes Curriculum.  

National Technical Information Service (NTIS)

Contents: Diabetes and American Indians; Diabetes and American Indians; Using the Health Care System; Diabetes and Your Feelings; Body Weight and Diabetes; Eat Less Food; Eat Less Sugar; Eat Less Fat; Complications; What is Home Blood Glucose Monitoring; ...

1997-01-01

6

73 FR 74725 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Health...  

Federal Register 2010, 2011, 2012, 2013

...Collection: Indian Health Service Health Promotion/Disease Prevention Grantee...Indian Health Service Health Promotion/Disease Prevention Grantee...grants to expand and enhance health promotion and disease prevention to...

2008-12-09

7

77 FR 27467 - Proposed Information Collection; Request for Public Comment: Indian Health Service Loan Repayment...  

Federal Register 2010, 2011, 2012, 2013

...HUMAN SERVICES Indian Health Service Proposed Information...Collection; Request for Public Comment: Indian Health Service Loan Repayment...requires 30 days for public comment on proposed...projects, the Indian Health Service (IHS)...

2012-05-10

8

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

Federal Register 2010, 2011, 2012, 2013

...HUMAN SERVICES Indian Health Service; Reimbursement Rates for Calendar Year 2012 Correction AGENCY: Indian Health Service, HHS...medical care provided by Indian Health Service facilities for Calendar Year 2012 for Medicare and Medicaid beneficiaries of...

2012-06-19

9

Identification and Assessment of Model Indian Health Service Alcoholism Projects.  

National Technical Information Service (NTIS)

The primary objectives of the study were to define conceptual models of several types of alcoholism treatment and prevention services, and to describe existing Indian Health Services alcoholism projects/components that fit the various models. Site visits ...

M. P. Raymond E. V. Raymond

1984-01-01

10

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

Federal Register 2010, 2011, 2012, 2013

...AND HUMAN SERVICES Indian Health Service Request for Public Comment: 30-Day Proposed...Information Collection: Indian Health Service Contract Health Services...contract with the IHS. Affected Public: Patients, health and medical care...

2013-02-01

11

Big changes in the Indian Health Service: are nurses aware?  

PubMed

Unparalleled challenges currently face the Native American health care system. These challenges are a result of several factors, including (a) external pressures to reduce the overall cost of health care in the United States, (b) increased assumption of responsibility for delivery of health care by tribal governments, (c) decreased direct supervision by the Indian Health Service (IHS), (d) insufficient funding for Indian health care, and (e) increased interest of managed care to contract with tribal service units for health care. This article explores the opportunities and challenges facing Native American health care delivery and examines nursing policy issues pertinent to the current state of the IHS. PMID:11776015

Holkup, Patricia A

2002-01-01

12

Training Injury Control Practitioners: The Indian Health Service Model.  

ERIC Educational Resources Information Center

|Describes an innovative training program for injury prevention specialists developed by the Indian Health Service (IHS), noting its applicability to other community-based settings. Examines injuries and American Indians; designing the IHS program; IHS training courses; examples of community-based interventions organized by people who had…

Smith, Richard J., III; Dellapenna, Alan J., Jr.; Berger, Lawrence R.

2000-01-01

13

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

Federal Register 2010, 2011, 2012, 2013

...Collection; Request for Public Comment: Indian Health Service Contract Health...requires 60 days for public comment on proposed...projects, Indian Health Service (IHS) is...the IHS. Affected Public: Patients, health and medical care...

2012-11-21

14

Mental Health Services for American Indians: The USET Program.  

ERIC Educational Resources Information Center

|United Southern and Eastern Tribes (USET) mental health programs in six eastern states help Indian people with mental health, alcoholism, suicide prevention, and child, drug, or substance abuse problems. Available from White Cloud Center, Gaines Hall, Univ. of Oregon Health Services Center, 840 S. W. Gaines Road, Portland, Oregon 97201; $12…

Haven, George A., Jr.; Imotichey, Paul J.

1979-01-01

15

69 FR 41824 - Partners Invited To Participate in Indian Health Service: Health Promotion and Disease Prevention...  

Federal Register 2010, 2011, 2012, 2013

...Invited To Participate in Indian Health Service: Health Promotion and Disease Prevention Health Summit and Other American...ACTION: Notice of invitation to participate in Health Promotion and Disease Prevention (HP/DP) Health...

2004-07-12

16

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

Federal Register 2010, 2011, 2012, 2013

...Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice...Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice...collection, 0917-0034, ``IHS Sharing What Works--Best Practice, Promising...

2012-11-13

17

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

Code of Federal Regulations, 2012 CFR

42 Public Health 5 2012-10-01 2012-10-01 false Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs....

2012-10-01

18

Traditional and Non-Traditional Community Mental Health Services with American Indians.  

National Technical Information Service (NTIS)

The articles included in the study reflect Indian concerns in the provision of mental health services. The first of four sections reviews social work services in American Indian urban communities. The second section discusses social work practice in cultu...

Y. Red Horse E. Gonzalez-Santin S. Beane P. A. Tolson-Gonzalez

1981-01-01

19

Indian Health Service: Standards of Care for Adults with Type 2 Diabetes.  

National Technical Information Service (NTIS)

In 1986, the Indian Health Service (IHS) Division of Diabetes developed its first IHS Standards of Care for Diabetes. For over 20 years, these guidelines have helped health care professionals provide excellence in diabetes care to American Indians and Ala...

2009-01-01

20

Indian Health Service Complications Series, Diabetes Curriculum.  

National Technical Information Service (NTIS)

Contents: High Blood Pressure and Diabetes; Periodontal Disease and Diabetes; Your Heart and Blood Vessels; Diabetes and Nerve Damage (Neuropathy); Diabetes and Your Kidneys (Nephropathy); Diabetes and Your Eyes (Retinopathy); Diabetes and Sexual Health f...

1997-01-01

21

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

|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.…

Nutting, Paul A.; And Others

22

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

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.…

Nutting, Paul A.; And Others

23

Indian Health Service Justification of Estimates for Appropriations Committees, Fiscal Year 2014.  

National Technical Information Service (NTIS)

The Indian Health Service (IHS), an Agency of the U.S. Department of Health and Human Services, is the principal Federal Agency charged with the mission of raising the physical, mental, social, and spiritual health of American Indians and Alaska Natives t...

2013-01-01

24

THE ABERDEEN INDIAN HEALTH SERVICE INFANT MORTALITY STUDY: DESIGN, METHODOLOGY, AND IMPLEMENTATION  

Microsoft Academic Search

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, Centers

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

25

Chronic arthritis in children and adolescents in two Indian health service user populations  

Microsoft Academic Search

BACKGROUND: High prevalence rates for rheumatoid arthritis, spondyloarthopathies, and systemic lupus erythematosus have been described in American Indian and Alaskan Native adults. The impact of these diseases on American Indian children has not been investigated. METHODS: We used International Classification of Diseases-9 (ICD-9) codes to search two Indian Health Service (IHS) patient registration databases over the years 1998–2000, searching for

Joyce Mauldin; H Dan Cameron; Diane Jeanotte; Glenn Solomon; James N Jarvis

2004-01-01

26

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

Federal Register 2010, 2011, 2012, 2013

...Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice...Indian Health Service (IHS) Sharing What Works--Best Practice, Promising Practice...collection, 0917-0034, ``IHS Sharing What Works--BPPPLE Form,'' which was...

2012-08-30

27

Implementation and Use of an Electronic Health Record within the Indian Health Service  

Microsoft Academic Search

ObjectivesThere are limited data regarding implementing electronic health records (EHR) in underserved settings. We evaluated the implementation of an EHR within the Indian Health Service (IHS), a federally funded health system for Native Americans.DesignWe surveyed 223 primary care clinicians practicing at 26 IHS health centers that implemented an EHR between 2003 and 2005.MethodsThe survey instrument assessed clinician attitudes regarding EHR

Thomas D. Sequist; Theresa Cullen; Howard Hays; Maile M. Taualii; Steven R. Simon; David W. Bates

2007-01-01

28

Indian Health Care. Summary.  

ERIC Educational Resources Information Center

|Undertaken at the request of House and Senate committees with responsibility for Indian affairs and government health programs, this study examines the health status of Indians and the services and technologies that are provided to them through Federal Indian health programs. The first half of the report contains background information and the…

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

29

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

ERIC Educational Resources Information Center

|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

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

2001-01-01

30

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

ERIC Educational Resources Information Center

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…

Attneave, Carolyn L.; Beiser, Morton

31

Mental Health and Substance Abuse Services Preferences among American Indian People of the Northern Midwest  

PubMed Central

ABSTRACT This study examines factors that influence preferences between traditional cultural and western mental health and substance use associated care among American Indians from the northern Midwest. Personal interviews were conducted with 865 parents/caretakers of tribally enrolled youth concerning their preferences for traditional/cultural and formal healthcare for mental health or substance abuse problems. Adults strongly preferred traditional informal services to formal medical services. In addition, formal services on reservation were preferred to off reservation services. To better serve the mental health and substance abuse treatment needs of American Indians, traditional informal services should be incorporated into the current medical model.

Johnson, Kurt D.; Whitbeck, Les B.; Hoyt, Dan R.

2006-01-01

32

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

ERIC Educational Resources Information Center

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…

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

33

75 FR 16139 - Request For Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...  

Federal Register 2010, 2011, 2012, 2013

...Medical Staff Credentials and Privileges Files Agency: Indian Health Service, HHS...Medical Staff Credentials and Privileges Files.'' Type of Information Collection Request...Medical Staff Credentials and Privileges Files'' agreement. Form Numbers(s):...

2010-03-31

34

78 FR 36198 - Request for Public Comment: 30-Day Proposed Information Collection: Indian Health Service Medical...  

Federal Register 2010, 2011, 2012, 2013

...Medical Staff Credentials and Privileges Files AGENCY: Indian Health Service, HHS...Medical Staff Credentials and Privileges Files,'' OMB Control Number 0917-0009...Medical Staff Credentials and Privileges Files.'' Type of Information Collection...

2013-06-17

35

Commentary: Quality of Alcohol, Drug, and Mental Health Services for American Indian Children and Adolescents  

Microsoft Academic Search

American Indian children and adolescents suffer from a high prevalence of alcohol, drug, and mental (ADM) disorders. Unfortunately, the systems of services for these children and youth have never been able to address adequately their mental health needs. Thus, the revolutionary changes now taking place within these service systems, in particular the marked increase in the direct provision of services

Douglas K. Novins; Candace M. Fleming; Janette Beals; Spero M. Manson

2000-01-01

36

Indian Health Service: HIV/AIDS Prevention and Treatment Services for American Indians and Alaska Natives.  

National Technical Information Service (NTIS)

American Indians and Alaska Natives have the third highest rate of HIV/AIDS diagnosis in the United States. They are also more likely than individuals with HIV/AIDS from other racial and ethnic groups to receive treatment at later stages of the disease an...

2007-01-01

37

Utilization of Alcohol, Drug, and Mental Health Treatment Services Among American Indian Adolescent Detainees  

Microsoft Academic Search

ObjectiveTo describe the relationship between psychiatric status and the use of alcohol, drug, and mental health (ADM) services among a sample of American Indian (AI) juvenile detainees. Method A structured diagnostic and service use interview was administered to 150 Al youths detained in a juvenile detention center located on a Northern Plains reservation.

DOUGLAS K. NOVINS; CHRISTINE WILSON DUCLOS; CHERYL MARTIN; CHASTITY S. JEWETT; SPERO M. MANSON

1999-01-01

38

Dilemmas of Mental Health Service Delivery to Off-Reservation Indians  

ERIC Educational Resources Information Center

|The off-reservation American Indian has been conspicuously ignored by contemporary health services delivery systems. As a constituent of neither federally nor locally administered programs many of his health needs have been ignored. This is particularly apparent in the management of alcoholism problems. (Author/FF)|

Bittker, Thomas E.

1973-01-01

39

Health status and health services utilization among older Asian Indian immigrants.  

PubMed

This study examines the health status and utilization of physicians, hospitals, emergency departments, and traditional medicine among older Asian Indian immigrants (n = 100). The data for this study derives from the Asian American Elders in New York City (AAENYC) Study, which used a regional probability sampling. Multivariate analyses were guided by the Andersen behavioral model. The number of medical conditions is significant in predicting the likelihood of physician visits while age and having medical insurance predicted the likelihood of hospital stays. Having medical insurance was also a significant predictor for the use of emergency department services while poor English proficiency was associated with the use of traditional medicine. PMID:18998211

Shibusawa, Tazuko; Mui, Ada C

2008-11-09

40

Trends in Indian Health, 1996.  

ERIC Educational Resources Information Center

|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…

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

41

Pine Ridge Indian Health Service Primary Care Resident Rotation: a summary.  

PubMed

The Pine Ridge Indian Health Service Primary Care Resident Rotation was officially established in January 1992 and operated through May 1996. Sponsored by an Indian Health Service grant, the rotation was conceived in an effort to help address the problem of recruitment and retention of physicians at Pin Ridge in the long term, while offering a unique educational experience for residents. Fifty-eight residents from 40 Family Practice, General Internal Medicine and General Pediatric Residency Programs in 18 states completed the rotation. Four of the rotation "graduates" are currently employed by the IHS at Pine Ridge and two other sites. A fifth physician provided short term service to a fourth site. PMID:8937210

Jerde, O M; Vogt, H B

1996-10-01

42

Screening Prevalence and Incidence of Colorectal Cancer Among American Indian\\/Alaskan Natives in the Indian Health Service  

Microsoft Academic Search

Background  Studies on colorectal cancer (CRC) screening and incidence among American Indian\\/Alaska Natives (AI\\/AN) are few.\\u000a \\u000a \\u000a \\u000a Aims  Our aim was to determine CRC screening prevalence and to calculate CRC incidence among AI\\/AN receiving care within the Indian\\u000a Health Service (IHS).\\u000a \\u000a \\u000a \\u000a \\u000a Methods  A retrospective cohort study of AI\\/AN who utilized IHS from 1996 to 2004. AI\\/AN who were average-risk for CRC and received\\u000a primary

Lukejohn W. DayDavid; David K. Espey; Erin Madden; Mark Segal; Jonathan P. Terdiman

2011-01-01

43

#116-S prevalence and correlates of cesarean section in an indian health service population  

Microsoft Academic Search

PURPOSE: To determine prevalence and correlates of cesarean section in a Native American population.METHODS: Obstetrical logbook records were abstracted for all (n = 798) Native American women delivering liveborn infants at an Indian Health Service hospital in New Mexico during the period 1\\/1\\/1996 through 12\\/31\\/1999. Univariate and multivariate analyses were conducted to examine demographic, prenatal, obstetric, intrapartum, and fetal factors

SF Mahoney; LH Malcoe

2002-01-01

44

Identification of American Indian and Alaska Native veterans in administrative data of the Veterans Health Administration and the Indian Health Service.  

PubMed

We sought to determine the extent to which the Indian Health Service (IHS) identified enrollees who also use the Veterans Health Administration (VHA) as veterans. We used a bivariate analysis of administrative data from fiscal years 2002-2003 to study the target population. Of the 32259 IHS enrollees who received care as veterans in the VHA, only 44% were identified by IHS as veterans. IHS data underestimates the number of veterans, and both IHS and VHA need mechanisms to recognize mutual beneficiaries in order to facilitate better coordination of strategic planning and resource sharing among federal health care agencies. PMID:16873744

Kramer, B Josea; Wang, Mingming; Hoang, Tuyen; Harker, Judith O; Finke, Bruce; Saliba, Debra

2006-07-27

45

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

|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…

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

46

Pine Ridge Indian Health Service Primary Care Resident Rotation: an update.  

PubMed

The Pine Ridge Indian Health Service Primary Care Resident Rotation has been in existence for 2 years. It was conceived in an effort to help address the problem of recruitment and retention of physicians at Pine Ridge in the long term, while offering a unique educational experience for primary care residents. Twenty-five residents from family practice, general internal medicine, and general pediatric residency programs across the country have participated in calendar years 1992 and 1993. Three of the original 12 residents have returned following completion of their residency programs to join the Pine Ridge medical staff. PMID:8016622

Vogt, H B; Jerde, O M

1994-04-01

47

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

Federal Register 2010, 2011, 2012, 2013

...enrollment processes for health care reform regarding Medicaid expansion...opportunities and individual health insurance coverage and...sub award to continue Health Reform Progress to Implement the Affordable Care Act and Indian...

2013-08-23

48

Indian Adolescent Mental Health. OTA Special Report.  

ERIC Educational Resources Information Center

|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…

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

49

American Indian Health Project.  

National Technical Information Service (NTIS)

A progress report is presented on the Student American Medical Association's (SAMA) American Indian Health Project, designed to assist in the development of Indian health resources through identification of alternative methods of dealing with health needs...

1973-01-01

50

Political and cultural factors in achieving continuity with a primary health care provider at an Indian Health Service hospital.  

PubMed Central

A primary care system was established at Zuni-Ramah Indian Health Service Hospital and clinic in New Mexico. Continuity and coordination of care were added to a health care system that was already accountable, accessible, and comprehensive. The new system offered each patient a personal health care provider who worked as a member of a multidisciplinary team. In changing the health care system, special attention was given to its cultural and political setting, the village of Zuni. After thorough discussion with community and staff, community members' concerns about patients' privacy and free choice were better understood, and special efforts were made to safeguard them. Ongoing evaluation is essential to maintain continuity. Eight months after the primary care system was begun, 64 percent of patients who came for care had established a personal relationship with a health care provider. For 59 percent of the visits during the 1-month evaluation period, patients saw their regular provider and, for 82 percent, patients saw their provider or one of his or her team colleagues. These percentages include night and walk-in visits. The system required no extra funding or staff. The political process of planning and consultation helped anticipate and alleviate the community's concerns, but resistance from physician's assistants and some physicians was unexpected. A flexible approach has led to a gradual acceptance of this voluntary system. This experience with the people of Zuni village shows that a primary care system can be started in a rural Indian Health Service facility with minimal outside help. Apparent improvements in quality of care make the continuity of primary care worthy of further consideration in the IHS and similar health services systems.

Dietrich, A J; Olson, A L

1981-01-01

51

Hazard Evaluation and Technical Assistance Report No. TA-78-35, PHS (Public Health Service) Indian Health Center, Fort Washakie, Wyoming,  

National Technical Information Service (NTIS)

In response to a request from the Public Health Service (PHS), an investigation was made of the degree of mercury (7439976) exposure occurring at the PHS Indian Health Center, Fort Washakie, Wyoming. Two dental operatories were located at the Center. Exam...

B. J. Gunter

1978-01-01

52

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

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…

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

53

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

Federal Register 2010, 2011, 2012, 2013

...Service Office of Urban Indian Health Programs; Announcement Type: Meeting Notice AGENCY: Indian Health Service, HHS. ACTION: Meeting...Notice is to announce an Indian Health Service (IHS) Listening Session...interested parties to provide oral comments on the draft...

2013-01-11

54

Comprehensive Health Care Program for American Indians & Alaska Natives.  

ERIC Educational Resources Information Center

|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…

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

55

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

Federal Register 2010, 2011, 2012, 2013

...coordinate and maintain a promotional media campaign related to the impact and outcomes...all promotional materials provided to media and other outlets (electronic form and...library, day care, health care, or early childhood development services are provided to...

2013-08-14

56

HEALTH SERVICE UTILIZATION AMONG CHINESE, FILIPINO, AND ASIAN INDIAN OLDER ADULTS IN THE UNITED STATES  

Microsoft Academic Search

The United States is becoming more ethnically diverse, with a rapidly growing Asian population. At the same time, the graying of America brings with it special consideration for America's ethnic minorities. The current research on service utilization among Asian American older adults is very limited. The purposes of this study are: (1) to describe and compare health service needs and

Jing Tan

2009-01-01

57

Pima Indians: Pathfinders for Health.  

National Technical Information Service (NTIS)

Contents: The Pima Indians: Pathfinders for Health; The Pima Indians and Genetic Research; Breaking the Vicious Cycle; A Pima Mother and Her Daughters; Advanced Technology Used to Measure Energy Expenditure; Kidney Disease of Diabetes in the Pima Indians;...

J. Demouy J. Chamberlain M. Harris L. H. Marchand

1995-01-01

58

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

Code of Federal Regulations, 2010 CFR

...2010-10-01 false Health Service Delivery Areas. 136a.15 Section...Care? § 136a.15 Health Service Delivery Areas. (a) The Indian Health...those reservations as Health Service Delivery Areas. (b) The Indian...

2010-10-01

59

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

Code of Federal Regulations, 2010 CFR

...2009-10-01 false Health Service Delivery Areas. 136a.15 Section...Care? § 136a.15 Health Service Delivery Areas. (a) The Indian Health...those reservations as Health Service Delivery Areas. (b) The Indian...

2009-10-01

60

American-Indian Women and Health  

Microsoft Academic Search

Little research has been conducted on the health status and health-related issues of urban American-Indian women, particularly those who are involved with alcohol or drugs (AOD). Given this gap in knowledge, this study assessed the health status along with health care needs and service provision of AOD-involved American-Indian women living in the southwestern United States. Results indicated high levels of

Sally J. Stevens

2001-01-01

61

77 FR 43846 - Draft Policy on Conferring With Urban Indian Organizations  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Draft Policy on Conferring With Urban Indian Organizations AGENCY: Indian Health Service, Department of Health and Human Services. ACTION:...

2012-07-26

62

Alcoholism - A High Priority Health Problem. A Report of the Indian Health Service Task Force on Alcoholism.  

ERIC Educational Resources Information Center

|Three separate reports are included in this document on American Indian alcoholism. Section I of the document (December 1969) outlines the history, nature, extent, and significance of Indian alcoholism (reporting that the incidence of alcoholism among Indians is twice that of the national average, low socioeconomic status, rather than a…

Bock, George; And Others

63

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

Federal Register 2010, 2011, 2012, 2013

...anticipation of implementation of the health care reform date of January 1, 2014 regarding...2014 implementation date for health care reform regarding Medicaid expansion revenue opportunities and individual health insurance coverage and...

2012-08-20

64

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

PubMed

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

Wellever, A; Hill, G; Casey, M

1998-02-01

65

Overview of Staffing and Systems for U.S. Public Health Service Hospital and U.S. Indian Health Service Hospital.  

National Technical Information Service (NTIS)

The objectives of these overview studies are as follows: (1) To provide initial quantification of staffing requirements in the following departments: Medical/Surgical Nursing and Building and Grounds at the Public Health Service Hospital; (2) to provide d...

1974-01-01

66

34 CFR 361.30 - Services to American Indians.  

Code of Federal Regulations, 2013 CFR

...false Services to American Indians. 361.30 Section 361...30 Services to American Indians. The State plan must assure...rehabilitation services to American Indians who are individuals with...services to other significant populations of individuals with...

2013-07-01

67

American Indian Health Careers Handbook. Third Edition.  

ERIC Educational Resources Information Center

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).…

Jennings, Don, Ed.

68

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

ERIC Educational Resources Information Center

|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…

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

2009-01-01

69

Mental health and North American Indian\\/Native communities: Cultural transactions, education, and regulation  

Microsoft Academic Search

Critical issues in the delivery of mental health services to North American Indians~Natives residing in rural areas are discussed by (a) describing Indian populations~communities; (b) briefly summarizing available literature concerning the nature of mental health problems within Indian communities; (c) examining Indian belief systems relevant to participation in mental health service de6very processes; (d) exploring community expectations for structuring participatory

Damian McShane

1987-01-01

70

The Indian burden of illness and future health interventions.  

PubMed Central

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.

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

1987-01-01

71

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

ERIC Educational Resources Information Center

|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…

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

72

Montana Indians and Health -- Cultural Awareness Conference.  

National Technical Information Service (NTIS)

The proceedings of a three-day meeting of Indians and health professionals held to discuss cultural problems relating to health are presented. Indians from all seven reservations and many urban areas in Montana participated. Indian speakers provided non-I...

H. Gray

1974-01-01

73

Social Support and Social Undermining as Correlates for Alcohol, Drug, and Mental Disorders in American Indian Women Presenting for Primary Care at an Indian Health Service Hospital  

Microsoft Academic Search

The purpose of this study was to determine the relationship of two types of social support (emotional and instrumental) and two types of social undermining (critical appraisal and isolation) with five categories of alcohol, drug, or mental disorders (ADM; any mood, any anxiety, any substance abuse, any disorder, and two or more disorders) in 169 American Indian women presenting for

John Oetzel; Bonnie Duran; Yizhou Jiang; Julie Lucero

2007-01-01

74

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

Federal Register 2010, 2011, 2012, 2013

...abuse, property damage, gang activity, and violent crime. It increases the burden on communities and on those...Related illicit acts encourage gang activities as well as organized crime on Indian lands. The production of meth results...

2011-03-23

75

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

|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

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

76

25 CFR 117.25 - Charges for services to Indians.  

Code of Federal Regulations, 2011 CFR

... Charges for services to Indians. The superintendent shall make the following charges for services to Indians: Five per cent of all interest and non-liquidating dividends received from all types of securities, including stocks, bonds, and...

2011-04-01

77

42 CFR 36.22 - Establishment of contract health service delivery areas.  

Code of Federal Regulations, 2010 CFR

...PUBLIC HEALTH SERVICE,DEPARTMENT OF HEALTH ANDHUMAN SERVICES MEDICAL CARE AND EXAMINATIONS INDIAN HEALTH Contract Health Services...Chippewa, Mackinac, Luce, Alger, Schoolcraft, Delta, and Marquette Counties in the State of Michigan; (5) Clark,...

2001-10-01

78

Preventive Health Care among Rural American Indians in New Mexico  

Microsoft Academic Search

Background.Incidence of and mortality from cardiovascular disease, cancer, diabetes, and other chronic diseases are rapidly increasing among American Indians; however, the utilization of preventive services for these conditions is not well characterized in these ethnic groups.Methods.We interviewed 1,273 American Indian adults in New Mexico, ages 18 years and older, by telephone regarding routine health checks, including blood pressure, blood cholesterol,

Frank D. Gilliland; Renate Mahler; W. Curtis Hunt; Sally M. Davis

1999-01-01

79

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

Code of Federal Regulations, 2012 CFR

...adjudication different from the requirements for Indian Tribes and Tribal organizations? 136...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and...

2012-10-01

80

42 CFR 136.31 - Authorization by urban Indian organization.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Authorization by urban Indian organization. 136.31 Section 136...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Limitation on Charges for...

2012-10-01

81

42 CFR 136.120 - Use of Indian business concerns.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Use of Indian business concerns. 136.120 Section...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Grants for Development,...

2012-10-01

82

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

Microsoft Academic Search

We illustrate the addictions and mental health service use of American Indian adolescents. Interviews concerning mental health need and service configurations with 401 Southwestern American Indian (AI) youth used questions from the Diagnostic Interview Schedule (DIS) and the Service Assessment for Children and Adolescents (SACA). Seventy-nine percent had mental health or addiction problems, with half meeting criteria for at least

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

2003-01-01

83

Minority Women's Health: American Indians/Alaska Natives  

MedlinePLUS

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

84

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

ERIC Educational Resources Information Center

|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…

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

2006-01-01

85

American Indian Standards for Health Education.  

ERIC Educational Resources Information Center

|These American Indian standards for health education were developed in close alignment with the 1995 U.S. national standards. While the text of the actual "standards" is the same in both documents, the performance indicators in this material have been tailored specifically for use in schools serving American Indian students. Like the national…

Bureau of Indian Affairs (Dept. of Interior), Washington, DC. Office of Indian Education Programs.

86

"I'm Not Indian Anymore": The Challenge of Providing Culturally Sensitive Services to American Indians.  

ERIC Educational Resources Information Center

This report documents observations and findings from a site visit to Southern Hills Developmental Services (SHDS), an agency providing services to people with disabilities in the South Dakota community of Hot Springs. Half of the people using the services are American Indians. The report discusses the Pine Ridge Indian Reservation and traditions…

O'Connor, Susan

87

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

Code of Federal Regulations, 2013 CFR

...Does FTCA coverage extend to individuals who provide health care services under a personal services contract...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...

2013-04-01

88

A Study of Maternal and Infant Health Care of Indian and Native Alaskan Americans.  

National Technical Information Service (NTIS)

The purpose of this report is to comment on the adequacy of health care provided to the women and infants of the Indian communities served by the Indian Health Service, and to suggest certain recommendations which may be helpful in setting priorities and ...

A. W. Isenman

1974-01-01

89

42 CFR 136.121 - Indian preference in training and employment.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Indian preference in training and employment...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Grants for Development,...

2012-10-01

90

Rural Mental Health Services  

Microsoft Academic Search

Providing affordable and comprehensive metal health services for those who need these services is a tremendous challenge for the helping professions. The demand for services across the nation exceeds the ability of the mental health community to provide them. This is especially true for rural communities. DeLeon (2000) reported that even though 25% of the citizens of the United States

DAVID L. FENELL; ALAN J. HOVESTADT

91

The Persistence of American Indian Health Disparities  

PubMed Central

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.

Jones, David S.

2006-01-01

92

State Services for California Indians. FY 1980-81.  

ERIC Educational Resources Information Center

|Through cooperative efforts of state and federal officials and with concerned California Indians, State program delivery systems are constantly being monitored, evaluated, and adjusted to assure increasingly fair services for California Indians. The report divides State services into five general categories: cultural preservation; educational…

Sanderson, Jack

93

"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

|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…

O'Connor, John P.; Rosall, Judith

94

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

Code of Federal Regulations, 2013 CFR

...Does FTCA coverage extend to the contractor's health care practitioners providing services to private...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...

2013-04-01

95

25 CFR 900.191 - Are employees of self-determination contractors providing health services under the self...  

Code of Federal Regulations, 2013 CFR

...employees of self-determination contractors providing health services under the self-determination contract...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...

2013-04-01

96

National Alaska Native American Indian Nurses Association: Reducing health disparities within American Indian and Alaska native populations  

Microsoft Academic Search

This report was prepared by the leaders representing the National Alaska Native American Indian Nurses Association, which was established to advocate for improved health care services among American Indian\\/Alaska Native (AI\\/AN) peoples throughout the United States and to foster the development of AI\\/AN nurses. Effective prevention of conditions such as diabetes, cancer, and infectious diseases must use cooperative approaches that

Judy Goforth Parker; Sandra L. Haldane; Bette Rusk Keltner; C. June Strickland; Lillian Tom-Orme

2002-01-01

97

Training American Indian Health Aides for Nutrition Education  

ERIC Educational Resources Information Center

|Discusses the health problems of diabetes and obesity which are prevalent among the American Indians of Wisconsin, and describes a training program of paraprofessional health educators designed to help alleviate these problems in the Indian community. (JR)|

Olson, Christine M.; Pringle, Dorothy J.

1973-01-01

98

PUBLIC HEALTH SERVICE  

Cancer.gov

This Agreement is based on the model Cooperative Research and Development Agreement (“CRADA”) adopted by the U.S. Public Health Service (“PHS”) Technology Transfer Policy Board for use by components of the National Institutes of Health (“NIH”), the Centers for Disease Control and Prevention (“CDC”), and the Food and Drug Administration (“FDA”), which are agencies of the PHS within the Department of Health and Human Services (“HHS”).

99

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

Federal Register 2010, 2011, 2012, 2013

...Information This announcement is a limited competition for awards made to American Indians...Preparatory Scholarships A. Pre-Clinical Psychology (Jr. and Sr. undergraduate years...and Master's Degrees. D. Clinical Psychology--PhD or PsyD. E....

2011-02-15

100

Public Health Service Act  

Cancer.gov

The Public Health Service was established by act of July 16, 1798 (ch. 77, 1 Stat. 605), authorizing marine hospitals for the care of American merchant seamen. Subsequent legislation has vastly broadened the scope of its activities.

101

Telecommunications and Health Services.  

National Technical Information Service (NTIS)

Telecommunications have entered more deeply into the fabric of health care delivery than they have into any other field of social service. Telecommunications appear to offer a clear and definite means for implementing a number of changes that are occurrin...

D. J. Blackwell R. L. Smith

1974-01-01

102

42 CFR 136.11 - Services available.  

Code of Federal Regulations, 2012 CFR

...SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is...program may include hospital and medical care, dental care, public health nursing and preventive care (including...

2012-10-01

103

42 CFR 136a.11 - Services available.  

Code of Federal Regulations, 2012 CFR

...SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH What Services Are Available and Who Is...program may include hospital and medical care, dental care, public health nursing and preventive care including...

2012-10-01

104

78 FR 32405 - Request for Public Comment; 30-day Proposed Information Collecton: Indian Self-Determination and...  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Request for Public Comment...30-day Proposed Information Collecton: Indian Self-Determination and Education Assistance Contracts AGENCY: Indian Health Service, HHS. ACTION:...

2013-05-30

105

American Indian Health Careers Handbook. Second Edition, 1975.  

ERIC Educational Resources Information Center

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…

Jennings, Don, Ed.

106

Consumer Health: Products and Services.  

ERIC Educational Resources Information Center

|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.…

Haag, Jessie Helen

107

Consumer Health: Products and Services.  

ERIC Educational Resources Information Center

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.…

Haag, Jessie Helen

108

Public Health Legal Preparedness in Indian Country  

PubMed Central

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.

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

2009-01-01

109

42 CFR 410.46 - Physician and other practitioner services furnished in or at the direction of an IHS or Indian...  

Code of Federal Regulations, 2012 CFR

...furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and...furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and...free-standing) that is operated by the Indian Health Service (IHS) or by an...

2012-10-01

110

Franchising Reproductive Health Services  

PubMed Central

Objectives Networks of franchised health establishments, providing a standardized set of services, are being implemented in developing countries. This article examines associations between franchise membership and family planning and reproductive health outcomes for both the member provider and the client. Methods Regression models are fitted examining associations between franchise membership and family planning and reproductive health outcomes at the service provider and client levels in three settings. Results Franchising has a positive association with both general and family planning client volumes, and the number of family planning brands available. Similar associations with franchise membership are not found for reproductive health service outcomes. In some settings, client satisfaction is higher at franchised than other types of health establishments, although the association between franchise membership and client outcomes varies across the settings. Conclusions Franchise membership has apparent benefits for both the provider and the client, providing an opportunity to expand access to reproductive health services, although greater attention is needed to shift the focus from family planning to a broader reproductive health context.

Stephenson, Rob; Tsui, Amy Ong; Sulzbach, Sara; Bardsley, Phil; Bekele, Getachew; Giday, Tilahun; Ahmed, Rehana; Gopalkrishnan, Gopi; Feyesitan, Bamikale

2004-01-01

111

Understanding prenatal health care for American Indian women in a Northern Plains tribe.  

PubMed

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

Hanson, Jessica D

2011-11-03

112

42 CFR 36.22 - Establishment of contract health service delivery areas.  

Code of Federal Regulations, 2010 CFR

...delivery areas. 36.22 Section 36.22 Public Health MEDICAL CARE AND EXAMINATIONS INDIAN HEALTH Contract Health Services...Chippewa, Mackinac, Luce, Alger, Schoolcraft, Delta, and Marquette Counties in the State of Michigan; (5) Clark,...

2000-10-01

113

25 CFR 141.20 - Payment for purchase of Indian goods or services.  

Code of Federal Regulations, 2011 CFR

... 141.20 Section 141.20 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR...BUSINESS PRACTICES ON THE NAVAJO, HOPI AND ZUNI RESERVATIONS General...20 Payment for purchase of Indian goods or services. (a)...

2011-04-01

114

BBC: National Health Service  

NSDL National Science Digital Library

The Nation Health Service (NHS) was launched in 1948 with the proud expectation that it would make the UK the "envy of the world." On this site, visitors can follow the history of the NHS from the early planning stages through to its fully fledged "but sometimes problematic service." The site provides programs, documents, and images covering the birth of the National Health Service. Programs include video and audio of Sir William Beveridge outlining his proposals for a new welfare state in 1942, "How We Worked Then" where doctors and patients share memories of medical treatment before the NHS, and a 1973 broadcast of a debate about the state of the NHS. In addition to these fascinating programs, several documents are available for examination. Overall, this site is a captivating look into the UK's national health care system and should prove interesting to both scholars and those interested in a question that troubles many countries, including the U.S., today.

115

42 CFR 137.417 - What procedures apply to Interior Board of Indian Appeals (IBIA) proceedings?  

Code of Federal Regulations, 2012 CFR

...What procedures apply to Interior Board of Indian Appeals (IBIA) proceedings? 137...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...What procedures apply to Interior Board of Indian Appeals (IBIA) proceedings?...

2012-10-01

116

Geographical Access and the Substitution of Traditional Healing for Biomedical Services in Two American Indian Tribes  

PubMed Central

Objectives American Indians who live in rural reservation communities face substantial geographic barriers to care that may limit their use of health services and contribute to their well-documented health disparities. The purpose of this study was to examine the impact of geographical factors in access to care on the use of services for physical and mental health problems and to explore American Indians’ use of traditional healing services in relation to use of biomedical services. Methods We analyzed survey data collected from two tribes (Southwest and Northern Plains). Geographical access to the closest biomedical service was measured using a Geographic Information System, including road travel distance, elevation gain and reservation boundary crossing. Results Use of biomedical services was unaffected by geographical access for Northern Plains tribal members with mental health problems and for Southwest tribal members with physical or mental health problems. For members of the Northern Plains tribe with physical health problems, travel distance (p=0.007) and elevation gain (p=0.029) significantly predicted a lower likelihood of service use. The use of traditional healing was unrelated to biomedical service use for members of the Northern Plains tribe with physical or mental health problems and for members of the Southwest tribe with physical health problems. For members of the Southwest tribe with mental health problems, the use of biomedical services increased the likelihood of using traditional healing services. Conclusions Findings suggest that biomedical services are geographically accessible to most tribal members and that tribal members are not substituting traditional healing for biomedical treatments because of poor geographical access.

Fortney, John C.; Kaufman, Carol E.; Pollio, David; Beals, Janette; Edlund, Carrie; Novins, Douglas K.

2012-01-01

117

Health services in Vietnam  

Microsoft Academic Search

This paper reviews the existing health services in Vietnam against the background of 50 years of wars with Japan, France, the United States and neighbouring countries, leaving a devastated economy and thousands of war?wounded, prostitutes, drug addicts and orphans. Defoliation has affected soil fertility and caused miscarriages, stillbirths and deformities. Unexploded bombs still blow off peasants’ legs. The prevalence of

E. J. Shellard

1992-01-01

118

DEPARTMENT OF HEALTH & HUMAN SERVICES  

Center for Drug Evaluation (CDER)

Text VersionPage 1. DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration Rockville, MD 20857 ... More results from www.fda.gov/downloads/drugs/developmentapprovalprocess

119

42 CFR 137.21 - How does an Indian Tribe demonstrate financial stability and financial management capacity?  

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false How does an Indian Tribe demonstrate financial stability...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in...

2012-10-01

120

42 CFR 137.435 - Will an appeal adversely affect the Indian Tribe's rights in other compact, funding negotiations...  

Code of Federal Regulations, 2012 CFR

... Will an appeal adversely affect the Indian Tribe's rights in other compact, funding...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH... Will an appeal adversely affect the Indian Tribe's rights in other compact,...

2012-10-01

121

42 CFR 137.140 - On what basis may the Secretary reject an Indian Tribe's final offer?  

Code of Federal Regulations, 2012 CFR

...On what basis may the Secretary reject an Indian Tribe's final offer? 137.140 ...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...what basis may the Secretary reject an Indian Tribe's final offer? The...

2012-10-01

122

Health Services Utilization  

PubMed Central

Five different approaches that have been used to study the utilization of health services are reviewed: the sociocultural, sociodemographic, social-psychological, organizational, and social systems. Studies characterizing each approach are described and the limitations of each perspective are outlined. It is suggested that social system models that explicate causal structures and that incorporate features of all the other approaches may provide important new insights into utilization behavior.

Anderson, James G.

1973-01-01

123

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

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…

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

124

Health outcomes among American Indians with spinal cord injury  

Microsoft Academic Search

Krause JS, Coker JL, Charlifue S, Whiteneck GG. Health outcomes among American Indians with spinal cord injury. Arch Phys Med Rehabil 2000;81:924-31. Objective: To identify factors related to risk for poor health outcomes and secondary conditions in a sample of American Indians with spinal cord injury (SCI). Design: Interviews were conducted by telephone with most participants; those who did not

J. Stuart Krause; Jennifer L. Coker; Susan Charlifue; Gale G. Whiteneck

2000-01-01

125

Randomised health services studies.  

PubMed

The randomised controlled (or clinical) trial (RCT) is recognized as the most valid among the study designs. The use of RCT in research is widespread and well formalised. In contrast, implementations of new methods and policies in routine health care are commonly lacking a formalised design, impairing the ability to evaluate and improve health care. Use of experimental designs in health care is possible at the implementation phase of clinical or preventive action or more broad process-of-care. We propose the terminology randomised health services studies (RHS) to denote the use of a randomised design with observations in routine health care, regardless of whether randomisation is done at individual, population or process level. In contrast to RCT, the RHS should be based on the same regulative actions, funding mechanisms and ethical framework as routine health care itself. This commentary discusses the different basis, practicalities, and formalities that distinguish the RHS from the RCT. Development of a formalised framework for RHS, including distinct registration, could contribute to an increased use of valid methods in effectiveness research, thus gaining better and more direct evidence on routine medical practice. PMID:22461063

Hakama, Matti; Malila, Nea; Dillner, Joakim

2012-04-24

126

Predictors of Perceived Health Status in Older American Indians.  

National Technical Information Service (NTIS)

This study examines predictors of subjective health status in American Indians aged 45 years and older. Five predictor domains, variables representing them, and analytic procedures replicating those used in the Coronary Health Study of the Elderly (CHS) w...

2001-01-01

127

75 FR 8103 - Proposed Renewal of Agency Information Collection for Indian Self-Determination and Education...  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Proposed Renewal of Agency Information Collection for Indian Self-Determination and Education Assistance...

2010-02-23

128

78 FR 15035 - Extension, Without Changes of Agency Information Collection for Indian Self-Determination and...  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF THE INTERIOR Bureau of Indian Affairs DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Extension, Without Changes of Agency Information Collection for Indian Self-Determination and Education...

2013-03-08

129

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

PubMed Central

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.

Shanmugasundaram, Sujatha; O'Connor, Margaret

2009-01-01

130

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

ERIC Educational Resources Information Center

|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…

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

2009-01-01

131

HLA alleles and haplotypes among the lakota sioux: report of the ASHI minority workshops, part III 1 1 The term “American Indian” is preferred by the Lakota Sioux (personal communication from the Aberdeen Area Indian Health Service)  

Microsoft Academic Search

Human leukocyte antigen (HLA) class I and II alleles were defined for 302 Lakota Sioux American Indians as part of the American Society for Histocompatibility and Immunogenetics coordinated studies on minority populations. The study group was comprised of adult volunteers from the Cheyenne River and Ogala Sioux tribes residing, respectively, on the Cheyenne River and Pine Ridge Reservations in South

Mary S Leffell; M. Daniele Fallin; William H Hildebrand; Joshua W Cavett; Brian A Iglehart; Andrea A Zachary

2004-01-01

132

Hypertension treatment patterns in American Indians: the Strong Heart Study 1 1 The views expressed are those of the authors and do not necessarily reflect those of the Indian Health Service  

Microsoft Academic Search

Pharmacologic treatment patterns for hypertensive American Indians from 13 communities in Arizona, Oklahoma, South Dakota, and North Dakota were assessed. Participants (2254 women and 1384 men, aged 48 to 79 years) completed a clinical examination between July 1993 and December 1995. The mean of two blood pressure (BP) measurements and detailed medication histories were obtained. The observed prevalence of hypertension

James A. Hayslett; June E. Eichner; Jeunliang L. Yeh; Wenyu Wang; Jeff Henderson; Richard B. Devereux; Thomas K. Welty; Richard R. Fabsitz; Barbara V. Howard; Elisa T. Lee

2001-01-01

133

25 CFR 170.169 - What can a tribe do if Indian LTAP services are unsatisfactory?  

Code of Federal Regulations, 2013 CFR

25 Indians 1 2013-04-01 2013-04-01 false What can a tribe do if Indian LTAP services are unsatisfactory? 170.169 Section 170.169 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER...

2013-04-01

134

Demography and health of the Xavante Indians of Central Brazil.  

PubMed

This study investigates the demographic and health behavior of the Xavante Indians of Mato Grosso State, Central Brazil. Data covering the period 1999 to 2004 was collected using information from household censuses and vital statistics. In addition to standard demographic analyses, survival analysis was carried out. Results show a young age structure, derived from a combination of high fertility rates (7.7 live births per woman) and declining mortality. Mortality rates, especially infant mortality (97 per thousand), remain very high, surpassing regional and national rates. Natural increase is the main contributing factor to population growth. The annual population growth rate is 4.4%. Results suggest that recent declines in mortality and fertility may be related to transformations in the implementation of basic health care services and internal diversity, the latter of which seems to be associated with local history and sociocultural determinants. PMID:22031194

Souza, Luciene Guimarăes de; Santos, Ricardo Ventura; Pagliaro, Heloisa; Carvalho, Marilia Sá; Flowers, Nancy May; Coimbra, Carlos E A

2011-10-01

135

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

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…

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

136

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

|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…

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

137

Individual health services  

PubMed Central

Background The German statutory health insurance (GKV) reimburses all health care services that are deemed sufficient, appropriate, and efficient. According to the German Medical Association (BÄK), individual health services (IGeL) are services that are not under liability of the GKV, medically necessary or recommendable or at least justifiable. They have to be explicitly requested by the patient and have to be paid out of pocket. Research questions The following questions regarding IGeL in the outpatient health care of GKV insurants are addressed in the present report: What is the empirical evidence regarding offers, utilization, practice, acceptance, and the relation between physician and patient, as well as the economic relevance of IGeL? What ethical, social, and legal aspects are related to IGeL? For two of the most common IGeL, the screening for glaucoma and the screening for ovarian and endometrial cancer by vaginal ultrasound (VUS), the following questions are addressed: What is the evidence for the clinical effectiveness? Are there sub-populations for whom screening might be beneficial? Methods The evaluation is divided into two parts. For the first part a systematic literature review of primary studies and publications concerning ethical, social and legal aspects is performed. In the second part, rapid assessments of the clinical effectiveness for the two examples, glaucoma and VUS screening, are prepared. Therefore, in a first step, HTA-reports and systematic reviews are searched, followed by a search for original studies published after the end of the research period of the most recent HTA-report included. Results 29 studies were included for the first question. Between 19 and 53% of GKV members receive IGeL offers, of which three-quarters are realised. 16 to 19% of the insurants ask actively for IGeL. Intraocular tension measurement is the most common single IGeL service, accounting for up to 40% of the offers. It is followed by ultrasound assessments with up to 25% of the offers. Cancer screening and blood or laboratory services are also frequent and represent a major proportion of the demand. The ethical, social, and legal aspects discussed in the context of IGeL concern eight subject areas: autonomous patient decisions versus obtrusion, commercialization of medicine, duty of patient information, benefit, evidence, and (quality) control, role and relation of physicians and patients, relation to the GKV, social inequality, formally correct performance. For glaucoma screening, no randomized controlled trial (RCT) is identified that shows a patient relevant benefit. For VUS three RCT are included. However, they do not yet present mortality data concerning screened and non-screened persons. VUS screening shows a high degree of over-diagnosis in turn leading to invasive interventions. To diagnose one invasive carcinoma, 30 to 35 surgical procedures are necessary. Conclusion IGeL are a relevant factor in the German statutory health care system. To provide more transparency, the requests for evidence-based and independent patient information should be considered. Whether official positive and negative-lists could be an appropriate instrument to give guidance to patients and physicians, should be examined. Generally, IGeL must be seen in the broader context of the discussions about the future design and development of the German health care system.

Schnell-Inderst, Petra; Hunger, Theresa; Hintringer, Katharina; Schwarzer, Ruth; Seifert-Klauss, Vanadin Regina; Gothe, Holger; Wasem, Jurgen; Siebert, Uwe

2011-01-01

138

Indian research on disaster and mental health.  

PubMed

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

Kar, Nilamadhab

2010-01-01

139

42 CFR 137.145 - If the Secretary rejects a final offer, is the Secretary required to provide the Indian Tribe...  

Code of Federal Regulations, 2012 CFR

...is the Secretary required to provide the Indian Tribe with technical assistance? 137...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...is the Secretary required to provide the Indian Tribe with technical assistance?...

2012-10-01

140

42 CFR 137.24 - Are there grants available to assist the Indian Tribe to meet the requirements to participate in...  

Code of Federal Regulations, 2012 CFR

...Are there grants available to assist the Indian Tribe to meet the requirements to participate...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in...

2012-10-01

141

42 CFR 137.237 - How are funds redistributed when an Indian Tribe fully or partially withdraws from a compact or...  

Code of Federal Regulations, 2012 CFR

... How are funds redistributed when an Indian Tribe fully or partially withdraws from...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH... How are funds redistributed when an Indian Tribe fully or partially withdraws...

2012-10-01

142

Public health issues concerning American Indian and non-Indian uranium millworkers.  

PubMed

An exploratory study of 170 former American Indian (83) and non-Indian (87) uranium millworkers who worked in six mills was conducted in the southwestern United States. It was found that over 80 percent of the former millworkers felt they were not informed about the hazards of radiation during their employment and a majority reported respiratory diseases or symptoms. Study findings include a comparison of Indian and non-Indian perceptions of mill working conditions and self-reported health histories. The Indians have not been studied previously as a distinct group and, given their low smoking incidence, an epidemiologic study is warranted. Issues related to adequate diagnoses of workers' health problems are presented. PMID:10166786

Dawson, S E; Madsen, G E; Spykerman, B R

1997-01-01

143

Bibliography of Health and Disease in North American Indians, Eskimos, and Aleuts - 1969 to 1979.  

National Technical Information Service (NTIS)

This bibliography was compiled for the express purpose of aiding research by those in the 'front line' of providing health services for American Indians and Alaska Natives. The majority of these references are from the computerized data base of the Nation...

J. W. Justice

1982-01-01

144

Health Services and Health Care Providers  

MedlinePLUS

... these professionals are familiar with the issues that college students often face, such as stress, chronic health conditions, ... for any illnesses. If for some reason your college doesn't have student health services, an administrator at your school should ...

145

Improving health promotion to American Indians in the midwest United States: preferred sources of health information and its use for the medical encounter.  

PubMed

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

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

2012-12-01

146

Factors Associated with American Indian Teens' Self-Rated Health  

ERIC Educational Resources Information Center

|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…

Parker, Tassy

2004-01-01

147

Navajo Master Health Plan, 1979-1983. Arizona Health Service Area 4. Behavioral Health Services.  

National Technical Information Service (NTIS)

Behavioral health services is a collective term used to describe all health problems manifested through an individual's behavior. Treatment may include a full range of mental health, alcohol and drug abuse services, as well as related social services, cri...

1982-01-01

148

Health Consultation: Hopi Sheep Dip Vats, Hopi Indian Reservation, Arizona.  

National Technical Information Service (NTIS)

The Bureau of Indian Affairs (BIA) requested the Agency for Toxic Substances and Disease Registry (ATSDR) to review the results of soil and groundwater samples obtained from the Hopi Reservation, and provide a public health opinion regarding exposures to ...

2006-01-01

149

[Terrorism, public health and health services].  

PubMed

Today the terrorism is a problem of global distribution and increasing interest for the international public health. The terrorism related violence affects the public health and the health care services in an important way and in different scopes, among them, increase mortality, morbidity and disability, generates a context of fear and anxiety that makes the psychopathological diseases very frequent, seriously alters the operation of the health care services and produces important social, political and economic damages. These effects are, in addition, especially intense when the phenomenon takes place on a chronic way in a community. The objective of this paper is to examine the relation between terrorism and public health, focusing on its effects on public health and the health care services, as well as to examine the possible frames to face the terrorism as a public health concern, with special reference to the situation in Spain. To face this problem, both the public health systems and the health care services, would have to especially adapt their approaches and operational methods in six high-priority areas related to: (1) the coordination between the different health and non health emergency response agencies; (2) the reinforcement of the epidemiological surveillance systems; (3) the improvement of the capacities of the public health laboratories and response emergency care systems to specific types of terrorism as the chemical or biological terrorism; (3) the mental health services; (4) the planning and coordination of the emergency response of the health services; (5) the relations with the population and mass media and, finally; (6) a greater transparency in the diffusion of the information and a greater degree of analysis of the carried out health actions in the scope of the emergency response. PMID:19701568

Arcos González, Pedro; Castro Delgado, Rafael; Cuartas Alvarez, Tatiana; Pérez-Berrocal Alonso, Jorge

150

Manpower Services to Arizona Indians, 1968, Sixteenth Annual Report. Research and Information Series No. OPR-2-69.  

ERIC Educational Resources Information Center

The Arizona State Employment Service (ASES) provides placement, testing, counseling, and manpower information services to Arizona's Indian labor force. Special services to Indians include Indian branch offices, special communications systems, an Indian job development program, and manpower resources development assistance. Two manpower resources…

Hackett, Margie I., Comp.

151

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

ERIC Educational Resources Information Center

|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

Gourneau, Linda

152

Health Promotion Intervention in Mental Health Services Health Promotion Intervention in Mental Health Services  

Microsoft Academic Search

The aim of this thesis was to define and develop the concept of health promotion in mental health services as well as to develop a questionnaire to measure patients' subjective experiences of health promotion interven- tion in mental health services. The samples consisted of 12 patients in study I and 12 nurses in study II as well as 135 patients

Petra Svedberg

2007-01-01

153

Climate change and human health: Indian context.  

PubMed

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

Singh, Poonam K; Dhiman, Ramesh C

2012-06-01

154

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

Code of Federal Regulations, 2013 CFR

...MINIMUM ACADEMIC STANDARDS FOR THE BASIC EDUCATION OF INDIAN CHILDREN AND NATIONAL CRITERIA FOR DORMITORY SITUATIONS Homeliving...a) A homeliving program must make available basic medical, dental, vision, and other necessary health services for...

2013-04-01

155

The Health of Indian and Inuit Children in Canada in the 1980s and 1990s  

PubMed Central

The last 20 years have seen important improvements in the health status of Native Canadian children. Discrepancies in health status remain between Native and other Canadians. Further improvement is less likely to result from adding more medical services than from broader social change. The economic and cultural base of Native communities needs strengthening. Indian and Inuit people need the opportunities and resources to assume responsibility for their own health and social services in the context of a broader transfer of control. Such a transfer will mark the end of a struggle for Native peoples and the beginning of a new challenge for Native people and for those who work on their behalf.

Pekeles, Gary

1988-01-01

156

Connecting youth with health services  

PubMed Central

ABSTRACT OBJECTIVE To identify models of health care delivery that support youth access to health and mental health care. DATA SOURCES Information was obtained from PubMed, Ovid MEDLINE, Web of Knowledge, and Sociological Abstracts (CSA Illumina). STUDY SELECTION Studies reviewed in this article provided level I, II, or III evidence. SYNTHESIS Youth access health care, with the support of parents and family, through families’ existing health care providers or family physicians. Youth might be reluctant to involve parents or to consult family physicians for health concerns related to substance use, emotional problems, or reproductive concerns. Primary health care service models need to support youth access to care and ensure that youth feel comfortable seeking care for all of their health concerns. School-based and community-based health care centres might be better positioned to meet the needs of youth than traditional office-based practices are. CONCLUSION There is a growing body of evidence on health service models that support effective and accessible delivery of health and mental health services for youth. The health needs and challenges of youth are often predictable. Available evidence highlights the importance of including youth experience and voices in planning, delivery, and evaluation of services.

Anderson, Jennifer Ellen; Lowen, Corrine Ann

2010-01-01

157

Discovering HealthGrid Services  

Microsoft Academic Search

HealthGrids represent the next generation of advanced healthcare IT and hold the promise to resolve complex healthcare problems by integrating health information systems and healthcare entities. Healthcare could benefit from a new delivery approach using HealthGrids to better meet the bio-medical and health-related needs. Specialized services are needed to provide unified discovery of and ubiquitous access to available HealthGrid resources.

Aisha Naseer; Lampros K. Stergioulas

2006-01-01

158

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

...the role of the Bureau of Indian Affairs Director of Law Enforcement Services? 12.2 Section 12.2...BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER INDIAN COUNTRY LAW ENFORCEMENT Responsibilities § 12.2...

2011-04-01

159

Reproductive health services.  

PubMed

By 1992, there were 3187 maternal and child health (MCH) care centers and 34 children's hospitals in 87.9% of China's villages, staffed with 58,379 gynecologists, obstetricians and pediatricians; 60,000 midwives; and 460,000 country doctors and birth attendants. From 1949 to 1990, the infant mortality rate declined from about 200/1000 to 31.42/1000, and the maternal mortality rate dropped from 1500 per 100,000 women to 94.7 per 100,000 women. By 1992, deliveries attended by trained midwives constituted 84.1% nationwide, and hospital deliveries made up 52.7% nationally. The childhood immunization coverage rate is over 85%. The family planning policy was established in 1979 to promote later age at marriage, encourage delayed childbearing, and support fewer but healthier births. China advocates 1 child per couple; however, certain minority groups may have 3 or even 4 children. At the town level, family planning sub-stations were established throughout the county to disseminate information about family planning, provide technical services, distribute contraceptives, and train family planning service workers. The maternal mortality rate remains unacceptably high at 114.9 per 100,000 women in rural China. Inadequate nutrition of children is as high as 21%. In remote areas the fertility rate, infant mortality rate and maternal mortality rate remain comparatively high. In 1992 a total of 759,989 cases of STDs were reported throughout the country. By the end of 1992, testing for HIV among 1.61 million people revealed 969 HIV-positive and 12 AIDS cases. About 15 million men have accepted male sterilization in Sichuan. By 1992 a total of over 156.6 million women were using IUDs and sterilization, whereas only 31.7 million husbands used male methods such as the condom and sterilization. Extensive IEC activities are being carried out that stress the advantages of male methods. In 1992 the IUD and sterilization accounted for 90.8% of the total. By 1993, the sale of contraceptives in the marketplace (in hospitals, drug-stores, pharmacies and others) accounted for 14% of the total. PMID:12288127

1994-07-01

160

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

ERIC Educational Resources Information Center

|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…

Zokan delos Reyes, Louise

161

School Health Services.  

ERIC Educational Resources Information Center

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

Wilson, Charles C., Ed.

162

Health services pricing in Turkey.  

PubMed

One of the most important and complex decisions that public services managers have to make is pricing. This is especially difficult within public health care because pricing decisions are influenced by a myriad of ideological, political, economic and professional arguments. In Turkey the majority of health care services are provided under public auspice; however, recent changes in governmental policy have led to increased competition among hospitals in both the public and private sector. Therefore, all institutions are being watched and remain open to government scrutiny and regulation. The aim of the study is to analyze how the private and governmental hospitals determine pricing or the actual cost of services in Turkey. Also, comparisons are made between health services expenditures and the Consumer Price Index with suggestions provided for public and private hospital managers in regard to the general cost of health services. PMID:11183658

Tengilimoglu, D; Dziegielewski, S F

2000-01-01

163

Guidelines for School Health Services.  

ERIC Educational Resources Information Center

|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…

Dougherty, Sarah; And Others

164

Urban-indigenous therapeutic landscapes: a case study of an urban American Indian health organization.  

PubMed

We engage and extend the concept of therapeutic landscapes through a case study at an urban American Indian health organization in the Midwestern United States. This case affords insights at the unique confluence of indigeneity and urbanization, prompting us to coin the construct "urban-indigenous therapeutic landscapes" to characterize such sites. These landscapes warrant urgent attention in light of increasing urbanization and health disparities among indigenous peoples internationally. On the basis of thematic content analysis, three themes were identified from 17 open-ended interviews with American Indian community members. Specifically, respondents viewed the health organization as (a) a vital place to be among other American Indians and connected to Native culture, (b) a place where one feels at home and welcome, and (c) a place in which health services are delivered in an especially intimate and hospitable manner. Significant challenges and tensions were also communicated, in terms of unique intersections of health care and indigeneity. Results are interpreted in terms of urban Indian health organizations as urban-indigenous therapeutic landscapes. PMID:22763082

Wendt, Dennis C; Gone, Joseph P

2012-06-17

165

Health Services: Sources of Information for Research.  

National Technical Information Service (NTIS)

The publication was developed to help people to understand and to gain access to the health services research literature. It covers current areas of inquiry in health services research as well as methodologies used to conduct health services research. Con...

1992-01-01

166

Providing psychological services to American Indian children and families  

Microsoft Academic Search

Argues that psychologists must understand their clients' cultural values and backgrounds before they can offer appropriate mental health services. The present authors address issues that arise when non-Native American psychologists become involved in the delivery of psychological services to Native American children and families. The authors also review cultural differences, such as family structure, childrearing practices, and religion, in attitudes

Frances Everett; Noble Proctor; Betty Cartmell

1983-01-01

167

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

ERIC Educational Resources Information Center

|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…

Hartmann, William E.; Gone, Joseph P.

2012-01-01

168

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

ERIC Educational Resources Information Center

|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…

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

2003-01-01

169

Health Services and Collective Bargaining  

ERIC Educational Resources Information Center

|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)|

Torrence, William D.

1974-01-01

170

North Dakota Off-Reservation Indian Health Study.  

National Technical Information Service (NTIS)

An exploratory study into the health problems of off-reservation Indians in North Dakota, carried out in the summer of 1971, is reported. The study addressed the adequacy of health care delivery to this group; the legal, social, and cultural factors affec...

R. Sullivan

1972-01-01

171

25 CFR 559.7 - May the Chairman request Indian lands or environmental and public health and safety documentation...  

Code of Federal Regulations, 2010 CFR

...Indian lands or environmental and public health and safety documentation...Indian lands or environmental and public health and safety documentation...Indian lands or environmental and public health and safety documentation...

2009-04-01

172

25 CFR 559.7 - May the Chairman request Indian lands or environmental and public health and safety documentation...  

Code of Federal Regulations, 2010 CFR

...Indian lands or environmental and public health and safety documentation...Indian lands or environmental and public health and safety documentation...Indian lands or environmental and public health and safety documentation...

2010-04-01

173

34 CFR 300.712 - Payments for education and services for Indian children with disabilities aged three through five.  

Code of Federal Regulations, 2010 CFR

...false Payments for education and services for Indian children with disabilities aged...ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES...712 Payments for education and services for Indian children with disabilities...

2009-07-01

174

34 CFR 300.712 - Payments for education and services for Indian children with disabilities aged three through five.  

Code of Federal Regulations, 2010 CFR

...false Payments for education and services for Indian children with disabilities aged...ASSISTANCE TO STATES FOR THE EDUCATION OF CHILDREN WITH DISABILITIES...712 Payments for education and services for Indian children with disabilities...

2010-07-01

175

34 CFR 371.1 - What is the Vocational Rehabilitation Services Program for American Indians with Disabilities?  

Code of Federal Regulations, 2013 CFR

...Rehabilitation Services Program for American Indians with Disabilities? This program is designed...rehabilitation services to American Indians with disabilities who reside on Federal...and 130(a) of the Act; 29 U.S.C....

2013-07-01

176

Delivering services and influencing policy: Health care professionals join forces to improve maternal, newborn, and child health  

Microsoft Academic Search

This article reviews the major activities of health care professional organizations (HCPAs), and emphasizes the role they can play in advocating for women and children and influencing maternal, newborn, and child health (MNCH) programs and policies. The ICM\\/FIGO joint effort to prevent postpartum hemorrhage and the 40-year partnership between the American Academy of Pediatrics (AAP) and the Indian Health Service

2009-01-01

177

US Public Health Service  

Center for Food Safety and Applied Nutrition (CFSAN)

Text Version... by assuring the safety and security of our ... and Emergency Guidance of Interest to Schools ... health care facility, hotel, motel, school, recreational camp ... More results from www.fda.gov/downloads/food/foodsafety

178

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...

179

Health services in Indonesia.  

PubMed

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

Kosen, S; Gunawan, S

180

Health services research.  

PubMed

The major barriers to the collection of primary population-based dental services data are: (1) Dentists do not use standard record systems; (2) few dentists use electronic records; and (3) it is costly to abstract paper dental records. The value of secondary data from paid insurance claims is limited, because dentists code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care provided to underserved populations, we have developed a simplified dental visit encounter system. Senior students and residents from 15 dental schools (approximately 200 to 300 community delivery sites) will use computers or scannable paper forms to collect basic patient demographic and service data on several hundred thousand patient visits. Within the next 10 years, more dentists will use electronic records. To be of value to researchers, these data need to be collected according to a standardized record format and to be available regionally from public or private insurers. PMID:15126214

Bailit, H L

2003-12-01

181

Children's mental health service use across service sectors  

Microsoft Academic Search

This DataWatch explores the roles of human service sectors (mental health, education, health, child welfare, and juvenile justice) in providing mental health services for children. The data are from the first wave of the Great Smoky Mountains Study of Youth, a population-based study of psychopathology and mental health service use among children. The results show somewhat higher rates of mental

Barbara J. Burns; E. Jane Costello; Adrian Angold; Dan Tweed; Dalene Stangl; Elizabeth M. Z. Farmer; Al Erkanli

1995-01-01

182

42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...  

Code of Federal Regulations, 2011 CFR

...2011-10-01 false What does the Indian Child Protection and Family Violence Prevention...HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family Violence...

2011-10-01

183

42 CFR 136.404 - What does the Indian Child Protection and Family Violence Prevention Act require of the IHS and...  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What does the Indian Child Protection and Family Violence Prevention...HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.404 What does the Indian Child Protection and Family Violence...

2012-10-01

184

India-EU relations in health services: prospects and challenges  

PubMed Central

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-EU relations in health services, it will be difficult to realize these opportunities given the pre-dominance of public healthcare delivery in the EU and sensitivities associated with commercializing healthcare. Hence, a gradual approach based on pilot initiatives and selective collaboration would be advisable initially, which could be expanded once there is demonstrated evidence on outcomes. Overall, the paper makes a contribution to the social science and health literature by adding to the limited primary evidence base on globalization and health, especially from a developing-developed country and regional perspective.

2011-01-01

185

The India Local Initiatives Program: A Model for Expanding Reproductive and Child Health Services  

Microsoft Academic Search

The India Local Initiatives Program adapted a model used in Indonesia and Bangladesh to implement the government's reproductive and child health strategy. From 1999 to 2003, three Indian nongovernmental organizations (NGOs) provided services for 784,000 people in four northern states. The program established health committees in 620 villages, recruited and trained 1,850 community health volunteers, and added 232 sites to

John M. Paxman; Abu Sayeed; Ann Buxbaum; Sallie Craig Huber; Charles Stover

2005-01-01

186

American Indian & Alaska Native Sources of Health Materials.  

ERIC Educational Resources Information Center

|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…

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

187

American Indian & Alaska Native Sources of Health Materials.  

ERIC Educational Resources Information Center

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…

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

188

34 CFR 303.13 - Health services.  

Code of Federal Regulations, 2010 CFR

...includesâ (1) Such services as clean intermittent...bags, and other health services; and (2) Consultation by physicians with other service providers concerning...sources to be used in paying for the services or...

2009-07-01

189

34 CFR 303.13 - Health services.  

Code of Federal Regulations, 2010 CFR

...includesâ (1) Such services as clean intermittent...bags, and other health services; and (2) Consultation by physicians with other service providers concerning...sources to be used in paying for the services or...

2010-07-01

190

Forest Service National Resource Guide to American Indian and Alaska Native Relations  

NSDL National Science Digital Library

The US Forest Service created this publication to describe and "improve the implementation of the Forest ServiceÂs American Indian and Alaska Native Policy." Written for Forest Service leadership, the publication outlines the government's position on "Treaty Rights and Forest Service Responsibilities; Traditional Beliefs and Practices; and Opportunities for Research, Transfer of Technology, and Technical Assistance."

191

Indian Employment, Training, and Related Services Demonstration Act. Hearing on Public Law 102-477, Indian Employment, Training and Related Services Demonstration Act of 1992 before the Committee on Indian Affairs. United States Senate, One Hundred Fifth Congress, First Session.  

ERIC Educational Resources Information Center

The Senate Committee on Indian Affairs held a hearing to assess the success of Public Law 102-477, the Indian Employment, Training, and Related Services Demonstration Act of 1992. Specifically, the hearing looked at how well the Act is working in terms of enhancing program efficiency, reducing unemployment in Native communities, and improving…

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

192

Enhancing microfinance outreach through market-oriented new service development in Indian regional rural banks  

Microsoft Academic Search

Purpose – Hitherto, assessments of the effectiveness of Indian microfinance institutions in achieving their economic and social goals have largely identified only limited success. Critics of Indian regional rural banks (RRBs) and their prevailing culture have argued that a product-focused rather than a market-oriented approach to new service development (NSD) is responsible for their inadequate performance. With this in mind,

Philip Megicks; Atul Mishra; Jonathan Lean

2005-01-01

193

Patterns of Enterpreneurship: A Study of Gender Training Frameworks for Officers of the Indian Administrative Service  

Microsoft Academic Search

The awareness of women as a category of development promoted the establishment of Women in Development (WID) organizations but these remain on the peripheries of mainstream development concerns. This research examines the entrepreneurial roles of Indian Administrative officers for gender aware planning and implementation of gender aware development planning. The Indian Administrative Service (IAS) is a critical stakeholder in the

C. Kaye Bragg

2004-01-01

194

Service, Resource and Training Needs of American Indian Vocational Rehabilitation Projects.  

ERIC Educational Resources Information Center

This study sought to identify resources available and training/technical assistance needs of personnel employed by projects serving American Indians and Alaska Natives under the provisions of Section 130 of the Rehabilitation Act. Section 130 authorizes funding of vocational rehabilitation service grants to the governing bodies of Indian tribes on…

Lonetree, Georgia L.

195

Health Insurance Coverage for Smoking Cessation Services  

Microsoft Academic Search

The health benefits from quitting smoking have been well documented; however, most health insurance plans in the United States, both public and private, have excluded coverage of smoking cessation services. Since 1988, numerous public health policy documents have called for health insurance coverage of smoking cessation services, although there is little agreement over what kinds of services or interventions are

Helen Halpin Schauffler; Michael D. Parkinson

1993-01-01

196

Health Systems Plan for 1979. Health Service Area 1 Arizona.  

National Technical Information Service (NTIS)

This health systems plan (HSP) of the Central Arizona Health Systems Agency is intended to reflect local health needs, resources, conditions, and population patterns. Following an introductory section and a description of the health service area, health s...

1979-01-01

197

INSTRUCTIONAL DESIGN AND ASSESSMENT A Service-Learning Elective in Native American Culture, Health and Professional Practice  

Microsoft Academic Search

Objectives. To evaluate the success of an elective course in Native American culture, health, and service-learning in fostering interest in experiences and careers with the USPHS Indian Health Service (IHS), and in shaping reflective practitioners. Design. Students conducted readings, kept reflective journals, and engaged in discussions with Native American and non-Native American speakers. Students orally presented a Native American health

Victoria F. Roche; Rhonda M. Jones; Clint E. Hinman; Nathalie Seoldo

198

Reorienting health and social services.  

PubMed

The global HIV/AIDS epidemic poses the particular challenge of how to concentrate resources and bring about results without provoking stigmatization against those groups who are highly vulnerable. AIDS-based discrimination is increasing around the world and is manifested in the unwillingness to fund programs claiming that the victims are at fault. This means that sexually transmitted diseases (STDs) and AIDS programs are responsible for promoting nondiscriminatory approaches. STD treatment programs generally provide pre- and post-test counseling, but broader antistigmatization efforts have been carried out by AIDS service organizations and nongovernmental organizations. A well-developed response to HIV/AIDS and STDs involves service and program providers, community health workers, traditional health practitioners, general and private practitioners, pharmacists, traditional birth attendants, and social workers. Outreach staff need to link with community workers and volunteers close to the client groups. HIV/STD diagnosis and treatment programs need to be coupled also with intensive community-led prevention and support activities in order to influence sexual behaviors. Programs conducted in this spirit share information more easily, provide authoritative roles for nonbiomedical workers, and have clear goals that are supported by the clients. These programs forge alliances between clients, service providers, and community leaders. The underlying concept of human rights embraces a broader perspective looking for the determinants and remedies for vulnerability to HIV/STD. HIV/AIDS/STDs must be fought to defeat both the virus and social backlash. This two-pronged struggle requires the reorientation of health and social services centering on partnerships and a conducive management style. Health and social services can be constrained by a trend toward reduced funding, but HIV-affected communities induce them to change whereby new partnerships could be forged. PMID:12346914

Sabatier, R

1995-01-01

199

7. U.S. INDIAN IRRIGATION SERVICE BENCHMARK ON MAIN CANAL CHECK ...  

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

7. U.S. INDIAN IRRIGATION SERVICE BENCHMARK ON MAIN CANAL CHECK STRUCTURE AT PIMA LATERAL TURNOUT - San Carlos Irrigation Project, Marin Canal, Amhurst-Hayden Dam to Picacho Reservoir, Coolidge, Pinal County, AZ

200

Health Services Research Tools for Public Health Professionals  

PubMed Central

Although the fields of public health and health services research have much in common, public health practitioners—in their daily encounters with practical, frontline challenges—may not be aware of the quantity and the quality of information generated by health services research that is directly related to public health activities. We describe a number of health services research resources that public health practitioners may find useful, including an overview of these resources and several in-depth examples.

Whitener, B. Lynn; Van Horne, Virginia V.; Gauthier, Anne K.

2005-01-01

201

Evaluating a health service taskforce.  

PubMed

A large number of taskforces and other quality improvement teams have been set up to achieve change in recent years, both in health and elsewhere, but there has been relatively little systematic evaluation of the benefits obtained. This paper discusses alternative methodologies and frameworks for assessing the value of taskforces and other quality improvement teams in the public sector and concludes that the Performance Prism, used in conjunction with the public sector scorecard, a variant of the balanced scorecard, is most appropriate. The paper then describes a case study on the evaluation of a UK health service taskforce using the recommended approach and reflects on its successes and limitations. PMID:15481691

Moullin, Max

2004-01-01

202

DEPARTMENT OF HEALTH & HUMAN SERVICES NDA 20 ...  

Center for Drug Evaluation (CDER)

Text VersionPage 1. DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service ... Sincerely, {See appended electronic signature page} ... More results from www.fda.gov/downloads/drugs/developmentapprovalprocess

203

45 CFR 96.45 - Preventive health and health services.  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false Preventive health and health services. 96.45 Section 96.45 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION...applicants under section 1902(d) of the Public Health Service Act, a grantee that...

2012-10-01

204

Age and Mental Health Services  

Microsoft Academic Search

This paper examines how age is related to theuse of formal and informal mental health services,adjustment to current life conditions, and expectationsfor improvement in future life conditions among a group of persons with serious mental illnesses.Interviews with 301 clients of 3 clinics at a publicpsychiatric facility serving West Brooklyn and StatenIsland provide the data from the study. Outcome measures include

Allan V. Horwitz; Thomas Uttaro

1998-01-01

205

Extended hours community mental health nursing service  

Microsoft Academic Search

The Extended Hours Community Mental Health Nursing Service is an innovative service introduced within Milton Keynes following the success of an earlier project. The service operates every day and provides an on-call Community Mental Health Nurse (CMHN) who is available 1700-0100 h for people aged 17 years and over, in support of other health services.The function of the service is

S. Putman

1998-01-01

206

Health services and health care economics: the health psychology marketplace.  

PubMed

In an effort toward cost containment, the health care system in the United States has undergone radical changes in the last decade. These changes have influenced the delivery of clinical health psychology services. This article reviews several economic and marketing factors salient to the clinical health psychology marketplace. For example, these economic changes have placed greater emphasis on the need for cost-effectiveness and accountability in the health psychology field. Implications for education and training, collaboration with other health care specialties, new practice initiatives, and public relations are reviewed. Future challenges and opportunities for clinical health psychology are discussed. PMID:15008657

Tovian, Steven M

2004-03-01

207

World Trade Organization activity for health services.  

PubMed

Since the establishment of a multilateral trading system and the increasing mobility of professionals and consumers of health services, it seems strongly necessary that the World Trade Organization (WTO) undertakes negotiations within the General Agreement on Trade in Services (GATS), and that WTO's members attempt to reach commitments for health-related trade in services. How important is the GATS for health policy and how does the GATS refer to health services? What are the current negotiations and member's commitments? PMID:23016196

Gros, Clémence

2012-01-01

208

History, law, and policy as a foundation for health care delivery for American Indian and Alaska native children.  

PubMed

Most American Indian and Alaska Native Children (AIAN) receive health care that is based on the unique historical legacy of tribal treaty obligations and a trust relationship of sovereign nation to sovereign nation. From colonial America to the early 21st century, the wellbeing of AIAN children has been impacted as federal laws were crafted for the health, education and wellbeing of its AIAN citizens. Important public laws are addressed in this article, highlighting the development of the Indian Health Service (IHS), a federal agency designed to provide comprehensive clinical and public health services to citizens of federally recognized tribes. The context during which various acts were made into law are described to note the times during which the policy making process took place. Policies internal and external to the IHS are summarized, widening the lens spanning the past 200 years and into the future of these first nations' youngest members. PMID:19962035

Thierry, Judith; Brenneman, George; Rhoades, Everett; Chilton, Lance

2009-12-01

209

The Changing Alaskan Experience--Health Care Services and Cultural Identity  

PubMed Central

Before Western contact, Alaskan Native populations were self-sufficient in their health practices. Slowly, the Native health care system was replaced by a Western one which was highly effective in treating infectious diseases. As infectious diseases were brought under control by the Indian Health Service, the emergent leading health problems were related to violence, attributed in part to cultural disintegration. New types of Native health providers and new Native-controlled institutions evolved to provide culturally appropriate health and mental health services and to promote a stronger cultural identity.

Dixon, Mim; Myers, Wayne W.; Book, Patricia A.; Nice, Philip O.

1983-01-01

210

Health Care Services for Children and Adolescents  

Microsoft Academic Search

The authors of this paper identify risks to health and other factors that determine the need for health care services among children and adolescents. They document service utilization patterns in the areas of well-child care and immunizations, acute ambulatory care and hospital services, and injury prevention. They also acknowledge the special health care needs of adolescents and of children with

James Perrin; Bernard Guyer; Jean M. Lawrence

211

Student Health Services at Orchard Ridge.  

ERIC Educational Resources Information Center

|This paper provides a synoptic review of student health services at the community college level while giving a more detailed description of the nature of health services at Orchard Ridge, a campus of Oakland Community College. The present College Health Service program provides for a part-time (24 hrs./wk.) nurse at Orchard Ridge. A variety of…

Nichols, Don D.

212

42 CFR 410.170 - Payment for home health services, for medical and other health services furnished by a provider...  

Code of Federal Regulations, 2012 CFR

...Payment for home health services, for medical and other health services furnished...SERVICES MEDICARE PROGRAM SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS Payment of...Payment for home health services, for medical and other health services...

2012-10-01

213

Privacy and occupational health services.  

PubMed

Privacy is a key ethical principle in occupational health services. Its importance is emphasised in several laws, in ethical codes of conduct as well as in the literature, yet there is only very limited empirical research on privacy in the occupational health context. Conceptual questions on privacy in the occupational health context are discussed. The baseline assumption is that, in this context, privacy cannot be approached and examined only from the employee's (an individual) vantage point but the employer's (a group) point of view must also be taken into account, and that the concept has several dimensions (physical, social, informational and psychological). Even though privacy is a basic human need, there is no universally accepted definition of the concept and no consensus on whether an organisation can have privacy in the same way as people do. Many of the challenges surrounding privacy in the context of occupational health seem to be associated with the dual loyalties of occupational health professionals towards the employee and employer and with their simultaneous duties of disseminating and protecting information (informational privacy). Privacy is thus not an absolute value, but more research is needed to understand its multidimensional nature in the context of occupational health. PMID:16943333

Heikkinen, A; Launis, V; Wainwright, P; Leino-Kilpi, H

2006-09-01

214

Privacy and occupational health services  

PubMed Central

Privacy is a key ethical principle in occupational health services. Its importance is emphasised in several laws, in ethical codes of conduct as well as in the literature, yet there is only very limited empirical research on privacy in the occupational health context. Conceptual questions on privacy in the occupational health context are discussed. The baseline assumption is that, in this context, privacy cannot be approached and examined only from the employee's (an individual) vantage point but the employer's (a group) point of view must also be taken into account, and that the concept has several dimensions (physical, social, informational and psychological). Even though privacy is a basic human need, there is no universally accepted definition of the concept and no consensus on whether an organisation can have privacy in the same way as people do. Many of the challenges surrounding privacy in the context of occupational health seem to be associated with the dual loyalties of occupational health professionals towards the employee and employer and with their simultaneous duties of disseminating and protecting information (informational privacy). Privacy is thus not an absolute value, but more research is needed to understand its multidimensional nature in the context of occupational health.

Heikkinen, A; Launis, V; Wainwright, P; Leino-Kilpi, H

2006-01-01

215

First Annual Report of the Commission on Indian Services. Submitted to Members of the Fifty-Ninth Legislative Assembly and the Governor of the State of Oregon.  

ERIC Educational Resources Information Center

|Highlighted in this report is the 1976-77 work of the ten member Commission on Indian Services which was established in 1976 to compile information on services available to Indians, to develop programs to inform Indians of services available to them, to develop programs to make Indian wants and needs known to public and private agencies, and to…

Commission on Indian Services, Salem, OR.

216

American Indian and Alaska Native mental health: diverse perspectives on enduring disparities.  

PubMed

As descendants of the indigenous peoples of the United States, American Indians and Alaska Natives (AI/ANs) have experienced a resurgence in population and prospects since the beginning of the twentieth century. Today, tribally affiliated individuals number over two million, distributed across 565 federally recognized tribal communities and countless metropolitan and nonreservation rural areas. Although relatively little evidence is available, the existing data suggest that AI/AN adults and youth suffer a disproportionate burden of mental health problems compared with other Americans. Specifically, clear disparities have emerged for AI/AN substance abuse, posttraumatic stress, violence, and suicide. The rapid expansion of mental health services to AI/AN communities has, however, frequently preceded careful consideration of a variety of questions about critical components of such care, such as the service delivery structure itself, clinical treatment processes, and preventive and rehabilitative program evaluation. As a consequence, the mental health needs of these communities have easily outpaced and overwhelmed the federally funded agency designed to serve these populations, with the Indian Health Service remaining chronically understaffed and underfunded such that elimination of AI/AN mental health disparities is only a distant dream. Although research published during the past decade has substantially improved knowledge about AI/AN mental health problems, far fewer investigations have explored treatment efficacy and outcomes among these culturally diverse peoples. In addition to routine calls for greater clinical and research resources, however, AI/AN community members themselves are increasingly advocating for culturally alternative approaches and opportunities to address their mental health needs on their own terms. PMID:22149479

Gone, Joseph P; Trimble, Joseph E

2011-12-05

217

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

PubMed Central

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.

Ramakrishna, J; Weiss, M G

1992-01-01

218

Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text VersionDepartment of Health and Human Services Public Health Service Food and Drug Administration Center for Biologics Evaluation and Research ... More results from www.fda.gov/downloads/biologicsbloodvaccines/bloodbloodproducts

219

Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text VersionPage 1. Department of Health and Human Services Public Health Service Food and Drug Administration Center for Drug ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

220

1 Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text Version1 Department of Health and Human Services Public Health Service Food and Drug Administration Center for Biologics Evaluation and Research ... More results from www.fda.gov/downloads/biologicsbloodvaccines/bloodbloodproducts

221

Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text Version... of Health and Human Services Public Health Service Food and ... epinephrine, diphenhydramine, prednisone Given diphenhydramine and “steroids” ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

222

Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text VersionDepartment of Health and Human Services Public Health Service Food and ... data collection methodologies, the small sample size can make ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

223

Health Status, Health Insurance, and Health Services Utilization: 2001. Household Economic Studies.  

National Technical Information Service (NTIS)

This report presents health service utilization rates by economic and demographic characteristics, health insurance coverage status, and health status.1 The health service utilization rates are measured by the frequencies of visits to service providers, s...

2006-01-01

224

Mental Health Service Delivery Systems and Perceived Qualifications of Mental Health Service Providers in School Settings  

ERIC Educational Resources Information Center

Latest research on the mental health status of children indicates that schools are key providers of mental health services (U.S. Department of Health and Human Services, 2003). The push for school mental health services has only increased as stakeholders have begun to recognize the significance of sound mental health as an essential part of…

Dixon, Decia Nicole

2009-01-01

225

71 FR 28043 - Health Promotion and Disease Prevention Grant Program: Correction  

Federal Register 2010, 2011, 2012, 2013

...OF HEALTH AND HUMAN SERVICES Indian Health Service Health Promotion and Disease Prevention Grant Program: Correction...FOR FURTHER INFORMATION CONTACT: Alberta Becenti, Health Promotion and Disease Prevention Consultant, Indian...

2006-05-15

226

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

Federal Register 2010, 2011, 2012, 2013

...Title: Office of Urban Indian Health Programs (OUIHP) Uniform Data...requirements for the cluster of primary health care and case management/outreach and referral grantees...Law 94-437, of the Indian Health Care Improvement Act, as...

2010-10-22

227

Directory of Health Promotion Services for the Workplace. Michigan Health Service Area 4.  

National Technical Information Service (NTIS)

This Directory of Health Promotion Services in the Workplace presents information from health promotion survey questionnaires returned from health promotion service providers in West Central Michigan. Most information has been drawn from the survey conduc...

1984-01-01

228

Cultural Identities and Perceptions of Health Among Health Care Providers and Older American Indians  

PubMed Central

BACKGROUND Differences in provider-patient health perceptions have been associated with poor patient outcomes, but little is known about how patients' cultural identities may be related to discordant perceptions. OBJECTIVE To examine whether health care providers and American-Indian patients disagreed on patient health status ratings, and how differences related to these patients' strength of affiliation with American-Indian and white-American cultural identities. DESIGN Survey of patients and providers following primary care office visits. PARTICIPANTS One hundred and fifteen patients ?50 years and 7 health care providers at a Cherokee Nation clinic. All patients were of American-Indian race, but varied in strength of affiliation with separate measures of American-Indian and white-American cultural identities. MEASUREMENTS Self-reported sociodemographic and cultural characteristics, and a 5-point rating of patient's health completed by both patients and providers. Fixed-effects regression modeling examined the relationships of patients' cultural identities with differences in provider-patient health rating. RESULTS In 40% of medical visits, providers and patients rated health differently, with providers typically judging patients healthier than patients' self-rating. Provider-patient differences were greater for patients affiliating weakly with white cultural identity than for those affiliating strongly (adjusted mean difference=0.70 vs 0.12, P=.01). Differences in ratings were not associated with the separate measure of affiliation with American-Indian identity. CONCLUSIONS American-Indian patients, especially those who affiliate weakly with white-American cultural identity, often perceive health status differently from their providers. Future research should explore sources of discordant perceptions.

Garroutte, Eva Marie; Sarkisian, Natalia; Arguelles, Lester; Goldberg, Jack; Buchwald, Dedra

2006-01-01

229

Health?related quality of life for rural American Indians in New Mexico  

Microsoft Academic Search

Objectives. To determine health?related quality of life for rural American Indians using an economical telephone surveillance system.Design. We interviewed 618 American Indians by telephone about health?related quality of life using an adaptation of the Behavioral Risk Factor Surveillance System questionnaire.Results. A smaller proportion of rural New Mexico American Indians (50.7%) reported their general health as ‘excellent’ or ‘very good’ compared

Frank D. Gilliland; Renate Mahler; Sally M. Davis

1998-01-01

230

Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment.  

PubMed

The purpose of this study was to identify factors associated with 4 clusters of obstacles (self-reliance, privacy issues, quality of care, and communication and trust) to mental health and substance abuse treatment in 3 treatment sectors for residents of 3 reservations in the United States. Participants (N=3,084) disclosed whether they had sought treatment for emotional, drug, or alcohol problems in the past year and, if so, whether they had faced obstacles in obtaining care from Indian Health Services, tribal services, and other public or private systems. Correlates of these obstacles included negative social support, instrumental social support, utility of counselors, utility of family doctors, treatment sector, treatment type, diagnosis of an anxiety disorder, and tribe. PMID:16287382

Duran, Bonnie; Oetzel, John; Lucero, Julie; Jiang, Yizhou; Novins, Douglas K; Manson, Spero; Beals, Janette

2005-10-01

231

Health Numeracy and Understanding of Risk Among Older American Indians and Alaska Natives  

Microsoft Academic Search

American Indian and Alaska Native people suffer extreme health disparities and remain underrepresented in health research. This population needs adequate numeracy skills to make informed decisions about health care and research participation, yet little is known about their numeracy skills. Participants were 91 American Indian and Alaska Native elders who completed an anonymous survey that measured numeracy and the correlation

Donna L. LaVallie; Fredric M. Wolf; Clemma Jacobsen; Debra Sprague; Dedra S. Buchwald

2012-01-01

232

Health Numeracy and Understanding of Risk Among Older American Indians and Alaska Natives  

Microsoft Academic Search

American Indian and Alaska Native people suffer extreme health disparities and remain underrepresented in health research. This population needs adequate numeracy skills to make informed decisions about health care and research participation, yet little is known about their numeracy skills. Participants were 91 American Indian and Alaska Native elders who completed an anonymous survey that measured numeracy and the correlation

Donna L. LaVallie; Fredric M. Wolf; Clemma Jacobsen; Debra Sprague; Dedra S. Buchwald

2011-01-01

233

78 FR 61367 - Health Resources and Services Administration  

Federal Register 2010, 2011, 2012, 2013

...DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration...Request AGENCY: Health Resources and Services Administration...1995), the Health Resources and Services Administration...to the Office of Management and Budget...

2013-10-03

234

6. CLOSEUP OF U.S. INDIAN IRRIGATION SERVICE AND U.S. RECLAMATION ...  

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

6. CLOSE-UP OF U.S. INDIAN IRRIGATION SERVICE AND U.S. RECLAMATION SERVICE BENCHMARKS ON TURNOUT STRUCTURE IN T3S, R5E, S14 - San Carlos Irrigation Project, San Tan Flood Water Canal, North Side of Gila River, Coolidge, Pinal County, AZ

235

25 CFR 900.127 - What can be included in the Indian tribe or tribal organization's contract budget?  

Code of Federal Regulations, 2013 CFR

... Section 900.127 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT...funds obligated to the contract and remaining at the end of the contract will be considered savings. (9)...

2013-04-01

236

Introducing forensic health services research.  

PubMed

Financial fraud and abuse are rampant within our healthcare system. Recent estimates suggest that $68 to $234 billion is lost to fraud annually. Despite numerous efforts, current strategies have met with limited success in preventing and remediating this practice. Why have we not been better able to tackle this problem? Current strategies aimed at preventing healthcare fraud and abuse fail to appreciate the spectrum that lies between clinically appropriate care and fraudulent practice. This oversight is critical, as what may be fitting treatment in one setting may just as easily be fraudulent in another. Therefore, in order to untangle the web of fraud and abuse, novel techniques and engagement of physicians who best understand these nuances are necessary. In this commentary, we introduce "forensic health services research," an extension of this scientific discipline that can best identify wasteful and fraudulent expenditure. The use of health services research in this fashion is not only synergistic with ongoing efforts, but greatly enhances current approaches. Despite the promise of this endeavor, important policy changes are needed to nurture this novel niche. We review these challenges and outline a path to move forward using this platform. PMID:23448117

McMahon, Laurence F; Chopra, Vineet

2013-02-01

237

Regional health library service in northern Ireland.  

PubMed

The regional medical library service provided to physicians, hospitals, nurses, social workers, and health care administrators throughout Northern Ireland by the Queen's University of Belfast is described. A brief outline of the National Health Service in the United Kingdom is given, and the library service is described in terms of collections, cataloging, interlibrary loan, and reference. PMID:2224299

Crawford, D S

1990-10-01

238

Providing for the Health Care Needs of Native Americans: Policy, Programs, Procedures, and Practices.  

ERIC Educational Resources Information Center

|Explores the operation of the Indian health care system, considering five major areas: the prevailing climate and Indian health indicators; federal government responsibility for care; Indian Health Service structures, capacity, and delivery; Indian Health Service resource allocation process; and health care access, eligibility, and rationing.…

Pfefferbaum, Rose L.; Pfefferbaum, Betty; Rhoades, Everett R.; Strickland, Rennard J.

1997-01-01

239

Counseling with American Indians: Improving the Quality of Non-Indian Assistance.  

ERIC Educational Resources Information Center

Although many social indicators suggest that problems exist among the American Indian population for which counseling and mental health services should be provided, there are relatively few American Indian counselors in the conventional mental health system or in schools; therefore, the training of non-Indian counselors who work among American…

Dauphinais, Paul; Rowe, Wayne

240

Mental health services for rural elderly: Innovative service strategies  

Microsoft Academic Search

This paper reviews issues in planning and delivering mental health services to rural dwelling elderly. First, comparative data on the prevalence of mental illness among rural elderly, and the availability and accessibility of mental health services in rural areas are presented to provide a basis for subsequent discussion. Next, several strategies for improving the development and delivery of geriatric mental

Zona Chalifoux; Jane B. Neese; Kathleen C. Buckwalter; Eugene Litwak; Ivo L. Abraham

1996-01-01

241

An analysis of mental health research with American Indian youth.  

PubMed

A comprehensive search and review of literature, documents, publications and other material written since 1970, relevant to American Indian mental health research, was completed in order to generate a list of research and of training needs. A content analysis of this literature enabled a synthesis which describes important biopsychosocial issues faced by American Indian communities, gaps in past and current research efforts, specific problems in past research, and recommendations in each of these areas with regards to future research possibilities and needs. The portion of the analysis presented in this paper deals with American Indian infants, preschoolers, children and adolescents. In order of presentation, the specific issue domains dealt with include: otitis media, fetal alcohol syndrome, abuse and neglect, failure-to-thrive/autism/enuresis, which are examined together (early development) in terms of research gaps; and neurosensory disorders/developmental disabilities/handicapping conditions/school-related problems, foster care and adoption, self-concept/identity, conduct disorders/delinquency, drug and alcohol use, and suicide and depression, which are examined (school-age children and adolescents) in relation to research gaps and needs. PMID:3042821

McShane, D

1988-06-01

242

Funding Assistive Technology and Related Health Services in Service Settings.  

ERIC Educational Resources Information Center

|Discusses the options for securing funding to provide assistive technology devices and services in service settings. Options include Medicaid, The School Health and Related Services Program, and The Early Periodic, Screening, Diagnosis and Treatment Program. Considers Medicaid payment requirements and private insurance as a funding source.…

Kemp, Crystal E.; Parette, Howard P.; Hourcade, Jack J.

2001-01-01

243

Children's Health Services Manual. Revised Edition.  

ERIC Educational Resources Information Center

This manual for South Carolina's child health personnel covers program planning, evaluation, monitoring, and administration, and provides standards, procedures, policies, and regulations concerning health services for children in the state. An initial section on children's health services covers eligibility; the Women, Infants and Children…

South Carolina State Dept. of Health and Environmental Control, Columbia.

244

Children's Health Services Manual. Revised Edition.  

ERIC Educational Resources Information Center

|This manual for South Carolina's child health personnel covers program planning, evaluation, monitoring, and administration, and provides standards, procedures, policies, and regulations concerning health services for children in the state. An initial section on children's health services covers eligibility; the Women, Infants and Children…

South Carolina State Dept. of Health and Environmental Control, Columbia.

245

Critiquing fetal alcohol syndrome health communication campaigns targeted to American Indians.  

PubMed

It is widely recognized American Indians and Alaska Natives have suffered from far worse health status than that of other Americans. Health communication campaigns directed to American Indians and Alaska Natives and their outcomes must be grounded in an understanding of the historical and ongoing marginalization and cultural dislocation of these groups. The authors draw upon the specific case of health communication campaigns to reduce cases of fetal alcohol syndrome among American Indians and Alaska Natives. Counteracting stereotyping of American Indians and alcohol consumption by mainstream American popular culture and mediated discourses, coverage of fetal alcohol syndrome in the media is assessed. The study analyzes 429 American Indian news articles from 1990 to 2010. Mainstream American and American Indian media should cover health concerns such as fetal alcohol syndrome more extensively. Researchers, health communication campaign developers, health policy makers, and mainstream media must be knowledgeable about American Indian and Alaskan Native identity, cultures, and history, and diversity across Nations. Last, and most important, health communication strategists and health policy makers must welcome American Indians and Alaska Natives to take leadership roles in communicating culture- and Nation-specific health campaign strategies to eliminate health disparities. PMID:22044046

Rentner, Terry L; Dixon, Lynda Dee; Lengel, Lara

2011-11-01

246

Organization of Health Services for Rural Areas.  

National Technical Information Service (NTIS)

Organizational patterns of health services in rural areas are described and discussed. Two frames of reference for viewing the organization of any community service are considered. The elements of the first include three structures (provider, consumer, an...

C. O. Crawford

1973-01-01

247

42 CFR 137.427 - What happens after an Indian Tribe files an appeal?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What happens after an Indian Tribe files an appeal? 137.427 ...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH... § 137.427 What happens after an Indian Tribe files an appeal? (a)...

2012-10-01

248

42 CFR 137.420 - Does an Indian Tribe have any options besides an appeal?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Does an Indian Tribe have any options besides an appeal...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.420 Does an Indian Tribe have any options besides an...

2012-10-01

249

42 CFR 137.421 - How does an Indian Tribe request an informal conference?  

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false How does an Indian Tribe request an informal conference...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.421 How does an Indian Tribe request an informal...

2012-10-01

250

42 CFR 137.132 - How does the Indian Tribe submit a final offer?  

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false How does the Indian Tribe submit a final offer? 137.132...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Final Offer § 137.132 How does the Indian Tribe submit a final offer?...

2012-10-01

251

Health and Safety Guide for Service Stations.  

National Technical Information Service (NTIS)

The report is a booklet giving health and safety guidelines for service stations. Contents include: general duty clause, health and safety program, reducing unsafe acts and practices, safety rules for operating power tools, ramp area and pump island, serv...

1975-01-01

252

DEPARTMENT OF HEALTH AND HUMAN SERVICES  

Center for Drug Evaluation (CDER)

Text Version... for Health of the Department of Health and Human Services, Dr. John Agwunobi. ... comply with PDMA, the industry needs to experiment, ... More results from www.fda.gov/downloads/drugs/drugsafety

253

Indian medical parliamentarians ask for better allocation for health.  

PubMed

On March 9, 2000, Medical Parliamentarians met to discuss and review the status of health including reproductive and child health program in India. Great concern was expressed on the status of health of the people in the country, noting that health and family welfare did not give enough allocation; rather the allocation has declined over time. They expressed commitment to do their best for health of the people. Issues concerning the Reproductive and Child Health Program of India and the role of the members of the parliament are discussed. Participants suggest that elected representatives shall take the advocacy role on the issues connected with health including reproductive health inside and outside the parliament. The other concern was on the Consumer Act with regard to duties and responsibilities of the medical profession. The group is also committed to apply their efforts for the betterment of the public sector services by monitoring operation in their constituencies. PMID:12296249

254

Critiquing Fetal Alcohol Syndrome Health Communication Campaigns Targeted to American Indians  

Microsoft Academic Search

It is widely recognized American Indians and Alaska Natives have suffered from far worse health status than that of other Americans. Health communication campaigns directed to American Indians and Alaska Natives and their outcomes must be grounded in an understanding of the historical and ongoing marginalization and cultural dislocation of these groups. The authors draw upon the specific case of

Terry L. Rentner; Lynda Dee Dixon; Lara Lengel

2011-01-01

255

Critiquing Fetal Alcohol Syndrome Health Communication Campaigns Targeted to American Indians  

Microsoft Academic Search

It is widely recognized American Indians and Alaska Natives have suffered from far worse health status than that of other Americans. Health communication campaigns directed to American Indians and Alaska Natives and their outcomes must be grounded in an understanding of the historical and ongoing marginalization and cultural dislocation of these groups. The authors draw upon the specific case of

Terry L. Rentner; Lynda Dee Dixon; Lara Lengel

2012-01-01

256

Why Do British Indian Children Have an Apparent Mental Health Advantage?  

ERIC Educational Resources Information Center

|Background: Previous studies document a mental health advantage in British Indian children, particularly for externalising problems. The causes of this advantage are unknown. Methods: Subjects were 13,836 White children and 361 Indian children aged 5-16 years from the English subsample of the British Child and Adolescent Mental Health Surveys.…

Goodman, Anna; Patel, Vikram; Leon, David A.

2010-01-01

257

77 FR 37415 - Office of Urban Indian Health Programs; Title V HIV/AIDS Program  

Federal Register 2010, 2011, 2012, 2013

...Indian Health Programs; Title V HIV/AIDS Program Announcement Type: New Limited...Urban Indian Health Programs Title V HIV/AIDS program. This program is authorized...V grants to increase awareness of HIV/AIDS status among urban American...

2012-06-21

258

Why Do British Indian Children Have an Apparent Mental Health Advantage?  

ERIC Educational Resources Information Center

Background: Previous studies document a mental health advantage in British Indian children, particularly for externalising problems. The causes of this advantage are unknown. Methods: Subjects were 13,836 White children and 361 Indian children aged 5-16 years from the English subsample of the British Child and Adolescent Mental Health Surveys. The…

Goodman, Anna; Patel, Vikram; Leon, David A.

2010-01-01

259

Strategies on Successful Independent Living Services for American Indians with Disabilities: A Research-Dissemination Final Report.  

ERIC Educational Resources Information Center

|This report describes a project to promote independent-living outreach services that are culturally relevant for American Indians and Alaska Natives with severe or significant disabilities. A pilot training workshop conducted in Aztec, New Mexico, focused on the importance of service providers understanding American Indian culture and on…

Sanderson, Priscilla Lansing; Clay, Julie Anna

260

Mental Health Services for Native Americans in the 21st Century United States  

Microsoft Academic Search

As the population of American Indians and Alaska Natives continues to expand in the 21st century United States, an increasing number of professional psychologists will be called upon to provide culturally appropriate mental health services for Native American people and their communities. This article provides a general overview of contemporary tribal America before describing the legal, political, and institutional contexts

Joseph P. Gone

2004-01-01

261

Preventive health services: Pregnancy and infant health.  

PubMed Central

From 1950 to 1977, infant mortality dropped from 30 to 14 deaths per 1,000 live births. The annual decline in infant mortality between 1965 and 1973 was 3.5 percent. The proportion of women receiving prenatal care during the first 3 months of pregnancy also increased-from 68 to 74 percent during the years 1969 to 1977. The factors underlying improvements in infant mortality are complex, but include increased access to prenatal services, increased availability of regionalized intensive care units, and improvements in maternal nutritional status. The principal threats to infant health are birth defects that can lead to lifelong handicapping conditions, and problems associated with low birth weight. Today, approximately seven percent of all babies are of low birth weight (2,500 grams or less). Unfortunately, many children are born to women with an increased risk of having a low birth weight infant, i.e., women making no prenatal visit during the first trimester, and teenagers. Further, in 1978 1 in 4 women giving birth made no prenatal visit during the first trimester and 1 in 20 made no prenatal visit during the first two trimesters.

1983-01-01

262

Rural Health Abstracts and Citations 1980-1987. Part II: Indian Health Care.  

ERIC Educational Resources Information Center

|Over 300 articles concerning rural health as it pertains to American Indians and Alaska Natives are cited in this bibliography. Most of the articles were published between 1980 and 1988. Abstracts are reprinted verbatim and the bibliography is organized into sections by subject matter. Within each section, annotated citations are listed…

North Dakota Univ., Grand Forks. Center for Rural Health.

263

Developing Mental Health Services for Local Jails  

Microsoft Academic Search

The need for mental health services in jails has become evident to both correctional and mental health personnel in recent years as the number of mentally disordered inmates has increased in the jail population. The President's Commission on Mental Health (PCMH, 1978) has noted that community mental health systems have not provided successful treatment to certain subgroups of people and

Carole Morgan

1981-01-01

264

43 CFR 17.250 - Health, welfare, and social services.  

Code of Federal Regulations, 2012 CFR

...250 Health, welfare, and social services. This subpart applies...health, welfare, and other social service programs or activities...health, welfare, or other social services or benefits, a recipient...of providing emergency health care. (d) Auxiliary...

2012-10-01

265

43 CFR 17.250 - Health, welfare, and social services.  

Code of Federal Regulations, 2011 CFR

...250 Health, welfare, and social services. This subpart applies...health, welfare, and other social service programs or activities...health, welfare, or other social services or benefits, a recipient...of providing emergency health care. (d) Auxiliary...

2011-10-01

266

Regulating India's health services: to what end? What future?  

PubMed

India has a comprehensive legal and regulatory framework and large public health delivery system which are disconnected from the realities of health care delivery and financing for most Indians. In reviewing the current bureaucratic approach to regulation, we find an extensive set of rules and procedures, though we argue it has failed in three critical ways, namely to (1) protect the interests of vulnerable groups; (2) demonstrate how health financing meets the public interests; (3) generate the trust of providers and the public. The paper reviews the state of alternative approaches to regulation of health services in India, using consumer and market based approaches, as well as multi-actor and collaborative approaches. We argue that poor regulation is a symptom of poor governance and that simply creating and enforcing the rules will continue to have limited effects. Rather than advocate for better implementation and expansion of the current bureaucratic approach, where Ministries of Health focus on their roles as inspectorate and provider, we propose that India's future health system is more likely to achieve its goals through greater attention to consumer and other market oriented approaches, and through collaborative mechanisms that enhance accountability. Civil society organizations, the media, and provider organizations can play more active parts in disclosing and using information on the use of health resources and the performance of public and private providers. The overview of the health sector would be more effective, if Indian Ministries of Health were to actively facilitate participation of these key stakeholders and the use of information. PMID:18313189

Peters, David H; Muraleedharan, V R

2008-03-04

267

Service network analysis for agricultural mental health  

Microsoft Academic Search

BACKGROUND: Farmers represent a subgroup of rural and remote communities at higher risk of suicide attributed to insecure economic futures, self-reliant cultures and poor access to health services. Early intervention models are required that tap into existing farming networks. This study describes service networks in rural shires that relate to the mental health needs of farming families. This serves as

Jeffrey D Fuller; Brian Kelly; Susan Law; Georgia Pollard; Lyn Fragar

2009-01-01

268

Acceptance of Swedish e-health services  

PubMed Central

Objective: To investigate older people’s acceptance of e-health services, in order to identify determinants of, and barriers to, their intention to use e-health. Method: Based on one of the best-established models of technology acceptance, Technology Acceptance Model (TAM), in-depth exploratory interviews with twelve individuals over 45 years of age and of varying backgrounds are conducted. Results: This investigation could find support for the importance of usefulness and perceived ease of use of the e-health service offered as the main determinants of people’s intention to use the service. Additional factors critical to the acceptance of e-health are identified, such as the importance of the compatibility of the services with citizens’ needs and trust in the service provider. Most interviewees expressed positive attitudes towards using e-health and find these services useful, convenient, and easy to use. Conclusion: E-health services are perceived as a good complement to traditional health care service delivery, even among older people. These people, however, need to become aware of the e-health alternatives that are offered to them and the benefits they provide.

Jung, Mary-Louise; Loria, Karla

2010-01-01

269

Starting mental health services in Cambodia  

Microsoft Academic Search

Cambodia has undergone massive psychosocial trauma in the last few decades, but has had virtually no western-style mental health services. For the first time in Cambodia a number of mental health clinics in rural areas have been started. This experience is used to discuss the risks and opportunities in introducing these services in the present war-torn situation. Basic statistics from

Daya J. Somasundaram; Willem A. C. M. van de Put; Maurice Eisenbruch

1999-01-01

270

Health Link Alberta: a model for successful health service integration.  

PubMed

Health Link Alberta is a model of successful regional integration. Launched as a single-region service in 2000, Health Link Alberta was rolled out as a province-wide service in 2003, operating as one service from two sites (Calgary and Edmonton). Provincial integration of Health Link Alberta was successful because it took the time to establish collaborative governance structures, build relationships with regional and provincial stakeholders, recognize and accommodate regional and local needs, and develop the processes and tools that it needed to deliver a quality, consistent and accessible service for all Albertans. Within three years, Health Link Alberta achieved 63% awareness and 46% utilization among all Alberta households. PMID:20057251

Letourneau, Shaunne

2009-10-01

271

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

Code of Federal Regulations, 2013 CFR

...recommended decision, what will the Secretary of Health and Human Services or the IBIA do? 900.167...AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE...

2013-04-01

272

Health Needs and Health Services in Rural Ghana. Volume 1.  

National Technical Information Service (NTIS)

This volume reports on research aimed to illuminate three main areas in the health sector: the development of health service appropriate to the needs of the disadvantaged groups in developing countries, particularly in the rural areas; community organizat...

1978-01-01

273

In The Company's Secret Service: Neil Benjamin Edmonstone and the First Indian Imperialists, 1780-1820  

Microsoft Academic Search

Neil Benjamin Edmonstone held many important positions in the East India Company's Indian service during a career spanning 34 years, from 1783 to 1818. He was at various times Persian Translator to Government, Chief Secretary to Government, Secretary of the Secret Foreign and Political Department, Vice President of the Supreme Council at Calcutta and acting governor-general on two occasions. He

Marla Karen Chancey

2003-01-01

274

Health Systems Plan. Health Service Area 3 Colorado.  

National Technical Information Service (NTIS)

The health service area served by the Western Colorado Health Systems Agency is described, along with the health status of area residents and the health system. Goals, long-range objectives, and strategies for implementation for the period 1978-83 are the...

1978-01-01

275

Community attitudes about mental health services  

Microsoft Academic Search

Community attitudes toward a new mental health center were surveyed by calling 110 randomly selected residences. Drugs and alcohol were seen as the community's most pressing social problem. Respondents were favorable to mental health centers and public funding and had accurate information about many aspects of mental health problems, although misinformation about types of services, professional staffing, and length of

Spencer A. McWilliams; Larry A. Morris

1974-01-01

276

Engaging families in child mental health services  

Microsoft Academic Search

The last decade has brought important advances in the area of children's mental health, including a concerted focus on building a scientific base for un- derstanding the mental health difficulties that our most vulnerable members of society experience and examining the impact of services that potentially reduce child mental health needs (1,2). Serious concern remains, however, as to whether the

Mary M. McKay; William M. Bannon Jr

2004-01-01

277

Mental Health Care in a High School Based Health Service.  

ERIC Educational Resources Information Center

Describes the mental-health and medical services provided at a high-school-based service center. Five years after the center's inception mental health visits had quadrupled. One third of students utilizing the center reported substance abuse within their family. Other reasons for center use included pregnancy, suicidal ideation, obesity,…

Jepson, Lisa; Juszczak, Linda; Fisher, Martin

1998-01-01

278

Webster versus reproductive health services.  

PubMed

The US Supreme Court's agreement to decide the Webster v Reproductive Health Service (MIssouri) case represents a direct challenge to the basic premise of the 1973 Roe v Wade decision. While the 1973 decision determined that woman's right to choose abortion during the 1st trimester of pregnancy is protected by the Constitutional right to privacy, the Webster case seeks to restrict access to legal abortion through 20 provisions, 5 of which were addressed by the Supreme Court. The 1st 2 provisions concerned the preamble of the MIssouri statute that contains statements to the effect that life begins at conception and unborn children have inalienable rights. The Supreme Court declined to the rule on the constitutionality of this preamble, maintaining that the preamble did no regulate abortions or medical practice. The 3rd provision involved restrictions on the use of public facilities and employees for the performance of nontherapeutic abortions. The Court upheld this restriction on the grounds that the Constitution does not mandate federal aid to abortion and the withholding of public facilities and funds does not deny women the right to abortion. The 4th provision, which the Court stated was not a moot controversy, made it illegal for public funds, employees, or facilities to be used for abortion counseling. Finally, the 5th provision of the MIssouri statute considered by the Supreme Court requires physicians to determine whether a fetus is viable before an abortion is performed on a woman 20 or more weeks pregnant. The Court found this provision to be constitutional since it furthers the state's interest in protecting viable fetuses and did not stipulate the means to be used to ascertain viability. Although Roe v Wade remains in force, the Supreme Court's actions on this case set the groundwork for other states to enact similarly restrictive statutes. PMID:2514333

Rhodes, A M

279

42 CFR 137.426 - May an Indian Tribe get an extension of time to file a notice of appeal?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false May an Indian Tribe get an extension of time to file...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.426 May an Indian Tribe get an extension of time to...

2012-10-01

280

42 CFR 137.235 - May an Indian Tribe withdraw from a participating inter-Tribal consortium or Tribal organization?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false May an Indian Tribe withdraw from a participating inter-Tribal...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...SELF-GOVERNANCE Withdrawal § 137.235 May an Indian Tribe withdraw from a participating...

2012-10-01

281

42 CFR 137.16 - What if more than 50 Indian Tribes apply to participate in self-governance?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What if more than 50 Indian Tribes apply to participate in self-governance...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in...

2012-10-01

282

42 CFR 137.431 - What rights do Indian Tribes and the Secretary have during the appeal process?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What rights do Indian Tribes and the Secretary have during the...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Disputes § 137.431 What rights do Indian Tribes and the Secretary have during...

2012-10-01

283

42 CFR 137.434 - If an Indian Tribe objects to the recommended decision, what will the Secretary do?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false If an Indian Tribe objects to the recommended decision...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.434 If an Indian Tribe objects to the recommended...

2012-10-01

284

42 CFR 137.144 - Is technical assistance available to an Indian Tribe to avoid rejection of a final offer?  

Code of Federal Regulations, 2012 CFR

...Is technical assistance available to an Indian Tribe to avoid rejection of a final offer...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Is technical assistance available to an Indian Tribe to avoid rejection of a final...

2012-10-01

285

Investments in Behavioral Health Services: Strengthening the Safety Net  

Microsoft Academic Search

As the primary Federal agency at the U.S. Department of Health and Human Services for improving access to health care services to the medically, financially and geographically vulnerable, the Health Resources and Services Administration (HRSA) is committed to improving health outcomes and achieving health equity by funding access to quality services, a skilled health workforce, and innovative delivery programs. Furthermore,

Mary K. Wakefield

2011-01-01

286

Dimensions of service quality in tourism – an Indian perspective  

Microsoft Academic Search

The purpose of this paper is to identify dimensions of service quality (SQ) and their corresponding measurement variables in the tourism industry by focusing on India, a South Asian destination. The dimensions and the measurement variables have been identified through a detailed review of literature and exploratory research. Service quality in tourism comprises 10 dimensions, namely core-tourism experience, information, hospitality,

Bindu Narayan; Chandrasekharan Rajendran; L. Prakash Sai; Ram Gopalan

2009-01-01

287

Importance of Web-Based Library Services: An Indian Scenario  

NASA Astrophysics Data System (ADS)

The implications of Web 2.0 for libraries are substantial and very close to the history and mission of libraries. The purpose of this article is to highlight the potential of web services for libraries. A brief description of these is followed by a discussion of the future of web services and the present scenario in India.

Pathak, S. K.; Sahu, H.; Pathak, S. S.

2010-10-01

288

42 CFR 417.101 - Health benefits plan: Basic health services.  

Code of Federal Regulations, 2010 CFR

...Public Health 3 2010-10-01 2010-10-01 false Health benefits plan: Basic health services. 417.101 Section 417.101 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

2010-10-01

289

42 CFR 417.101 - Health benefits plan: Basic health services.  

Code of Federal Regulations, 2010 CFR

...Public Health 3 2009-10-01 2009-10-01 false Health benefits plan: Basic health services. 417.101 Section 417.101 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

2009-10-01

290

Social Affiliation and the Demand for Health Services: Caste and Child Health in South India *  

PubMed Central

This paper assesses the role of social affiliation, measured by caste, in shaping investments in child health. The special setting that we have chosen for the analysis – tea estates in the South Indian High Range – allows us to control nonparametrically for differences in income, access to health services, and patterns of morbidity across low caste and high caste households. In this controlled setting, low caste households spend more on their children's health than high caste households, reversing the pattern we would expect to find elsewhere in India. Moreover, health expenditures do not vary by gender within either caste group, in contrast once again with the male preference documented throughout the country. A simple explanation, based on differences in the returns to human capital across castes in the tea estates is proposed to explain these striking results.

Luke, Nancy; Munshi, Kaivan

2007-01-01

291

[Project database health services research Germany].  

PubMed

"Versorgungsforschung Deutschland" (Health Services Research Germany) is a database for health services research projects in Germany which is free, publicly accessible and still growing. The aim is to contribute to the transparency in this research field, to identify best practice models and to facilitate the exchange of research results. All researchers and all institutions which carry out health services research projects are requested to make projects directly known via this internet platform in order to promote the faster implementation of research results into practice. PMID:22193893

Grenz-Farenholtz, B; Schmidt, A; Zach, D; Verheyen, F; Pfaff, H

2011-12-22

292

“Chaotic soup of politics:” a Native American Indian mental health perspective  

Microsoft Academic Search

Through a grounded theory process, tribal politics emerged as a core theme from interviews with mental health providers (MHPs) and Native American Indian people experiencing persistent mental illness (PMI). Interviews were conducted over a four-year period with 13 Indian MHPs and administrators, and 18 persons experiencing PMI. Symbolic Interactionism was the informing framework. Findings indicate that reservation life promotes a

Eleanor E. Yurkovich; Zelta Hopkins-Lattergrass; Stuart Rieke

2011-01-01

293

Health Behaviors, Chronic Disease Prevalence and Self-Rated Health of Older Asian Indian Immigrants in the U.S  

Microsoft Academic Search

The purpose of this study was to examine the correlates of healthy behaviors and self-rated health in middle-aged and older Asian Indian immigrants in the U.S. Asian Indian men (n = 162) and women (n = 64), 50 years of age or older completed a telephone survey which collected information regarding demographics, behavioral risk factors, acculturation, perceived control, quality of

Satya S. Jonnalagadda; Sadhna Diwan

2005-01-01

294

Health services for children in western Europe.  

PubMed

Western European health systems are not keeping pace with changes in child health needs. Non-communicable diseases are increasingly common causes of childhood illness and death. Countries are responding to changing needs by adapting child health services in different ways and useful insights can be gained through comparison, especially because some have better outcomes, or have made more progress, than others. Although overall child health has improved throughout Europe, wide inequities remain. Health services and social and cultural determinants contribute to differences in health outcomes. Improvement of child health and reduction of suffering are achievable goals. Development of systems more responsive to evolving child health needs is likely to necessitate reconfiguring of health services as part of a whole-systems approach to improvement of health. Chronic care services and first-contact care systems are important aspects. The Swedish and Dutch experiences of development of integrated systems emphasise the importance of supportive policies backed by adequate funding. France, the UK, Italy, and Germany offer further insights into chronic care services in different health systems. First-contact care models and the outcomes they deliver are highly variable. Comparisons between systems are challenging. Important issues emerging include the organisation of first-contact models, professional training, arrangements for provision of out-of-hours services, and task-sharing between doctors and nurses. Flexible first-contact models in which child health professionals work closely together could offer a way to balance the need to provide expertise with ready access. Strategies to improve child health and health services in Europe necessitate a whole-systems approach in three interdependent systems-practice (chronic care models, first-contact care, competency standards for child health professionals), plans (child health indicator sets, reliable systems for capture and analysis of data, scale-up of child health research, anticipation of future child health needs), and policy (translation of high-level goals into actionable policies, open and transparent accountability structures, political commitment to delivery of improvements in child health and equity throughout Europe). PMID:23541056

Wolfe, Ingrid; Thompson, Matthew; Gill, Peter; Tamburlini, Giorgio; Blair, Mitch; van den Bruel, Ann; Ehrich, Jochen; Pettoello-Mantovani, Massimo; Janson, Staffan; Karanikolos, Marina; McKee, Martin

2013-03-27

295

19 CFR 4.70 - Public Health Service requirements.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 2013-04-01 false Public Health Service requirements. 4.70...Foreign Clearances § 4.70 Public Health Service requirements. No...foreign quarantine regulations of the Public Health Service. [T.D....

2013-04-01

296

Utilization of pediatric health services in Jerusalem.  

PubMed

The high rate of utilization of health services and rising health care costs in Israel, have prompted the need for reform of the health care system. Preventive and curative aspects of mother and child health care in Israel have traditionally been addressed by independent but parallel health systems. Prior to the pilot integration of these services, current patterns of utilization of health services by children during their first year of life, and determinants of use, were analyzed. Mothers of 651 children from five neighborhoods, representing the middle-low, middle and upper social class Jewish population were interviewed. Overall, a high degree of compliance with recommended visits to the preventive family health centers was found, with an average of eleven visits to the public health physician or nurse. The children also made an average of 12 visits to curative practitioners. Combined with all other health care consultations, these children averaged 26 health care visits in the first year of life. This pattern of frequent visitations, and its determinants, is discussed in context of the current framework of parallel health care systems. Multivariate analysis revealed that the birth order of the child was the key factor in determining the number of preventive visits, while the mother's perception of her child's health status held the major influence on the number of curative visits. No association between utilization of services and social class was discovered. Comparison of utilization patterns arising from this study with subsequent investigation of the planned integrated services allows for the assessment of the effects of a major change in the structure and delivery of pediatric services. PMID:1401234

Neumark, Y; Palti, H; Donchin, M; Ellencweig, A Y

1992-10-01

297

Bibliography of Health Issues Affecting North American Indians, Eskimos, and Aleuts: 1950-1988.  

ERIC Educational Resources Information Center

|This bibliography of 2,414 journal articles provides health professionals and others with quick references on health and related issues of American Indians and Alaska Natives. The citations cover articles published in U.S. and Canadian medical and health-related journals between 1950 and 1988. Five sections deal with major health categories and…

Owens, Mitchell V., Comp.; And Others

298

Bibliography of Health Issues Affecting North American Indians, Eskimos, and Aleuts: 1950-1988.  

ERIC Educational Resources Information Center

This bibliography of 2,414 journal articles provides health professionals and others with quick references on health and related issues of American Indians and Alaska Natives. The citations cover articles published in U.S. and Canadian medical and health-related journals between 1950 and 1988. Five sections deal with major health categories and…

Owens, Mitchell V., Comp.; And Others

299

Federal Workplace Guide to Preventive Health Services.  

National Technical Information Service (NTIS)

Many of the leading causes of death and disability in the United States are largely preventable through early detection, intervention, and changes in behavior. Agencies can help employees understand their risks for disease, obtain preventive health servic...

2000-01-01

300

A Dental Program in the Health Service  

ERIC Educational Resources Information Center

The author suggests why dental services should be offered in a university health program and describes how a program can be developed. Needs assessment, staffing, start-up costs, community involvement, scheduling, financing, and scope are examined. (Author/MJB)

Lubin, Henry

1977-01-01

301

DEPARTMENT OF HEALTH & HUMAN SERVICES Our STN ...  

Center for Biologics Evaluation and Research (CBER)

Text Version... Connecticut, under the provisions of section 351(a) of the Public Health Service Act controlling the manufacture and sale of biological products. ... More results from www.fda.gov/downloads/biologicsbloodvaccines/vaccines

302

DEPARTMENT OF HEALTH AND HUMAN SERVICES ...  

Center for Biologics Evaluation and Research (CBER)

Text VersionDEPARTMENT OF HEALTH AND HUMAN SERVICES ... VA Greater Los Angeles Healthcare System ... administered drug or an intramuscular water- ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

303

Information Dissemination in the Public Health Service.  

National Technical Information Service (NTIS)

The paper reviews the literature on information dissemination activities and describes several information dissemination activities sponsored by Public Health Services (PHS) agencies and institutes including the following: (1) Depression/Awareness, Recogn...

1991-01-01

304

DEPARTMENT OF HEALTH AND HUMAN SERVICES  

Center for Drug Evaluation (CDER)

Text Version... DEPARTMENT OF HEALTH AND HUMAN SERVICES ... Stephen Levine, Ph.D. Allergy Research Group ... support the body in balancing and correcting ... More results from www.fda.gov/downloads/drugs/guidancecomplianceregulatoryinformation

305

DEPARTMENT OF HEALTH & HUMAN SERVICES Our STN ...  

Center for Drug Evaluation (CDER)

Text VersionDEPARTMENT OF HEALTH & HUMAN SERVICES ... where the patient is unable to tolerate this degree of anemia due to co-morbid conditions. ... More results from www.fda.gov/downloads/drugs/drugsafety

306

PUBLIC VERSUS PRIVATE HEALTH CARE IN A NATIONAL HEALTH SERVICE  

Microsoft Academic Search

This paper studies the interaction between public and private health care provision in a National Health Service (NHS), with free public care and costly private care. The health authority decides whether or not to allow private provision and sets the public sector remuneration. The physicians allocate their time (effort) in the public and (if allowed) in the private sector based

Kurt R. Brekke; Lars Sřrgard

2003-01-01

307

[Patient safety in health service research].  

PubMed

Patient safety is an essential quality criterion for good medical care. A main aim of patient safety interventions is the prevention and/or reduction of adverse events. Various approaches are available for this. The multidisciplinarity in health services research as well as the wide range of methods and topics leads to the fact that health services research is predestined to deal with many of the resulting research questions and with respect to the complexity. PMID:24097238

Eikermann, M; Pieper, D; Neugebauer, E A M

2013-10-01

308

Health and Human Services Issues. Transition Series.  

ERIC Educational Resources Information Center

|The Department of Health and Human Services (HHS) should take actions in four critical areas in order to serve the millions dependent on it for benefit payments and services. First, HHS should improve departmental management by investing in department-wide planning, its personnel, and its financial and information management. HHS can eliminate…

Comptroller General of the U.S., Washington, DC.

309

Should Muslims Have Faith Based Health Services?  

Microsoft Academic Search

At a time when many government and public bodies are recognising the importance of engaging with faith communities, Aziz Sheikh advocates that the UK should provide specific health services for Muslims. But Aneez Esmail argues that such services could enhance stigmatism

Aziz Sheikh; Aneez Esmail

2007-01-01

310

College Health Services: Setting for Community, Organizational, and Individual Change.  

ERIC Educational Resources Information Center

College health services are described in general in terms of health education and health promotion. Ways health services have responded to the changing needs of their constituents are covered. Challenges of the future are projected. (MT)

Zapka, Jane G.; Love, Mary Beth

1986-01-01

311

Alcoholism treatment service systems: a health services research perspective.  

PubMed

This article examines the role of health services research in alcoholism treatment. Alcoholism services research has only recently emerged as a self-defined discipline. Alcoholism services research can be grouped into five classifications: a) descriptive studies of resources for alcoholism treatment and of the use or cost of these services, b) estimates of the need or demand for alcohol services in the population or in particular subpopulations, c) studies of the costs or cost-effectiveness of alcoholism treatment or of alternative treatments, d) studies of the possible "cost-offsets" of treating alcoholism, and e) studies that examine strategies for financing and reimbursement for alcoholism treatment. Research is needed to determine how alcoholism treatment services are now delivered, who uses these services, how treatment setting and organization affect service delivery, who pays for alcoholism treatment, and how reimbursement policies affect the delivery of alcoholism services. Research on large-scale social issues is also needed, such as the effects of warning labels appearing on alcoholic beverage containers or estimates of the overall cost to society of alcohol abuse. PMID:3141954

Wallen, J

312

Community Mental Health Service Profile.  

National Technical Information Service (NTIS)

A study of the 1971 admissions to three county outpatient mental health clinics in the region served by the NY-Penn Health Management Corporation is documented, and selected comparisons are made to State hospital admissions for the region. The study is pa...

A. M. Volo G. LeCompte M. E. Lafer R. F. Thayne T. J. McCord

1975-01-01

313

TQM success factors in North Indian manufacturing and service industries  

Microsoft Academic Search

Purpose – Total quality management (TQM) is a modern management philosophy and a journey, not a destination. TQM is a systematic management approach to meet the competitive and technological challenges which has been accepted by both service and manufacturing organizations globally. It defines the quality with emphasis on top management commitment and customer satisfaction. It focuses on attaining and maintaining

Raj Kumar; Dixit Garg; T. K. Garg

2011-01-01

314

Dynamics of Indian Culture on Health Care Workshop, Conference Minutes (Helena, Montana, May 15 and 16, 1975).  

ERIC Educational Resources Information Center

Members of the Veterans Administration (VA) Center, Ft. Harrison, Montana, and the Mountain States Regional Medical Program met with members of the Helena Indian Alliance and the Montana United Indian Association to discuss total services available to all veterans and their beneficiaries. Indian and VA officials promoted the two-way exchange of…

Mountain States Regional Medical Program.

315

National rural health mission--opportunity for Indian Public Health Association.  

PubMed

Indian Public Health Association (IPHA) welcomes the release of National Rural Health Mission (NRHM) documents. It suggests that manpower requirements of the Community Health Centre (CHC) should be rationally determined on the basis of work and patient load of the CHC. Importance should be given on availability of simple & life saving equipment, female staff when male staff is not available. Safe drinking water, an adequate sanitation and excreta disposal facility through Panchayet Raj Institution (PRI) or privatization was proposed. Accredited Social Health Activist (ASHA) has been accepted more streamlining based on the community was suggested. Capacity building or training should be CHC based for grass-root level functionaries with incentive to Medical officer (MO). IPHA proposes to extend support in capacity building, development of manual for ASHA & other categories of health professional as well as Program Implementation Plan (PIP). PMID:16468283

Ray, Sandip Kumar

316

Health care utilization as a marker for suicidal behavior on an American Indian reservation  

Microsoft Academic Search

OBJECTIVE: Overall suicide mortality rates are higher among American Indians than in the general population and are particularly high\\u000a among Indians residing in the upper Midwest. The identification, during encounters with health care providers, of individuals\\u000a at high risk of suicide is a potential intervention strategy. The purpose of this study was to examine whether increased health\\u000a care utilization and

Charles N. Mock; David C. Grossman; David Mulder; Charles Stewart; Thomas S. Koepsell

1996-01-01

317

Health Risk-Factors for Gay American Indian and Alaska Native Adolescent Males  

Microsoft Academic Search

Having multiple identities as a homosexual American Indian or Alaska Native adolescent male increases the likelihood for poorer health and diminished well-being. This study assessed the differences in self-perceived health status between gay adolescent males and their heterosexual counterparts. A national nonrepresentative sample of 5,602 Indian and Native adolescent males was surveyed about issues of sexual behavior, physical and sexual

David D. Barney

2004-01-01

318

Indian Audience Interpretations of Health-Related Content in the Bold and the Beautiful  

Microsoft Academic Search

This article explores the meanings given by Indian viewers to a series of health-related episodes dealing with ‘Tony’s HIV’ in the Hollywood television soap opera, The Bold and the Beautiful. Forty-two respondents in six focus group interviews and in 17 in-depth personal interviews were asked for their interpretations of this television health content. Indian respondents interpreted the sexual explicitness and

Everett M. Rogers; Arvind Singhal; Avinash Thombre

2004-01-01

319

Profiles of Grant Programs: Public Health Service.  

ERIC Educational Resources Information Center

For potential grant applicants and for the general public, the booklet describes the programs of the six Public Health Service agencies in the American health care system. Each program is described concisely in terms of: its purpose and legal basis; applicants' eligibility for grants and the basis for their award; the special requirements made of…

Department of Health , Education, and Welfare, Washington., DC. Office of the Secretary.

320

Diabetes and Adult Day Health Services  

ERIC Educational Resources Information Center

|The purpose of this study is to provide a profile of individuals with diabetes who receive services in adult day centers. This exploratory study uses an administrative data set (N = 280) from five programs in central Ohio to examine four areas: demographics, health and mental health, financial and social resources, and disenrollment status. Older…

Dabelko, Holly I.; DeCoster, Vaughn A.

2007-01-01

321

Human Services Study. Report on Mental Health.  

National Technical Information Service (NTIS)

The mental health component of the countywide human services planning program of the Johnson County Regional Planning Commission in Iowa is described. The report on mental health is one in a series of eight reports outlining the program. The overall goal ...

1977-01-01

322

The Nurse in the School Health Service.  

ERIC Educational Resources Information Center

This 1937 paper examines school nurses' roles in providing health education and health services. Duties include observing conditions indicating need for medical attention; interpreting children's needs to parents and teachers; teaching; providing materials for teachers; helping physicians with examinations; developing procedures for controlling…

Grant, Amelia

2001-01-01

323

Studies in Health Service Supply Chains  

Microsoft Academic Search

In response to changing business and market trends, the health sector is currently faced with many transformations. As 'non traditional', distributed, and point of care health services are becoming more common, the need for efficient business processes and supply chains is increasing. Another case study (Burgess et al, 2003) examines ambulatory care, however the case studies of this research examine

Lisa Fallon; Leone Dunn

324

Health care service use among vulnerable adolescents  

Microsoft Academic Search

This article describes the patterns of health care service use among a cohort of vulnerable adolescents with a history of homelessness and uses the Expanded Behavioral Model for Vulnerable Populations to examine factors associated with use of ambulatory and emergent care. We incorporated a health care interview into an existing longitudinal study of newly homeless adolescents, at their 24-month assessment

M. Rosa Solorio; Norweeta G. Milburn; Ronald M. Andersen; Sharone Trifskin; Lillian Gelberg

2006-01-01

325

The income and health effects of tribal casino gaming on American Indians.  

PubMed

The legalization of American Indian casino gaming in the late 1980s allows examination of the relationship between income and health in a quasi-experimental way. Revenue from gaming accrues to individual tribes and has been used both to supplement tribe members' income and to finance tribal infrastructure. We assembled annual data from 1988-2003 on tribal gaming, health care access (from the Area Resource File), and individual health and socioeconomic characteristics data (from the Behavioral Risk Factors Surveillance System). We use this information within a structural, difference-in-differences framework to study the effect of casino gaming on tribal members' income, health status, access to health care, and health-related behaviors. Our difference-in-differences framework relies on before-after comparisons among American Indians whose tribe has at some time operated a casino and with-without comparisons between American Indians whose tribe has and those whose tribe has not initiated gaming. Our results provide identified estimates of the positive effect of gaming on American Indian income and on several indicators of American Indian health, health-related behaviors, and access to health care. PMID:22427279

Wolfe, Barbara; Jakubowski, Jessica; Haveman, Robert; Courey, Marissa

2012-05-01

326

"1970" Inter-Agency Health Meeting (Navajo).  

ERIC Educational Resources Information Center

|An inter-agency health meeting regarding health services for Navajo Indians is reported on in this document. The meeting, sponsored by the Arizona Commission of Indian Affairs, involved agencies such as the U.S. Public Health Service, Bureau of Indian Affairs, and the Navajo Tribe. Included in the proceedings are reports and remarks by…

Arizona Commission of Indian Affairs, Phoenix.

327

School staff's satisfaction with school health services.  

PubMed

The School Nurse Impact Committee of the Columbus Public Schools in Columbus, Ohio, initiated a survey to determine staff satisfaction with the delivery of health services. School nurses need the cooperation and support of the staff to successfully deliver school health services, therefore, the staff's satisfaction with school health services is crucial to the school nurses' ability to fulfill their role. The objectives of the survey were to (a) determine staff satisfaction with school nurse interventions, (b) determine staff satisfaction with the effectiveness of interventions, (c) identify areas of health service delivery which may need improvement, and (d) determine areas of school health services where school nurses may need to more effectively communicate their involvement. Critical elements of school nurse practice included staff health, safety and environment, classroom education, medication, school system collaboration, and program management. Several key issues were identified through the survey. School system collaboration issues need more school nurse involvement. School nurses also need to improve their visibility regarding school system collaboration, and in classroom and individual pupil education. Traditional school nurse functions were adequately covered. Results indicate that staff would be more satisfied if they had more nursing support in the classroom and more nurse time in their building. PMID:15040764

Winland, Julie; Shannon, Amy

2004-04-01

328

The functions of a health service.  

PubMed

It is contended that the National Health Service has failed to meet three requirements: the equitable deployment of health care resources, accountablity to the communities served, and purposeful pursuit of declared policies. Smith advocates the distribution of resources based on the intention to reduce the variance in health exhibited within the British population. To this end, strategic choices must be made among prevention, cure, and care. Health care cannot be viewed as a luxury or a commodity in unlimited supply. Insofar as it promotes improved health, it is a "social and economic resource" and also a "basic human right." PMID:2858677

Smith, A

1985-04-01

329

Manpower Needs in Health Services.  

ERIC Educational Resources Information Center

|All hospitals, nursing homes, clinics, and home nursing and ambulance services in New York State were surveyed to determine projected needs for 39 specific occupations for nursing staff, technicians, and aides. There were 326,000 persons working in the medical care facilities in December 1966, and 182,000 held jobs in the 39 occupations.…

Solomon, Herman S.

330

Department of Health and Human Services Public Health ...  

Center for Drug Evaluation (CDER)

Text Version... Public Health Service Food and Drug Administration Center for Drug ... Date of Search: April 26, 2007 Drug Name Search Terms: Duloxetine active ... More results from www.fda.gov/downloads/drugs/drugsafety

331

Department of Health and Human Services Public Health ...  

Center for Biologics Evaluation and Research (CBER)

Text Version... Health Service Food and Drug Administration Center for Drug ... 8 • Ages searched- 0-17 ... Search criteria- Domestic reports coded with the serious ... More results from www.fda.gov/downloads/advisorycommittees/committeesmeetingmaterials

332

Strategic service quality management for health care.  

PubMed

Quality management has become one of the most important and most debated topics within the service sector. This is especially true for health care, as the controversy rages on how the existing American system should be restructured. Health care reform aimed at reducing costs and ensuring access to all Americans cannot be allowed to jeopardize the quality of care. As such, total quality management (TQM) has become a vital ingredient to strategic planning within the health care domain. At the heart of any such quality improvement effort is the issue of measurement. TQM cannot be effectively utilized as a competitive weapon unless quality can be accurately defined, measured, evaluated, and monitored over time. Through such analysis a hospital can elect how to expend its limited resources toward those quality improvement projects which will impact customer perceptions of service quality the most. Thus, the purpose of this report is to establish a framework by which to approach the issue of quality measurement, delineate the various components of quality that exist in health care, and explore how these elements affect one another. We propose that the issue of quality measurement in health care be approached as an integration of service quality attributes common to other service organizations and technical quality attributes unique to health care. We hope that this research will serve as a first step toward the synthesis of the various quality attributes inherent in the health care domain and encourage other researchers to address the interactions of the various quality attributes. PMID:8763215

Anderson, E A; Zwelling, L A

1996-01-01

333

Disparities and Chronic Health Care Needs for Elderly American Indians Living on or Near a Reservation  

ERIC Educational Resources Information Center

|The American Indian tribal nations and communities have long experienced health status worse than that of other Americans. Although major gains in reducing health disparities were made during the last half of the 20th century, most gains stopped by the mid-1980s. Consequently, health disparities continue to exist with marked variation across…

Wright, Kynna N.

2009-01-01

334

42 CFR 137.18 - What criteria must an Indian Tribe satisfy to be eligible to participate in self-governance?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What criteria must an Indian Tribe satisfy to be eligible to participate...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in...

2012-10-01

335

42 CFR 137.239 - If the withdrawing Indian Tribe elects to operate PSFAs carried out under a compact or funding...  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false If the withdrawing Indian Tribe elects to operate PSFAs carried...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Withdrawal § 137.239 If the withdrawing Indian Tribe elects to operate PSFAs...

2012-10-01

336

42 CFR 137.418 - How does an Indian Tribe know where and when to file its appeal from decisions made by IHS?  

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false How does an Indian Tribe know where and when to file its...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.418 How does an Indian Tribe know where and when to file...

2012-10-01

337

42 CFR 137.17 - May more than one Indian Tribe participate in the same compact and/or funding agreement?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false May more than one Indian Tribe participate in the same compact...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...TRIBAL SELF-GOVERNANCE Selection of Indian Tribes for Participation in...

2012-10-01

338

42 CFR 137.33 - May an Indian Tribe negotiate a funding agreement at the same time it is negotiating a compact?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false May an Indian Tribe negotiate a funding agreement at...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Self-Governance compact § 137.33 May an Indian Tribe negotiate a funding agreement...

2012-10-01

339

42 CFR 137.415 - What decisions may an Indian Tribe appeal under § 137.415 through 137.436?  

Code of Federal Regulations, 2012 CFR

...2012-10-01 false What decisions may an Indian Tribe appeal under ç 137.415 through...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH... § 137.415 What decisions may an Indian Tribe appeal under § 137.415...

2012-10-01

340

42 CFR 137.146 - If the Secretary rejects all or part of a final offer, is the Indian Tribe entitled to an appeal?  

Code of Federal Regulations, 2012 CFR

...rejects all or part of a final offer, is the Indian Tribe entitled to an appeal? 137...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...rejects all or part of a final offer, is the Indian Tribe entitled to an appeal?...

2012-10-01

341

42 CFR 137.138 - Once the Indian Tribe's final offer has been accepted or deemed accepted by operation of law...  

Code of Federal Regulations, 2012 CFR

...2012-10-01 2012-10-01 false Once the Indian Tribe's final offer has been accepted...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH... Final Offer § 137.138 Once the Indian Tribe's final offer has been...

2012-10-01

342

42 CFR 137.425 - How does an Indian Tribe appeal the initial decision if it does not request an informal...  

Code of Federal Regulations, 2012 CFR

... 2012-10-01 false How does an Indian Tribe appeal the initial decision if...DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH...Pre-Award Disputes § 137.425 How does an Indian Tribe appeal the initial decision...

2012-10-01

343

41 CFR 101-5.307 - Public Health Service.  

Code of Federal Regulations, 2012 CFR

...2012-07-01 2012-07-01 false Public Health Service. 101-5.307 Section...Health Services § 101-5.307 Public Health Service. (a) The only authorized...assistance of and consultation with the Public Health Service is the Federal...

2012-07-01

344

41 CFR 101-5.307 - Public Health Service.  

Code of Federal Regulations, 2011 CFR

...2011-07-01 2007-07-01 true Public Health Service. 101-5.307 Section...Health Services § 101-5.307 Public Health Service. (a) The only authorized...assistance of and consultation with the Public Health Service is the Federal...

2011-07-01

345

Community participation in health services  

Microsoft Academic Search

This study critically analyzes and synthesizes community participation (CP) theory across disciplines, defining and beginning to map out the elements of CP according to a preliminary framework of structure, process, intermediate outcomes, and ultimate outcomes. The first study component sought to determine the impact of Sight N' Soul, a CP project utilizing neighborhood health workers (NHWs), on appointment missing in

Laura Caelan McKieran

1998-01-01

346

School Mental Health Resources and Adolescent Mental Health Service Use  

ERIC Educational Resources Information Center

|Objective: Although schools are identified as critical for detecting youth mental disorders, little is known about whether the number of mental health providers and types of resources that they offer influence student mental health service use. Such information could inform the development and allocation of appropriate school-based resources to…

Green, Jennifer Greif; McLaughlin, Katie A.; Alegria, Margarita; Costello, E. Jane; Gruber, Michael J.; Hoagwood, Kimberly; Leaf, Philip J.; Olin, Serene; Sampson, Nancy A.; Kessler, Ronald C.

2013-01-01

347

Managed Care, School Health Programs, and Adolescent Health Services: Opportunities for Health Promotion.  

ERIC Educational Resources Information Center

|Managed care organizations (MCOs) and school health programs share some common goals and some competing, conflicting priorities. Partnerships between the two are important for the effective coordination and delivery of comprehensive adolescent health services. This paper discusses adolescent clinical preventive services, school health services,…

Santelli, John; Vernon, Mary; Lowry, Richard; Osorio, Jenny; DuShaw, Martha; Lancaster, Mary Sue; Pham, Ngoc; Song, Elisa; Ginn, Elizabeth; Kolbe, Lloyd J.

1998-01-01

348

Managed Care, School Health Programs, and Adolescent Health Services: Opportunities for Health Promotion.  

ERIC Educational Resources Information Center

Managed care organizations (MCOs) and school health programs share some common goals and some competing, conflicting priorities. Partnerships between the two are important for the effective coordination and delivery of comprehensive adolescent health services. This paper discusses adolescent clinical preventive services, school health services,…

Santelli, John; Vernon, Mary; Lowry, Richard; Osorio, Jenny; DuShaw, Martha; Lancaster, Mary Sue; Pham, Ngoc; Song, Elisa; Ginn, Elizabeth; Kolbe, Lloyd J.

1998-01-01

349

Health care governance in the UK National Health Service.  

PubMed

The NHS Plan sets out a challenging agenda for modernising the UK National Health Service (NHS), governing the organisation's performance and improving and extending service provision. Good health care governance is an essential prerequisite for all modernisation effort. This article will explore the responsibilities and implications for health care boards, managers and clinical staff in providing assurances for health care governance. Health care organisation directors, executive and non-executive, all share responsibility for the direction and control of the organisation. They are required to act in the best interest of the patients, staff and the general public and have statutory obligations to provide safe systems of work under the Health and Safety Regulations. Each director has a role in ensuring openness, being honest and acting with integrity, taking responsibility for their own personal learning and development, constructively challenge and develop strategy and ensuring the probity of the organisation's activities. PMID:15566273

Wilson, Jo H

2004-01-01

350

Organizing mental health services: an evidence-based approach  

Microsoft Academic Search

Background and Aims. Health policy makers and program developers seek evidence-based guidance on how to organize and finance mental health services. The Swedish Council on Technology Assessment in Health Care (SBU) commissioned a conceptual framework for thinking about health care services as a medical technology. The following framework was developed, citing empirical research from mental health services research as the

Howard H. Goldman; Sten Thelander

2000-01-01

351

Mental Health in American Indians and Alaska Natives  

MedlinePLUS

... Minds, Healthy Lives Blog Key Topics Finding help Depression Suicide Alzheimer's Disease Autism All Topics People African Americans American Indians Asian Americans Athletes Caregivers Children College students Hispanics/Latinos LGBT/Sexual Orientation Men Military Seniors ...

352

Indian Health Focus Injuries. 2002-2003 Edition.  

National Technical Information Service (NTIS)

Injuries are a major problem in Indian country. This is apparent from analyzing the major category of injury and its subgroups: unintentional injury, suicide, homicide, firearm injury, falls, fire and smoke, and drowning. Unintentional injuries are the th...

Y. Roubideaux

2011-01-01

353

Use of Child Health Services by Hispanic Families.  

National Technical Information Service (NTIS)

This study examined the influence of social and acculturation on the use of health services for preschool Mexican-American and Puerto Rican children in a major Midwestern city. Questions about health practices and services utilization were based on Health...

S. Telleen

2001-01-01

354

Financing for Health Education Services in the United States.  

National Technical Information Service (NTIS)

There has been increasing recognition of the important role health education services can have in medical treatment, and in health maintenance and promotion. It has also been recognized that methods used to finance health education services have important...

T. Raichel J. Miller P. LeBrun E. Lee R. L. Davis

1980-01-01

355

Health Service Scarcity Area Identification Program. Background Paper.  

National Technical Information Service (NTIS)

The Department of Health, Education and Welfare's (HEW) Health Service Scarcity Identification Program, designed to identify and obtain information about health service scarcity areas of all types throughout the U.S., is described. The program, which was ...

1973-01-01

356

Preparing the Health Services Research Workforce  

PubMed Central

Objective To describe the ways in which investigators are trained for careers in health services research and estimate their number. Data Sources/Study Setting Sources describing health services research (HSR) training were consulted and published inventories of HSR training programs were reviewed and 124 training programs were contacted and interviewed to determine the numbers of students and the content of their HSR degree programs. Study Design Observational study. Data Collection HSR programs listed by AcademyHealth were surveyed and asked for details of enrollments; course content was captured from websites for the remaining programs. Principal Findings There are over 300 programs that train investigators in health services research in master's and doctoral programs. The number of graduates who become HSRs in any given year is unknown, but approximately 5,000 individuals graduate with skills that would allow them to function in or lead HSR projects and up to 200 fellows are annually trained as potential independent health services researchers. Conclusions The training pipeline for HSR appears to match demand because there are no apparent shortages of skilled workers in the field. There are many forces that are pressuring the field to adapt to technology demands and the increasing need for “translation” of results from research into practice.

Ricketts, Thomas C

2009-01-01

357

Information Profiles of Indian Reservations in Arizona, Nevada, & Utah.  

ERIC Educational Resources Information Center

Based on information provided by Bureau of Indian Affairs (BIA) Agency Offices and by the Indian Health Service, this publication provides profiles of 45 Indian reservations located in Arizona, Nevada, and Utah. These profiles include data on reservations located partially or totally in the adjoining states of Oregon, Idaho, California, and New…

Bureau of Indian Affairs (Dept. of Interior), Phoenix, AZ.

358

Information Profiles of Indian Reservations in Arizona, Nevada, and Utah.  

ERIC Educational Resources Information Center

Based on information provided by Bureau of Indian Affairs (BIA) Agency Offices and by the Indian Health Service, this publication provides profiles of 46 Indian reservations located in Arizona, Nevada, and Utah. These profiles include data on reservations that are: (1) located partially or totally in the adjoining States of Oregon, California,…

Bureau of Indian Affairs (Dept. of Interior), Phoenix, AZ.

359

Strategic market positions for mental health services.  

PubMed

Faced with a rapidly changing market, increased legislation and intense competition, mental health service providers must be sophisticated planners and position themselves advantageously in the marketplace. They can effectively position themselves to be profitable and sustaining through market segmentation and sensitivity. The following article will address one concept of marketing that has received less attention but is of critical importance: positioning. As the market environment becomes increasingly competitive, positioning will be the key to success for mental health programs and institutions. PMID:10302552

Ambrose, D M; Lennox, L

1988-01-01

360

Sexual health of Indian immigrant men in Australia: an exploratory research on help-seeking attitudes.  

PubMed

The help-seeking attitudes for sexual health of Indian men living in Australia was explored. Of all survey respondents (n=225), many preferred to seek help from medical doctors. Young (18-25 years) Indian men were three times more likely to prefer a specialist medical doctor than older men. Ethnicity and gender of the medical doctor was 'not important' for the majority of men. Most men preferred to seek help from their regular general practitioner. PMID:23618230

Ramanathan, Vijayasarathi; Sitharthan, Gomathi; Pepper, Karen; Wylie, Kevan

2013-08-01

361

Mental health services in the Arab world  

PubMed Central

This paper summarizes the current situation of mental health services in the Arab world. Out of 20 countries for which information is available, six do not have a mental health legislation and two do not have a mental health policy. Three countries (Lebanon, Kuwait and Bahrain) had in 2007 more than 30 psychiatric beds per 100,000 population, while two (Sudan and Somalia) had less than 5 per 100,000. The highest number of psychiatrists is found in Qatar, Bahrain and Kuwait, while seven countries (Iraq, Libya, Morocco, Somalia, Sudan, Syria and Yemen) have less than 0.5 psychiatrists for 100,000 population. The budget allowed for mental health as a percentage from the total health budget, in the few countries where information is available, is far below the range to promote mental health services. Some improvement has occurred in the last decade, but the mental health human resources and the attention devoted to mental health issues are still insufficient.

OKASHA, AHMED; KARAM, ELIE; OKASHA, TAREK

2012-01-01

362

Counseling with American Indians: A Review of the Literature with Methodological Considerations.  

ERIC Educational Resources Information Center

|Although there are few studies that include empirical information on the subject of counseling American Indians, an informative and provocative literature base exists. The literature deals with appropriateness of techniques, the delivery of mental health services, the operation and programming of Indian service delivery units (including Indian

Trimble, Joseph E.; Lee, D. John

363

Counseling with American Indians: A Review of the Literature with Methodological Considerations.  

ERIC Educational Resources Information Center

Although there are few studies that include empirical information on the subject of counseling American Indians, an informative and provocative literature base exists. The literature deals with appropriateness of techniques, the delivery of mental health services, the operation and programming of Indian service delivery units (including Indian

Trimble, Joseph E.; Lee, D. John

364

75 FR 31699 - Indian Self-Determination Act Contracts and Annual Funding Agreements-Appeal Procedures  

Federal Register 2010, 2011, 2012, 2013

...SERVICES 25 CFR Part 900 DEPARTMENT OF THE INTERIOR 25 CFR Part 1000 Bureau of Indian Affairs 25 CFR Part 900 Indian Health Service 25 CFR Part 900 RIN 1076-AE86 Indian Self-Determination Act Contracts and Annual Funding...

2010-06-04

365

Health Service Occupations. Florida Vocational Program Guide.  

ERIC Educational Resources Information Center

This vocational program guide is intended to assist in the organization, operation, and evaluation of a program in health services occupations in school districts, area vocational centers, and community colleges. The following topics are covered: program content (job duties of physical therapy aides and orderlies and curriculum framework and…

Florida State Univ., Tallahassee. Center for Instructional Development and Services.

366

Territorial evaluation of mental health services  

Microsoft Academic Search

The current phase of rapid growth in mental health services requires an increased emphasis on the systematic estimation of effectiveness. Serious evaluation requires the specification of goals in measurable categories and the setting up of a data-gathering and processing capacity. The argument is advanced that epidemiologic rates describing a variety of types of social disability need to be monitored in

William G. Smith; Norris Hansell

1967-01-01

367

School-Based Health Services: Administrative Rules.  

ERIC Educational Resources Information Center

This manual outlines the State of Oregon's program to reimburse medical providers furnishing health services to students with medical disabilities in special education settings. The program was established to comply with federal provisions of the Individuals with Disabilities Education Act of 1990. The guide will assist school personnel in…

Oregon State Dept. of Human Resources, Salem.

368

Health Services Mobility Study, Plan of Work.  

ERIC Educational Resources Information Center

To determine ways and means of facilitating horizontal and vertical mobility within New York City's Health Services Administration and selected private hospitals, a systems approach was adopted. Methodology for manpower development and training in an organizational setting related to the educational system and other accrediting institutions will…

City Univ. of New York Research Foundation, NY.

369

School Health Services. Minimum Standards Implementation Series.  

ERIC Educational Resources Information Center

One of a series of documents prepared in conjuntion with the revised minimum standards adopted in 1983 by the Ohio State Board of Education for elementary and secondary schools, this publication is an elaboration of those portions of the minimum standards pertaining to school health services. Following the text of the standard and a brief…

Ohio State Dept. of Education, Columbus. Div. of Elementary and Secondary Education.

370

Community Service and Health Industry Skills Council  

Microsoft Academic Search

The scan also pointed out that the formation of future worker's skills will be approached and shaped differently, and careers will be required to increasingly articulate between the higher education and VET sector. While the rate of growth in health and community services has been high overall, growth in the VET sector has significantly increased in comparison to university trained

Rob Simons

371

Defining health and unhealthiness: Perceptions held by Native American Indians with persistent mental illness  

Microsoft Academic Search

Discrepancies in definitions of health exist. These discrepancies, if not acknowledged, create major communication gaps between health-care professionals and their clients, which interferes with the provision of culturally responsive care. The purpose of this study was to understand how Native American Indians experiencing persistent mental illness (PMI) define\\/describe being healthy and being unhealthy. Grounded theory design was used in conducting

Eleanor E. Yurkovich; Izetta Lattergrass

2008-01-01

372

Popular Health Promotion Strategies Among Chinese and East Indian Immigrant Women  

Microsoft Academic Search

Purpose: To advance understanding about the popular health promotion strategies and factors associated with the successful transfer and uptake of health messages among Chinese and Indian immigrant women.Methods: Eight focus groups were conducted with 46 immigrant women, 22 from Mainland China and 24 from India, who had lived less than 5 years in Canada. Audiotaped data were transcribed, translated and

Farah Ahmad; Angela Shik; Reena Vanza; Angela Cheung; Usha George; Donna E. Stewart

2004-01-01

373

A REVIEW OF THE QUALITY OF HEALTH CARE FOR AMERICAN INDIANS AND ALASKA NATIVES  

Microsoft Academic Search

The author documents health care disparities for American Indians and Alaska Natives (AIANs) and reports on progress made in the last five years to reduce or eliminate gaps in care. In examining the demographics of this group, she notes in particular a substantial urban AIAN population that is both understudied and which may be underserved by the traditional AIAN health

Yvette Roubideaux

374

Organisation for Change: The British National Health Service.  

ERIC Educational Resources Information Center

|Begun in 1948, The National Health Service was organized in a "functional" pattern of three main groups: hospital service, primary health care, and community health services and personal social services. Dissatisfaction led to a reorganization in 1974 along geographical divisions for region, area, and district levels, necessitating a managing…

Chester, T. E.

375

The Unmet Need for Mental Health Services Among Probationers' Children  

Microsoft Academic Search

This study explores the unmet need for mental health services among children with parents on probation. A group of 77 probationers provided information on 170 children. Information about children's need for mental health services was based on the Child Behavior Checklist and information about children's receipt of mental health services was based on the Child and Adolescent Service Assessment. Approximately

Susan D. Phillips; Rachel Venema; Lorena Roque

2010-01-01

376

Oral health service systems in Gauteng Province, South Africa  

Microsoft Academic Search

OBJECTIVES: To describe the provision of restorative care and dental operators' opinion about their conditions of service in a South African provincial oral health service system. DESIGN: Assessment of oral health service over a four-month period. SETTING: Gauteng Province, South Africa. SUBJECTS: Dental operators in public oral health service. INTERVENTIONS: Operator interview, collection of treatment statistics, calculation of the mean

S. Mickenautsch; M. A. van't Hof; J. E. F. M. Frencken

2007-01-01

377

Health Services in City Schools. Bulletin, 1952, No. 20  

ERIC Educational Resources Information Center

A school health program is usually thought of as comprising three broad areas: (1) health education, including both separate and integrated instruction; (2) healthful school environment, including both physical and social aspects; and (3) school health services. The study reported here deals with the school health service area of the school health

Kilander, H. F.

1952-01-01

378

Influenza surveillance using electronic health records in the American Indian and Alaska Native population.  

PubMed

OBJECTIVE: Increasing use of electronic health records (EHRs) provides new opportunities for public health surveillance. During the 2009 influenza A (H1N1) virus pandemic, we developed a new EHR-based influenza-like illness (ILI) surveillance system designed to be resource sparing, rapidly scalable, and flexible. 4 weeks after the first pandemic case, ILI data from Indian Health Service (IHS) facilities were being analyzed. MATERIALS AND METHODS: The system defines ILI as a patient visit containing either an influenza-specific International Classification of Disease, V.9 (ICD-9) code or one or more of 24 ILI-related ICD-9 codes plus a documented temperature ?100°F. EHR-based data are uploaded nightly. To validate results, ILI visits identified by the new system were compared to ILI visits found by medical record review, and the new system's results were compared with those of the traditional US ILI Surveillance Network. RESULTS: The system monitored ILI activity at an average of 60% of the 269 IHS electronic health databases. EHR-based surveillance detected ILI visits with a sensitivity of 96.4% and a specificity of 97.8% based on chart review (N=2375) of visits at two facilities in September 2009. At the peak of the pandemic (week 41, October 17, 2009), the median time from an ILI visit to data transmission was 6 days, with a mode of 1 day. DISCUSSION: EHR-based ILI surveillance was accurate, timely, occurred at the majority of IHS facilities nationwide, and provided useful information for decision makers. EHRs thus offer the opportunity to transform public health surveillance. PMID:23744788

Keck, James W; Redd, John T; Cheek, James E; Layne, Larry J; Groom, Amy V; Kitka, Sassa; Bruce, Michael G; Suryaprasad, Anil; Amerson, Nancy L; Cullen, Theresa; Bryan, Ralph T; Hennessy, Thomas W

2013-06-01

379

Improving health services to displaced persons in Aceh, Indonesia: a balanced scorecard  

PubMed Central

Abstract Problem After the Indian Ocean tsunami in December 2004, the International Organization for Migration constructed temporary health clinics to provide medical services to survivors living in temporary accommodation centres throughout Aceh, Indonesia. Limited resources, inadequate supervision, staff turnover and lack of a health information system made it challenging to provide quality primary health services. Approach A balanced scorecard was developed and implemented in collaboration with local health clinic staff and district health officials. Performance targets were identified. Staff collected data from clinics and accommodation centres to develop 30 simple performance measures. These measures were monitored periodically and discussed at meetings with stakeholders to guide the development of health interventions. Local setting Two years after the tsunami, 34?000 displaced persons continued to receive services from temporary health clinics in two districts of Aceh province. From March to December 2007, the scorecard was implemented in seven temporary health clinics. Relevant changes Interventions stimulated and tracked by the scorecard showed measurable improvements in preventive medicine, child health, capacity building of clinic staff and availability of essential drugs. By enhancing communication, the scorecard also led to qualitative benefits. Lessons learnt The balanced scorecard is a practical tool to focus attention and resources to facilitate improvement in disaster rehabilitation settings where health information infrastructure is poor. Introducing a mechanism for rapid improvement fostered communication between nongovernmental organizations, district health officials, clinic health workers and displaced persons.

Parco, Kristin B; Sihombing, Melva E; Tredwell, Susan P; O'Rourke, Edward J

2010-01-01

380

Debt crisis, health and health services in Africa.  

PubMed

In the early 1960s when most of Africa became independent, the hope for the resolution of the related problems of poverty, illiteracy and disease became the primary agenda of its sovereign states. There were indeed initial gains in various aspects of social infrastructure, especially education and medical services. Beginning from the mid 1970s, but particularly since 1980, this initial progress is, however, being reversed as Africa totters under an excruciating debt burden and accompanying austerity programmes. This essay provides a kaleidoscope of this ominous decay with particular reference to health and health services. Several proposals for the way forward are discussed. PMID:2237506

Alubo, S O

1990-01-01

381

A Pre-post Survey Analysis of Satisfaction with Health Care and Medical Mistrust after Patient Navigation for American Indian Cancer Patients  

PubMed Central

Purpose To assess the impact of patient navigation (PN) on satisfaction with health care and medical mistrust among American Indians (AI) undergoing cancer treatment. Methods This was a pre-post cohort survey study of 52 AI cancer patients who participated in a culturally-tailored PN program during their cancer treatment. Surveys were administered prior to and after cancer treatment assessing medical mistrust and satisfaction with health care using two Likert-type scales. Results Participation refusal rate was 7%. Mean scale scores for satisfaction with health care were significantly improved after PN compared with pre-navigation (p<.0001; Wilcoxon signed-rank test). There was no significant difference in the mean scale scores for medical mistrust after PN compared with those observed prior to treatment (p=.13). Conclusions American Indian cancer patients who received PN services during their cancer treatment showed improvement in levels of satisfaction with health. However, no improvements were observed in levels of medical mistrust.

Guadagnolo, B. Ashleigh; Cina, Kristin; Koop, David; Brunette, Deborah; Petereit, Daniel G.

2012-01-01

382

The size and distribution of the American Indian population: Fertility, mortality, migration, and residence  

Microsoft Academic Search

This paper is a descriptive analysis of the basic demographic characteristics that determine the size and distribution of the American Indian population. The data reported are obtained from the 1990 Census, the National Center for Health Statistics, and the Indian Health Service. Among the findings reported in this paper is that American Indians have higher levels of fertility than other

C. MATTHEW SNIPP

1997-01-01

383

70 FR 19772 - Health Promotion and Disease Prevention  

Federal Register 2010, 2011, 2012, 2013

...SERVICES Indian Health Service Health Promotion and Disease Prevention Funding...grants to implement the IHS Health Promotion/ Disease Prevention (HP...school, clinic, and work site health promotion and chronic disease...

2005-04-14

384

71 FR 17106 - Health Promotion and Disease Prevention  

Federal Register 2010, 2011, 2012, 2013

...SERVICES Indian Health Service Health Promotion and Disease Prevention Announcement...announces the competitive grant for Health Promotion and Disease Prevention. This...communities to enhance and expand health promotion and reduce chronic disease...

2006-04-05

385

70 FR 32360 - Health Promotion and Disease Prevention; Correction  

Federal Register 2010, 2011, 2012, 2013

...OF HEALTH AND HUMAN SERVICES Indian Health Service Health Promotion and Disease Prevention; Correction ACTION: Notice...Tribal Management Grant (TMG) and replace with Health Promotion/Disease Prevention Grant; under same section...

2005-06-02

386

Private health insurance, mental health and service use in Australia  

Microsoft Academic Search

Objective: To report on the private health insurance (PHI) status of individuals with and without a mental health problem, and examine whether PHI status is associated with access to psychological services.Methods: This is a descriptive study of nationally representative population-based data collected in 2009 (HILDA) with participants aged 15–93 (n = 13,301). Key measures included: PHI status (categorised as ‘hospital

Liana S Leach; Peter Butterworth; Harvey Whiteford

2012-01-01

387

Proposals for health services in northern Nigeria.  

PubMed

This paper outlines practical proposals for the implementation of primary health care in the Bodinga province of Nigeria. The inhabitants of Bodinga are Hausa Moslems, and their culture, religion, and traditional authority structure differ from those of other ethnic groups in Nigeria. The success of any health program in Bodinga is dependent upon careful consideration of these factors. The recommendations presented focus on 4 issues: community participation and the Hausa Islamic culture, health education, social services, and the potential role of traditional medicine. Given the Hausa culture's regard for traditional rulers, district and village heads should be converted 1st; they can then be used as instruments for the promotion of the basic health scheme. Community participation could be followed by a health education program aimed at the prevention of infectious diseases caused by an unclean environment and consumption of contaminated food. Female health inspectors can be used to advise villagers on child care and family planning. At present, there is no hospital or rural health center in Bodinga, and access roads connecting the villages are inadequate. Each village needs a small clinic and each district needs a rural health center or a hospital at each government headquarters. The basic health scheme requires staff that are locally trained and responsive to the needs and priorities of the community served. An official integration of traditional medical practitioners with modern medical personnel is advised. The Nigerian government must be involved, politically and financially, in this project. PMID:3921714

Ityavyar, D A

1985-04-01

388

Navajo Master Health Plan, 1979-1983. Arizona Health Service Area 4. Native Healing Services.  

National Technical Information Service (NTIS)

Native Healing Services is an issue that relates to the unique and diverse Navajo health care system, a blend of traditional and modern influences, are broadly examined in the Native Healing component. Culturally derived attitudes, values and beliefs grea...

1982-01-01

389

Embedding an electronic health record within a health visiting service.  

PubMed

County Durham and Darlington's implementation of an electronic health record across community health services provided an ideal opportunity for health visitors to take the lead in enhancing the system to reflect their paper clinical record. Practitioners' concerns, fears and anxieties in relation to confidentiality and professional accountability resulted in the project being further developed to include the employment of three full-time clinical IT facilitators. These were experienced health visitors and 'IT champions' with a sound knowledge of information governance with a specific remit to provide clinical support and supervision to health visitors in electronic clinical record keeping. These practitioners were instrumental in developing the system and proved the key to the project's success and ensuring that the electronic record was embedded into health visiting practice to improve the quality of patient care. PMID:23029773

Lowery, Mandy; Dobbs, Janice; Monkhouse, Aileen

2012-09-01

390

Indian Self-Determination and Education Assistance Act Implementation. Hearings Before the United States Senate Select Committee on Indian Affairs, 95th Congress, 1st Session on Implementation of Public Law 93-638--The Indian Self-Determination and Education Assistance Act (June 7 and 24, 1977).  

ERIC Educational Resources Information Center

Although the American Indian Self-Determination and Education Assistance Act became law in 1975, Indian people continued to encounter problems and barriers to the assumption of control over Bureau of Indian Affairs (BIA) and Indian Health Service (IHS) programs. In June, 1977, the United States Senate conducted oversight hearings to take testimony…

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

391

Indian Self-Determination and Education Assistance Act Implementation. Hearings Before the United States Senate Select Committee on Indian Affairs, 95th Congress, 1st Session on Implementation of Public Law 93-638--The Indian Self-Determination and Education Assistance Act (June 7 and 24, 1977).  

ERIC Educational Resources Information Center

|Although the American Indian Self-Determination and Education Assistance Act became law in 1975, Indian people continued to encounter problems and barriers to the assumption of control over Bureau of Indian Affairs (BIA) and Indian Health Service (IHS) programs. In June, 1977, the United States Senate conducted oversight hearings to take…

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

392

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

Code of Federal Regulations, 2011 CFR

... (10) Act as information clearinghouses for tribal governments and Indian-owned businesses on transportation-related topics. (b) Unless otherwise stated in an Indian LTAP agreement, an Indian technical assistance program center must, at a...

2011-04-01

393

Health Beliefs and Regimen Adherence of the American Indian Diabetic.  

ERIC Educational Resources Information Center

|Examines compliance with a medical and behavioral regimen by 60 American Indian diabetics, as it relates to demographic and medical variables, attitudes, perceived beliefs of others, and coping strategies. Concludes that the patient's perceptions of significant others' belief is the best predictor of overall adherence. Contains 29 references.…

Miller, Patricia; And Others

1987-01-01

394

Dental health status of recipients of community dental health services  

Microsoft Academic Search

A new information system was used routinely to monitor clinical dental services. Data on 20,729 courses of treatment support the validity and usefulness of continuously collected information about dental health status. Patients who had not attended a community clinic within the year before examination did not need courses of treatment that differed appreciably from those for patients who had attended

S Gelbier; J Packham; S Simmons; I Hopes

1983-01-01

395

Access to Rural Mental Health Services: Service Use and Out-of-Pocket Costs  

ERIC Educational Resources Information Center

Purpose: To examine rural-urban differences in the use of mental health services (mental health and substance abuse office visits, and mental health prescriptions) and in the out-of-pocket costs paid for these services. Methods: The pooled 2003 and 2004 Medical Expenditure Panel Surveys were used to assess differences in mental health service use…

Ziller, Erika C.; Anderson, Nathaniel J.; Coburn, Andrew F.

2010-01-01

396

USDA: Animal and Plant Health Inspection Service  

NSDL National Science Digital Library

The watchword of the U.S. Department of Agriculture's Animal and Plant Health Inspection Service (APHIS) is "protection". The APHIS is primarily considered with improving agricultural productivity and also ensuring the health and care of animals and plants. First-time visitors may wish to click on the "Hot Issues" section to learn more about some of the most pressing issues that the APHIS addresses. Here they will find fact sheets and news updates on avian influenza, the pesky light brown apple moth, and bovine spongiform encephalopathy (BSE). Moving on, visitors can also browse a list of subject headings that include animal health, biotechnology, plant health, and wildlife damage management. Finally, the site also contains an area where concerned visitors can report a pest infestation or suspected instances of agricultural smuggling.

397

78 FR 58539 - National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and...  

Federal Register 2010, 2011, 2012, 2013

...Services (CLAS) in Health and Health Care AGENCY: Office of Minority Health...Services (CLAS) in Health and Health Care, known as the enhanced National...Services (CLAS) in Health and Health Care will be available beginning...

2013-09-24

398

Displacement and Disease: Land, Place, and Health Among American Indians and Alaska Natives  

Microsoft Academic Search

\\u000a The major aim of this chapter is to stimulate scholarship in the area of place and health, specifically examining how American\\u000a Indian and Alaska Natives’ (AIAN) health outcomes can be understood in light of historical trauma losses and disruptions tied\\u000a to place or land. Although classic social determinants of health, such as poor socioeconomic status, substandard housing,\\u000a and poor access

Karina L. Walters; Ramona Beltran; David Huh; Teresa Evans-Campbell

399

Relevance of ancient Indian wisdom to modern mental health - A few examples  

PubMed Central

The ancient Indian concepts and paradigms relating to mental health are holistic and cover aspects that have been neglected by the modern mental health literature. The latter can borrow, study, and incorporate them in their text books to advantage. The current trend in mental health research is heavily biased in favour of biological aspects of psychological phenomena neglecting the basic entity, the mind. Correction of this partisan tilt is urgently needed.

Shamasundar, C.

2008-01-01

400

Health Care: Franchise Business Activity Contracts for Medical Services.  

National Technical Information Service (NTIS)

Contract personnel responsible for procuring medical services and military and civilian health care professionals within the military health system should read this report. Those responsible for acquiring and providing medical services should be intereste...

2003-01-01

401

75 FR 27348 - Public Health Services Act; Delegation of Authority  

Federal Register 2010, 2011, 2012, 2013

...SERVICES Centers for Disease Control and Prevention Public Health Services Act; Delegation of Authority Notice is hereby given that I have delegated to the Director, Office of Public Health Preparedness and Response (OPHPR), with...

2010-05-14

402

California Center for Health Services Research: Terminal Report.  

National Technical Information Service (NTIS)

The objective and particular focus of the California Center for Health Services Research (CCHSR) was to improve the effectiveness and efficiency of personal health services through research and demonstration focused on the development and test-use of crit...

1973-01-01

403

Homemaker - Home Health Aide Services for the Handicapped.  

National Technical Information Service (NTIS)

Three projects involving the utilization of homemaker and home health aide services are described. The projects were designed to provide supportive homemaker and home health aide services to handicapped individuals in Bangor, Maine, Detroit, Mich., and Sa...

E. Weinrich

1968-01-01

404

Influence of caregiving on health-related quality of life among american indians.  

PubMed

Caregiving can have a profound effect on the health of the caregiver, yet research on caregiving among American Indians is limited. The purpose of this study was to examine the influence of caregiving on the health-related quality of life (HRQoL) of American Indians enrolled in the Education And Research Towards Health (EARTH) study. Participants in the EARTH study represented three different tribes in the Northern Plains and Southwestern regions of the United States who completed self-administered, computer-assisted questionnaires between 2003 and 2006. Participants were classified as caregivers if at least one adult relied on them for personal care or as non-caregivers (n = 3,736). Caregivers were further classified according to type; those caring for an adult with unspecified needs (CAU, n = 482) and those caring for an adult with mental or physical difficulties (CAD, n = 295). HRQoL was measured using the mental and physical health component scores of the Medical Outcomes Study 12-item Short-Form Health Survey. Regional differences emerged with regard to caregiver type. Across both regions, non-caregivers reported significantly better mental and physical health than CAD, and the health of participants classified as CAU did not differ from that of non-caregivers. The health of American Indian caregivers depends on the kind of care provided, but detailed measures of caregiving are necessary to understand how caregiving influences health. This has implications for the design of effective interventions in tribal communities. PMID:24001320

Spencer, S Melinda; Goins, R Turner; Henderson, Jeffrey A; Wen, Yang; Goldberg, Jack

2013-09-03

405

Addenda to Standards for Homemaker-Home Health Aide Services.  

National Technical Information Service (NTIS)

The 1965 Standards for Homemaker - Health Aide Services of the National Council for Homemaker Services are supplemented and amplified. The primary objective of homemaker services is to help maintain, safeguard, and enrich family life. Four important aspec...

1969-01-01

406

Medicaid Services Provided in an Adult Day Health Setting.  

National Technical Information Service (NTIS)

Contents: Executive Summary; Introduction; Findings (Beneficiaries received at least one health service on 60 percent of service days, Approximately 43 percent of therapy services were provided by staff who lacked required supervision; Documentation inclu...

2011-01-01

407

HUD Publishes Proposed Indian Housing Rules  

ERIC Educational Resources Information Center

|The proposed regulations, drafted by an interdepartmental working group from the Bureau of Indian Affairs, Indian Health Services, and HUD, are applicable to rental programs, homeownership (Mutual Help) and all housing developed under the Housing and Community Development Act which authorized $15 million for fiscal year 1975 and 1976. (Author/NQ)|

Berkey, Curtis; Lehman, Loretta

1975-01-01

408

Off-Reservation Indian Survey [Maine].  

ERIC Educational Resources Information Center

The needs of the off-reservation Indian population in Maine and recommendations for the correction of these needs are discussed. The program's objectives were (1) to determine the present level of services available to off-reservation Indians in Maine, (2) to determine present housing standards, educational levels, health programs, and geographic…

Sockabasin, Allen J., Comp; Stone, John G., Comp.

409

Information Technology in Complex Health Services  

PubMed Central

Abstract Objective: To identify impediments to the successful transfer and implementation of packaged information systems through large, divisionalized health services. Design: A case analysis of the failure of an implementation of a critical application in the Public Health System of the State of New South Wales, Australia, was carried out. This application had been proven in the United States environment. Measurements: Interviews involving over 60 staff at all levels of the service were undertaken by a team of three. The interviews were recorded and analyzed for key themes, and the results were shared and compared to enable a continuing critical assessment. Results: Two components of the transfer of the system were considered: the transfer from a different environment, and the diffusion throughout a large, divisionalized organization. The analyses were based on the Scott-Morton organizational fit framework. In relation to the first, it was found that there was a lack of fit in the business environments and strategies, organizational structures and strategy-structure pairing as well as the management process-roles pairing. The diffusion process experienced problems because of the lack of fit in the strategy-structure, strategy-structure-management processes, and strategy-structure-role relationships. Conclusion: The large-scale developments of integrated health services present great challenges to the efficient and reliable implementation of information technology, especially in large, divisionalized organizations. There is a need to take a more sophisticated approach to understanding the complexities of organizational factors than has traditionally been the case.

Southon, Frank Charles Gray; Sauer, Chris; Dampney, Christopher Noel Grant (Kit)

1997-01-01

410

20 CFR 1002.58 - Is service in the commissioned corps of the Public Health Service considered âservice in the...  

Code of Federal Regulations, 2013 CFR

...in the commissioned corps of the Public Health Service considered âservice in...the commissioned corps of the Public Health Service considered âservice in...in the commissioned corps of the Public Health Service (PHS) is...

2013-04-01

411

Home health services in New Hampshire.  

PubMed Central

While home health services have traditionally been an underused component of the health care system, current trends suggest the desirability of expanding these services. These trends include an increase in the number of elderly who need the benefits of home care, the recognition that long-term chronic illnesses require appropriate management at home, and concern that patients have access to care at the level most appropriate to their illnesses. In New Hampshire, 41 certified home health agencies offer services. Little systematic research has been conducted on the kinds of services they provide and the patients seen by their staffs. Patient encounter data were collected from a sample of eight agencies for a 4-week period. Staff of the agencies used the patient contact record developed by the National Functional Task Analysis Cooperative Study to collect data. The data reflected differences among the agencies in the size of the populations they serve, organizational characteristics, reasons for patients' visits, expected sources of the revenue that supported them, and the diagnosis of the patients they cared for. The agencies served areas with populations ranging from 1,000 to 40,000. The staffs ranged from 1 to 14 full-time persons. Two were public agencies; the others had voluntary sponsorship. When data on reasons for visits were averaged for the eight agencies, it was shown that 72% of the visits were made for disease control activities such as care for a chronic or acute condition or for treatment or a laboratory test. Disease prevention activities such as a checkup for adults, children, prenatal or postnatal care, or health education accounted for only 24% of the visits. This result may indicate that, in areas short of physician manpower, the community health nurse is taking on increasing responsibility for medical care as well as health and education. Reimbursement for the visits came from Medicare, 25%; Medicaid-welfare, 14%; the patients, 18%; and health insurance, 3%. For 35% of the visits there was no charge; they were underwritten by community resources.

Hale, F A; Jacobs, A R

1976-01-01

412

42 CFR 410.165 - Payment for rural health clinic services and ambulatory surgical center services: Conditions.  

Code of Federal Regulations, 2012 CFR

...health clinic services and ambulatory surgical center services: Conditions. 410...health clinic services and ambulatory surgical center services: Conditions. (a...Medicare Part B pays for covered ambulatory surgical center (ASC) services ifâ...

2012-10-01

413

The Unmet Need for Mental Health Services among Probationers' Children  

ERIC Educational Resources Information Center

This study explores the unmet need for mental health services among children with parents on probation. A group of 77 probationers provided information on 170 children. Information about children's need for mental health services was based on the Child Behavior Checklist and information about children's receipt of mental health services was based…

Phillips, Susan D.; Venema, Rachel; Roque, Lorena

2010-01-01

414

Correlates of Adolescents' Satisfaction with Mental Health Services  

Microsoft Academic Search

While there has been increased attention to consumers' satisfaction with mental health services as an indicator of quality of care, little is known about the construct of consumer satisfaction, especially for youth. The goal of this study was to examine potential correlates of adolescents' satisfaction with mental health services. One hundred eighty adolescents who had received out-patient mental health services

Ann F. Garland; Gregory A. Aarons; Marla D. Saltzman; Marc I. Kruse

2000-01-01

415

38 CFR 3.753 - Public Health Service.  

Code of Federal Regulations, 2013 CFR

...2013-07-01 2013-07-01 false Public Health Service. 3.753 Section...Compensation Retirement § 3.753 Public Health Service. Disability compensation...of the commissioned corps of the Public Health Service, who was receiving...

2013-07-01

416

Health Systems Plan for 1978-1983. Health Service Area 2 Georgia. Health Facilities and Services Plan.  

National Technical Information Service (NTIS)

The health facilities and services plan developed by the Appalachian Georgia Health Systems Agency is part of the health systems plan in that it delineates policies and guidelines for use by the agency in improving the accessibility, quality, and cost-eff...

1979-01-01

417

Frequency of Intimate Partner Violence and Rural Women's Mental Health in Four Indian States.  

PubMed

This study examines the association between self-reported frequency of verbal, physical, and sexual intimate partner violence (IPV) and mental health among 6,303 rural married women (age 15-49), in four Indian states: Bihar, Jharkhand, Maharashtra, and Tamil Nadu. Data are taken from the 2002-2003 National Family Health Survey-2 Follow-Up Survey. The results indicate that experiencing physical, verbal, or sexual IPV is associated with an increased risk of adverse mental health outcomes. Our results provide support for the importance of screening for IPV in mental health settings, especially in resource-poor settings where both IPV and mental health are often overlooked. PMID:24142954

Stephenson, Rob; Winter, Amy; Hindin, Michelle

2013-09-01

418

An application of Indian public health standard for evaluation of primary health centers of an EAG and a Non-EAG state.  

PubMed

National Rural Health Mission (NRHM) has provided the opportunities to develop a standard for Sub centers, PHCs and CHCs in the country, popularly known as Indian Public Health Standards (IPHS). The study was carried out to find out and compare to what extent the IPHS were followed by the PHCs in the selected districts of both the Empowered Action Group (EAG) state of Assam and non EAG state of Karnataka. It was a Cross sectional observational study conducted during September-October 2008 where the quality of care and services provided in the selected PHCs as per the IPHS norms was assessed. All the PHCs in both the studied districts were rendering the assured services of OPD, 24hrs general emergency service and referral services while 24 hour delivery services were being provided by 80% of the PHCs of the selected districts of both the states. Functional labor rooms were available only in 80% and 90% of the studied PHCs in Assam and Karnataka respectively. Basic laboratory facilities, for routine blood, urine and stool examination were available in 80% of the studied PHCs in the non-EAG state of Karnataka while it was only in 20% of the studied PHCs of the EAG state of Assam. The findings of the present study revealed important deficiencies as per IPHS norms in the studied PHCs of both Assam and Karnataka. PMID:20859050

Zaman, Forhad Akhtar; Laskar, Nasrin Banu

419

Empty Beds: Indian Student Health at Sherman Institute, 1902-1922.  

ERIC Educational Resources Information Center

|As one of the last nonreservation boarding schools built for American Indian students in the United States, Sherman Institute (Riverside, California) benefited from lessons learned about student health from earlier boarding schools. Excessive student morbidity and mortality at early boarding schools had resulted in a lasting perception of these…

Keller, Jean A.

420

Reframing Diabetes in American Indian Communities: A Social Determinants of Health Perspective  

ERIC Educational Resources Information Center

|American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what…

Mitchell, Felicia M.

2012-01-01

421

CENTRAL PLAINS CENTER FOR AMERICAN INDIAN HEALTH DISPARITIES (CPC-AIHD) REVISION  

EPA Science Inventory

American Indians (AI) suffer some of the greatest health disparities in the US. Many conditions, including asthma, obesity, and diabetes, are prevalent among AI and are influenced by the places AI live. In addition, AI have high rates of severe physical housing problems and...

422

American Indian and Alaska Native Early Childhood Health, Development, and Education Assessment Research. ERIC Digest.  

ERIC Educational Resources Information Center

|This digest reports on the very limited research that has focused specifically on early childhood issues in American Indian and Alaska Native (AI/AN) health, development, and education. Extant research focuses primarily on infant mortality, birth weight and growth, obesity, and hearing and speech. Beginning in 1985, a longitudinal study called…

Hammer, Patricia Cahape; Demmert, William G., Jr.

423

Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People  

Microsoft Academic Search

Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia.Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to

Brian Draper; Tanya Jochelson; David Kitching; John Snowdon; Henry Brodaty; Bob Russell

2003-01-01

424

The 2008 Survey of Indian Third-Party Logistics (3PL) Service Providers: Comparisons with the 2004 Survey of Indian 3PLs and 2006 Survey of North American 3PLs  

Microsoft Academic Search

This paper presents a survey of Indian third-party logistics (3PL) providers and compares the state of the industry with that in 2004 based on an earlier survey. The 3PL industries of India and North America are also compared. The survey finds that the Indian 3PL industry lags behind North America in terms of global reach and breadth of service. Indian

Subrata Mitra

2011-01-01

425

Health Systems Plan for 1978. Health Service Area 7 Texas. Executive Summary.  

National Technical Information Service (NTIS)

The health systems plan (HSP) for the Northeast Texas Health Systems Agency, Inc., is described. It represents the needs of the health service area and addresses 10 national health priorities. The introduction discusses the responsibility for health plann...

1978-01-01

426

25 CFR 900.233 - When must an Indian tribe or tribal organization regulate its employees or subcontractors to...  

Code of Federal Regulations, 2013 CFR

...subcontractors to avoid a personal conflict of interest? 900.233...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2013-04-01

427

25 CFR 900.232 - What must an Indian tribe or tribal organization do if an organizational conflict of interest...  

Code of Federal Regulations, 2010 CFR

...organization do if an organizational conflict of interest arises under a...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2009-04-01

428

25 CFR 900.232 - What must an Indian tribe or tribal organization do if an organizational conflict of interest...  

Code of Federal Regulations, 2010 CFR

...organization do if an organizational conflict of interest arises under a...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2010-04-01

429

25 CFR 900.232 - What must an Indian tribe or tribal organization do if an organizational conflict of interest...  

Code of Federal Regulations, 2013 CFR

...organization do if an organizational conflict of interest arises under a...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2013-04-01

430

Integrating mental health and addictions services to improve client outcomes.  

PubMed

Substance use disorders are highly prevalent among adults with mental health disorders. In many health service delivery areas, mental health and addictions services are delivered separately. However, current best practices indicate that integration of mental health and addictions services can lead to better outcomes for clients with co-occurring disorders, including fewer hospitalizations. Service integration in the community can occur in many ways, including full or partial program integration. While the delivery of mental health and addictions services must be responsive to the needs of the local community, fully integrated programs have the strongest evidence base for positive client outcomes. PMID:24066651

Peterson, Ashley L

2013-10-01

431

Perceptions of school based mental health services by directors and supervisors of student services  

Microsoft Academic Search

Key stakeholders in schools must be educated about the importance of increasing access to mental health services in schools. School-based mental health services are designed to increase children's competence and help them meet the societal expectations of school success. The present study examined types of mental health services provided to students in school districts throughout Florida; the extent to which

Decia N Dixon

2007-01-01

432

Critical issues in reforming rural mental health service delivery  

Microsoft Academic Search

Critical issues in reforming rural mental health service delivery systems under health care reform are outlined. It is argued that the exclusive focus on health care financing reform fails to include obstacles to effective mental health service delivery in rural areas, which should focus on issues of availability, accessibility, and acceptability, as well as financing and accountability. Characteristics of rural

Michael B. Blank; Jeanne C. Fox; David S. Hargrove; Jean T. Turner

1995-01-01

433

Role of Universal Service Obligation Fund in Rural Telecom Services: Lessons from the Indian Experience  

Microsoft Academic Search

Despite the tremendous growth of mobile services in most developing countries, these have largely remained limited to urban areas. This has further aggravated the existing urban and rural divide. Policy makers and regulators perceive the need for an effective regulatory and policy environment to reduce the gap, as there are several market challenges in this endeavor, including low commercial viability.

Rekha Jain; G. Raghuram

434

Lifestyle and the use of health services.  

PubMed

In 1976, 27,766 Seventh-day Adventists answered questions on diet, medications, use of health services, and prevalence of disease. Approximately 55% (n = 15,228) were vegetarians. Compared with vegetarian females, nonvegetarian females reported significantly more overnight hospitalizations and surgeries during the past year and nonvegetarian males reported more overnight hospitalizations and x-rays. The average numbers of chronic diseases were 1.24 in nonvegetarian females and 1.03 in vegetarian females compared with 0.93 and 0.79 in nonvegetarian and vegetarian males, respectively. Nonvegetarian females also reported more chemical allergy (rate ratio (RR) = 1.30), asthma (RR = 1.24), drug allergy (RR = 1.17), beesting allergy (RR = 1.17), and hayfever (RR = 1.15). Only chemical and drug allergy were more prevalent in nonvegetarian males. Medication use was increased by 70-115% in nonvegetarian females and more than doubled in nonvegetarian males. We conclude that a vegetarian diet may decrease the prevalence of chronic disease, medication use, and health service use, and thus, potentially, health care costs. PMID:8172119

Knutsen, S F

1994-05-01

435

Substance Abuse and Mental Health Services Administration  

NSDL National Science Digital Library

Congress established the Substance Abuse and Mental Health Services Administration (SAMHSA) in 1992 to "target effectively substance abuse and mental health services to the people most in need." SAMHSA also administers a number of block grant programs and data collection activities. On their homepage, visitors can get started by clicking on the "Data" link at the top of the page and reading through the "What We Are Doing" section. Here interested parties will find highlights of recent reports, state-level data on these topics, and a series of mental health statistics reports. The top of their homepage contains additional sections of interest, including "Grants", "Publications", "Data", and "Newsroom". Visitors should also take a look at the "Featured Resource", which is also on the homepage. In addition, many of the site's materials are available in Spanish. Visitors can follow SAMHSA on various social networks including Facebook YouTube, and Twitter, and they can also sign up for their mailing list if they wish to keep up with this valuable organization.

436

Dysfunctional health service conflict: causes and accelerants.  

PubMed

This article examines the causes and accelerants of dysfunctional health service conflict and how it emerges from the health system's core hierarchical structures, specialized roles, participant psychodynamics, culture, and values. This article sets out to answer whether health care conflict is more widespread and intense than in other settings and if it is, why? To this end, health care power, gender, and educational status gaps are examined with an eye to how they undermine open communication, teamwork, and collaborative forms of conflict and spark a range of dysfunctions, including a pervasive culture of fear; the deny-and-defend lawsuit response; widespread patterns of hierarchical, generational, and lateral bullying; overly avoidant conflict styles among non-elite groups; and a range of other behaviors that lead to numerous human resource problems, including burnout, higher staff turnover, increased errors, poor employee citizenship behavior, patient dissatisfaction, increased patient complaints, and lawsuits. Bad patient outcomes include decreased compliance and increased morbidity and mortality. Health care managers must understand the root causes of these problems to treat them at the source and implement solutions that avoid negative conflict spirals that undermine organizational morale and efficiency. PMID:22534973

Nelson, H Wayne

437

Performance Improvement 1995: Evaluation Activities of the Public Health Service.  

National Technical Information Service (NTIS)

Partial Contents: The Evaluation Program in the Public Health Service (OHS Evaluation Activities, Future Directions in Evaluation); Highlights of Selected Evaluations From the Previous Year (Access to Health Care for Special Populations. Adolescent Health...

1996-01-01

438

Cost/Benefit Analysis in Mental Health Services.  

National Technical Information Service (NTIS)

This working group was organized by the World Health Organization's Regional Office for Europe to discuss cost-benefit analysis in the mental health field in relation to different patient groups, types of mental health services, and administrative-organiz...

1976-01-01

439

Constructs of Health and Environment Inform Child Obesity Prevention in American Indian Communities  

Microsoft Academic Search

Objective:Obesity prevention efforts have had limited success in American Indian (AI) populations. More effective prevention programs might be designed using insights into linkages between parental health beliefs, environmental constraints and healthy lifestyle choices.Methods and Procedures:Focus group sessions (n = 42 participants) were conducted to explore parental perspectives on children's health, diet and physical activity in three Wisconsin Tribal communities. Focus

Alexandra K. Adams; Heather Harvey; David Brown

2008-01-01

440

Health-related quality of life and help seeking among American Indians with diabetes and hypertension  

Microsoft Academic Search

Objective  To evaluate the Health-Related Quality of Life (HRQoL) of American Indians with diabetes, hypertension, or both conditions\\u000a using the SF36; and to explore how the HRQoL is associated with help seeking among American Indians with and without these\\u000a chronic conditions.\\u000a \\u000a \\u000a \\u000a Methods  We analyzed data obtained from respondents with diabetes and\\/or hypertension who participated in a large epidemiological study\\u000a of two culturally

Luohua Jiang; Janette Beals; Nancy R. Whitesell; Yvette Roubideaux; Spero M. Manson

2009-01-01

441

Barriers to Sexual Health Services for Young People in Nepal  

PubMed Central

Although sexual and reproductive health education and services are provided to young people, current rates of HIV infection and pregnancy are increasing in Nepal, indicating that young people do not always use sexual health services. Health facilities have apparently failed to provide young people with specialized sexual health education and services. This study explored the barriers to using sexual health services, including condom-use among young people in Nepal. Participants from 10 focus groups and 31 in-depth interviews, carried out by a same-sex researcher, reported many socioeconomic, cultural and physical norms that impose barriers to accessing information on sexual health and relevant services. It is concluded that the establishment of youth-friendly service centres in convenient places might help encourage young people to use sexual health services.

van Teijlingen, Edwin; Simkhada, Padam; Acharya, Dev Raj

2010-01-01

442

PROMOTING HEALING AND RESTORING TRUST:POLICY RECOMMENDATIONS FOR IMPROVING BEHAVIORAL HEALTH CARE FOR AMERICAN INDIAN/ALASKA NATIVE ADOLESCENTS  

PubMed Central

American Indian/Alaska Native youth represent the strength and continued survival of many Nations and Tribes. However, they currently experience numerous health disparities and challenges, including the highest rate of suicide among 15 to 24 year-olds in the United States. Our comprehensive review of the literature on the mental health of AI/AN youth highlighted seven focal causes of behavioral health disparities: 1) high levels of violence and trauma exposure and traumatic loss, 2) past and current oppression, racism, and discrimination, 3) underfunded systems of care, 4) disregard for effective indigenous practices in service provision, policy, and funding, 5) overreliance on evidence-based practices, 6) lack of cultural competence among systems of care and providers, and 7) barriers to care. Seven policy recommendations that recognize the importance of moving beyond exclusive reliance on western models of care and that seek to foster transformation of individuals, families, communities, behavioral health service systems of care, and social structures are presented, supported, and discussed.

Goodkind, Jessica R.; Ross-Toledo, Kimberly; John, Susie; Hall, Janie Lee; Ross, Lucille; Freeland, Lance; Coletta, Ernest; Becenti-Fundark, Twila; Poola, Charlene; Begay-Roanhorse, Regina; Lee, Christopher

2011-01-01

443

Developing a culturally appropriate mental health care service for Samoa.  

PubMed

Mental Health Care Services are part of the National Health Services for Samoa. Their function is to provide mental health care services to the population of Samoa, which numbers 180,000 people. However, like many other countries in the Pacific region, mental health is considered a low priority. The mental health budget allocation barely covers the operation of mental health care services. More broadly, there is a lack of political awareness about mental health care services and mental health rarely becomes an issue of deliberation in the political arena. This article outlines the recent development of mental health care services in Samoa, including the Mental Health Policy 2006 and Mental Health Act 2007. It tells the story of the successful integration of aiga (family) as an active partner in the provision of care, and the development of the Aiga model utilizing Samoan cultural values to promote culturally appropriate family-focused community mental health care for Samoa. Mental Health Care Services today encompass both clinical and family-focused community mental health care services. The work is largely nurse-led. Much has been achieved over the past 25 years. Increased recognition by government and increased resourcing are necessary to meet the future health care needs of the Samoan people. PMID:23857811

Enoka, Matamua Iokapeta Sina; Tenari, Aliilelei; Sili, Tupou; Peteru, Latama; Tago, Pisaina; Blignault, Ilse

2012-07-18

444

Factors that influence first-career choice of undergraduate engineers in software services companies : A south Indian experience  

Microsoft Academic Search

Purpose – The purpose of this paper is to identify how undergraduate engineering students differ in their perception about software services companies in India based on variables like gender, locations of the college and branches of engineering. Design\\/methodology\\/approach – Data obtained from 560 undergraduate engineering students who had the opportunity to have multiple job offers from four major Indian software

V. K. Gokuladas

2010-01-01

445

The impact of HRM practices on service quality, customer satisfaction and performance in the Indian hotel industry  

Microsoft Academic Search

The paper investigates the effects of HRM practices on service quality, customer satisfaction and performance in the hotel industry. A conceptual model is developed and four research hypotheses are empirically examined using structural equation modelling. The data were collected via a survey of Indian based hotels. 52 hotels in India responded to questionnaires pooling 52 HR managers 260 employees (5

Mohinder Chand

2010-01-01

446

Progressive segmented health insurance: Colombian health reform and access to health services.  

PubMed

Equal access for poor populations to health services is a comprehensive objective for any health reform. The Colombian health reform addressed this issue through a segmented progressive social health insurance approach. The strategy was to assure universal coverage expanding the population covered through payroll linked insurance, and implementing a subsidized insurance program for the poorest populations, those not affiliated through formal employment. A prospective study was performed to follow-up health service utilization and out-of-pocket expenses using a cohort design. It was representative of four Colombian cities (Cendex Health Services Use and Expenditure Study, 2001). A four part econometric model was applied. The model related medical service utilization and medication with different socioeconomic, geographic, and risk associated variables. Results showed that subsidized health insurance improves health service utilization and reduces the financial burden for the poorest, as compared to those non-insured. Other social health insurance schemes preserved high utilization with variable out-of-pocket expenditures. Family and age conditions have significant effect on medical service utilization. Geographic variables play a significant role in hospital inpatient service utilization. Both, geographic and income variables also have significant impact on out-of-pocket expenses. Projected utilization rates and a simulation favor a dual policy for two-stage income segmented insurance to progress towards the universal insurance goal. PMID:16929487

Ruiz, Fernando; Amaya, Liliana; Venegas, Stella

2007-01-01

447

74 FR 28510 - Health Promotion and Disease Prevention Announcement Type: New Cooperative Agreement Funding...  

Federal Register 2010, 2011, 2012, 2013

...SERVICES Indian Health Service Health Promotion and Disease Prevention Announcement...a cooperative agreement for Health Promotion and Disease Prevention (HP...communities to enhance and expand health promotion and reduce chronic disease...

2009-06-16

448

Assimilation and health service utilization of korean immigrant women.  

PubMed

In this case study, I present descriptive findings with regard to immigrant incorporation and health service utilization. Using focus groups and survey of Korean immigrant women in Wisconsin, I examine whether the ways in which they adapt to the U.S. society is relevant to their health services utilization and the alternatives they seek when available health services are less than satisfactory. The findings suggest that adherence to Korean identity appears to be associated with health service utilization. This is evident in the immigrants' evaluation of the U.S. health services as compared to those of Korea, and the consideration given by these immigrants to seeking health services in Korea instead of the United States. Such concerns on the part of these immigrants have important implications for health researchers, as they highlight the significance of immigrants' transnational experiences and their sense of personal agency in the use of health care. PMID:24108090

Son, Juyeon

2013-10-09

449

Sexual Orientation Bias Experiences and Service Needs of Gay, Lesbian, Bisexual, Transgendered, and Two-Spirited American Indians  

Microsoft Academic Search

Employing both quantitative and qualitative methodologies, this study examined: sexual orientation bias experiences among American Indians (AIs) who were gay, lesbian, bisexual, transgend-ered, or two-spirited (GLBTT-S); service provider attitudes toward AI GLBTT-S; and service barriers and needs with respect to AI GLBTT-S at one AI community-based organization. Among the 14 AI GLBTT-S surveyed, the percentages reporting various bias-related experiences were

Karina L. Walters; Pamela F. Horwath; Jane M. Simoni

2001-01-01

450

Wildlandfire.com: USDA Forest Service References on the American Indian Use of Fire in Ecosystems  

NSDL National Science Digital Library

Studies examining the use of fire by Native Americans prior to European arrival in North America have received a considerable amount of attention in recent years. This website contains a sizeable collection of references addressing this subject, and was compiled in 2001 by Dr. Gerald W. Williams, an Historical Analyst for the US Forest Service. Dr. Williams introduces the references as "part of the growing literature of the intentional use of fire by American Indians in English speaking portions of North America." Preceding the references, Dr. Williams includes brief summary sections that address the arrival of Europeans, the discoveries and burning practices of early settlers, and documented reasons or purposes for burning by Native Americans. [NL

451

Health Status and Sociodemographic Characteristics of the Morbidly Obese American Indians  

PubMed Central

Introduction: The obesity epidemic has become a health crisis in the United States, particularly for minorities. This article reports on the health status and sociodemographic characteristics of morbidly obese American Indians living in rural areas of California. Methods: A cross-sectional randomized household study of 457 American Indian adults was implemented at 13 rural reservation sites throughout California. Data collected included sociodemographics, body mass index (BMI), health status, and health problems. Chisquare tests were used to assess statistical differences among categorical data and ANOVA methods were used for normally distributed continuous variables. Results: Nearly a majority of females were morbidly obese (11.6%) or obese (37.3%), while males were significantly represented in the overweight (38%) group (P=.0007). The prevalence of morbid obesity was twice the general population (13% vs. 5.9% respectively); average age was 47 years; 35% spoke their tribal language; 87% were enrolled in a tribe; 46% had 50% or more Indian blood; 42% were married; 29% had less than 12th grade education; and the average monthly household income was $2,126. The average weight of participants was 266 pounds (P<.0001). Morbidly obese adults reported more health problems and physical limitations (P=.003) than adults in other BMI categories. Obesity status and health conditions were significant for those with type 2 diabetes (P=.003), arthritis (P=.04) and hypertension (P=.03). Discussion: The obesity epidemic in the American Indian population is a severe and a multifactorial problem. The high rate of poor health status among this population should be addressed, possibly by programs designed to increase physical activity.

Hodge, Felicia S.; Cantrell, Betty Geishirt; Kim, Soeun

2011-01-01

452

Coordination between Child Welfare Agencies and Mental Health Service Providers, Children's Service Use, and Outcomes  

ERIC Educational Resources Information Center

Objective: Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by…

Bai, Yu; Wells, Rebecca; Hillemeier, Marianne M.

2009-01-01

453

Prevalence of hypertrophic cardiomyopathy in a Population-Based sample of American Indians aged 51 to 77 years (the Strong Heart Study) * * The opinions expressed in this report are those of the authors and do not necessarily reflect the views of the Indian Health Service  

Microsoft Academic Search

Recognition of the frequency with which hypertrophic cardiomyopathy (HC) occurs in the general population is critical to understanding its demographics and public health implications. However, few data are available for estimating HC prevalence in large populations of different age strata and ethnic or racial groups. The Strong Heart Study is a prospective, population-based epidemiologic survey of cardiovascular disease in residents

Barry J Maron; Paolo Spirito; Mary J Roman; Mary Paranicas; Peter M Okin; Lyle G Best; Elisa T Lee; Richard B Devereux

2004-01-01

454

Role of trans fatty acids in health and challenges to their reduction in Indian foods.  

PubMed

Evidence indicates that dietary trans fatty acids (TFA) obtained from partially hydrogenated vegetable oils (PHVO) increase the risk of coronary heart disease (CHD). Studies have implicated TFA in increasing the risk and incidence of diabetes. Furthermore, TFA may compromise fetal and early infant growth and development. In rats, partial substitution of either linoleic acid (18:2 n-6) with saturated fatty acids (SFA, 6 en %) or SFA with TFA (3 en % from vanaspati) decreased peripheral insulin sensitivity, but these effects were greater in TFA group. Since a large proportion of Indian population is insulin resistant, the TFA content in Indian edible fats/oils and foods should be reduced. Vanaspati (PHVO) provides up to 40% TFA, is used in Indian cooking and in the preparation of commercially fried, processed, bakery, ready-to-eat and street foods. TFA in biscuits and sweets range 30-40 and 6-26% of total fatty acids respectively. There is no regulation on TFA content in vanaspati, bakery fats and shortenings. Reduction in Indian edible fats/ oils and foods can be achieved by: a) specifying limits of TFA in vanaspati, bakery fats and shortenings by upgrading technology; b) advocating the substitution of natural plant oils containing lower percent of polyunsaturated fatty acids for PHVO. Indian edible oil industry needs to develop and adopt alternative technologies to produce zero TFA. Consumer education about negative health effects of TFA and providing food based guidelines to reduce TFA consumption in the entire population need to be actively pursued. PMID:18296340

Ghafoorunissa, Ghafoorunissa

2008-01-01

455

Child Maltreatment in American Indian and Alaska Native Communities: Integrating Culture, History, and Public Health for Intervention and Prevention  

Microsoft Academic Search

This article addresses child maltreatment intervention and prevention among American Indians and Alaska Natives. The authors argue that history and culture must be included as context and variables for developing and implementing prevention programs in Indian Country. They propose that the public health violence prevention model would benefit from incorporating tenets of the history and culture(s) of diverse groups, in

Lemyra DeBruyn; Michelle Chino; Patricia Serna; Lynne Fullerton-Gleason

2001-01-01

456

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

Code of Federal Regulations, 2013 CFR

...what will the Secretary of Health and Human Services or the IBIA do? 900.174...HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN...what will the Secretary of Health and Human Services or the IBIA do? (a)...

2013-04-01

457

Selling mental health services to businesses: concepts and strategies.  

PubMed

In order to interest businesses in buying mental health services for their employees, professionals must be able to speak the businessman's language and market their product--mental health services. They must emphasize the cost-effectiveness of mental health care and explain how the business can benefit from including such services in the company's benefits package. The authors describe some concepts and strategies they found helpful when they ventured into the business community to "sell" the services of their community mental health center. They discuss such factors as the need to present a polished, professional image and to gear services to the needs of the particular employer and his employees. PMID:112024

Keating, P R; Pieper, E A

1979-09-01

458

Mental Health and Substance Abuse Characteristics Among a Clinical Sample of Urban American Indian\\/Alaska Native Youths in a Large California Metropolitan Area: a Descriptive Study  

Microsoft Academic Search

This study analyzes descriptive data among a clinical sample of American Indian\\/Alaska Native (AI\\/AN) youths receiving mental\\u000a health services in a large California metropolitan area. Among 118 urban AI\\/AN youths, mood disorders (41.5%) and adjustment\\u000a disorder (35.4%) were the most common mental health diagnoses. Alcohol (69.2%) and marijuana (50.0%) were the most commonly\\u000a used substances. Witnessing domestic violence (84.2%) and

Daniel L. Dickerson; Carrie L. Johnson

459

The prisoner as patient - a health services satisfaction survey  

Microsoft Academic Search

BACKGROUND: There is evidence for higher morbidity among prison inmates than in the general population. Despite this, patient satisfaction with the prison health services is scarcely investigated. The aim of the present study was to investigate patient satisfaction with prison health services in Norway and to analyze possible patient and service effects. METHODS: The survey took part in 29 prisons

Johan Hĺkon Bjřrngaard; Ĺse-Bente Rustad; Ellen Kjelsberg

2009-01-01

460

Evaluation of primary health services: The provider perspective  

Microsoft Academic Search

This study proposes a strategy for the evaluation of the quality of primary health services based on the provider's satisfaction with the service. In the area of health sciences only a few studies have inquired into the factors contributing to provider satisfaction. The present study tested the hypothesis that expectation regarding availability of services as well as the self-image as

D. Pilpel; L. Naggan

1988-01-01

461

Innovations in Mental Health Services to Disaster Victims.  

ERIC Educational Resources Information Center

|This monograph was developed to provide mental health and other service delivery workers with an overview of conceptual, programmatic, and educational developments in mental health services to disaster victims over the past 10 years. It was written primarily for national policymakers, administrators, and service providers of disaster relief…

Lystad, Mary, Ed.

462

Access to Child and Adolescent Mental Health Services  

Microsoft Academic Search

Adequate access to child and adolescent mental health services for young people in high need populations is an important concern of service systems researchers and program evaluators. We present results of a statewide study of access to community mental health services for eight populations of special concern. The analysis relied exclusively on existing databases in conjunction with innovative statistical techniques

John A. Pandiani; Steven M. Banks; Monica M. Simon; M. Christine Van Vleck; Sheila M. Pomeroy

2005-01-01

463

77 FR 56652 - Notice of Service Delivery Area Designation for the Mashpee Wampanoag Indian Tribe  

Federal Register 2010, 2011, 2012, 2013

...Columbia, WI, Crawford, WI, Dane, WI, Eau Claire, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI, Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI, Wood, WI. Hoh Indian Tribe of the Hoh Indian Jefferson,...

2012-09-13

464

Health literacy among Indian adults seeking dental care  

PubMed Central

Background: Poor literacy can impede one's ability not only to seek out needed health information but also to process, understand and use it to make appropriate health care decisions. The objective of the study was to assess the health literacy among adult patients seeking oral health care at in a private dental hospital in Bangalore, Karnataka, India. Materials and Methods: A cross sectional questionnaire survey was carried out on 500 subjects. The questionnaire designed by Chew and colleagues (2004) was modified and used as the survey instrument. To be eligible to participate in the study, the participants had to be aged above 18 years and able to read or write English/Kannada (local language). Analysis of variance (ANOVA) and Student's t-test (two tailed, independent) was used to find the significance of study parameters at 95% confidence interval. Results: About 60.4% of the subjects had low health literacy level, 29.4% average and only 10.2% had high health literacy levels. Age and educational qualification had a suggestive significant difference with the mean health literacy scores while gender did not have any significant difference. Subjects who had completed post-graduation (57.8%) too had low health literacy levels. Conclusion: A large number of patients have low levels of health literacy that may interfere with their ability to process and understand basic health information.

D'Cruz, Audrey M; Shankar Aradhya, M R

2013-01-01

465

Indian community health insurance schemes provide partial protection against catastrophic health expenditure  

PubMed Central

Background More than 72% of health expenditure in India is financed by individual households at the time of illness through out-of-pocket payments. This is a highly regressive way of financing health care and sometimes leads to impoverishment. Health insurance is recommended as a measure to protect households from such catastrophic health expenditure (CHE). We studied two Indian community health insurance (CHI) schemes, ACCORD and SEWA, to determine whether insured households are protected from CHE. Methods ACCORD provides health insurance cover for the indigenous population, living in Gudalur, Tamil Nadu. SEWA provides insurance cover for self employed women in the state of Gujarat. Both cover hospitalisation expenses, but only upto a maximum limit of US$23 and US$45, respectively. We reviewed the insurance claims registers in both schemes and identified patients who were hospitalised during the period 01/04/2003 to 31/03/2004. Details of their diagnoses, places and costs of treatment and self-reported annual incomes were obtained. There is no single definition of CHE and none of these have been validated. For this research, we used the following definition; "annual hospital expenditure greater than 10% of annual income," to identify those who experienced CHE. Results There were a total of 683 and 3152 hospital admissions at ACCORD and SEWA, respectively. In the absence of the CHI scheme, all of the patients at ACCORD and SEWA would have had to pay OOP for their hospitalisation. With the CHI scheme, 67% and 34% of patients did not have to make any out-of-pocket (OOP) payment for their hospital expenses at ACCORD and SEWA, respectively. Both CHI schemes halved the number of households that would have experienced CHE by covering hospital costs. However, despite this, 4% and 23% of households with admissions still experienced CHE at ACCORD and SEWA, respectively. This was related to the following conditions: low annual income, benefit packages with low maximum limits, exclusion of some conditions from the benefit package, and use of the private sector for admissions. Conclusion CHI appears to be effective at halving the incidence of CHE among hospitalised patients. This protection could be further enhanced by improving the design of the CHI schemes, especially by increasing the upper limits of benefit packages, minimising exclusions and controlling costs.

Devadasan, Narayanan; Criel, Bart; Van Damme, Wim; Ranson, Kent; Van der Stuyft, Patrick

2007-01-01

466

Health education and communication in Occupational Health Services in Finland.  

PubMed

This article discusses health education and communication in Occupational Health Services (OHS) based on a questionnaire study conducted in Finnish OHS in 2005. The study focused on educational activities carried out by OH professionals and directed at individual employees, work communities and groups, and representatives of client organisations. The questionnaire was sent to 1132 OH professionals--physicians, nurses, physiotherapists and psychologists--working in 130 OHS units, and representing different OHS providers in Finland. 635 respondents (162 physicians, 342 nurses, 96 physiotherapists, 35 psychologists) returned the questionnaire. The overall response rate was 58%. There were statistically significant differences in educational activities by different professional groups; differences were also related to the length of working experience in OHS. For all OH professionals, individual employees were the primary clients of health education and communication. Education was less often directed at work communities and representatives of client organisations. However, many issues related to health and well-being at work are not within the reach of individual employees. The impact of health education would be more evident if it also reached those organisational stakeholders with discretion in decision-making. Furthermore, OH personnel should pay attention to the social aspect of learning and work more with groups and work communities. PMID:18796384

Palmgren, Helena; Jalonen, Päivi; Kaleva, Simo

2008-09-01

467

Health Systems Plan for 1978-1983. Health Service Area 14 California. Summary and Citizen's Guide.  

National Technical Information Service (NTIS)

A summary of the health systems plan for San Diego and Imperial counties in California is provided. Following a brief introduction to the report, components of the health systems plan are highlighted: health service area profile, health promotion and prot...

1978-01-01

468

Improving the Recruitment and Retention of American Indian Students in Psychology.  

ERIC Educational Resources Information Center

|There is a great need to increase the number of American Indian students in psychology, especially in clinical and counseling psychology. Nationally, there are fewer than 200 American Indian psychologists, and most mental health services for Indian people are provided by paraprofessionals, who may be poorly trained for this function. In addition,…

Thomason, Timothy C.

469

Clinical Issues in Mental Health Service Delivery to Refugees  

Microsoft Academic Search

Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process. Having survived harrowing physical and psychological traumas prior to reaching refugee camps, many refugees encounter mental health services in overseas camps that are characterized by fragmentation, instability, language barriers, and severe staff shortages. Refugees requiring mental health intervention after resettlement in the United States

Elizabeth Gong-Guy; Richard B. Cravens; Terence E. Patterson

1991-01-01

470

Clinical issues in mental health service delivery to refugees  

Microsoft Academic Search

Serious limitations exist in the delivery of mental health services to refugees throughout the resettlement process. Having survived harrowing physical and psychological traumas prior to reaching refugee camps, many refugees encounter mental health services in overseas camps that are characterized by fragmentation, instability, language barriers, and severe staff shortages. Refugees requiring mental health intervention after resettlement in the United States

Elizabeth Gong-Guy; Richard B. Cravens; Terence E. Patterson

1991-01-01

471

National School Health Service Program. Special Report. Number 1, 1985.  

ERIC Educational Resources Information Center

|A five-year School Health Service demonstration program, sponsored by The Robert Wood Johnson Foundation, tested whether School Nurse Practitioners (SNP's) supported by community physicians could improve children's access to health care by expanding the health services in schools. The program was conducted in 18 school districts in medically…

Robert Wood Johnson Foundation, New Brunswick, NJ.

472

Availability and Use of Health Services, Rural-Urban Comparison.  

ERIC Educational Resources Information Center

|A comparison of national statistics on health services available in rural and urban areas of the United States from 1935-1966 revealed a relatively lower supply of health services per capita in rural areas and significant geographic differences in the supply of trained health personnel. It was shown that medical expenditures per family tended to…

Krakowski, Martin; And Others

473

Inventorying Community Health Promotion and Risk Reduction Services: Virginia's Approach  

Microsoft Academic Search

Early in this decade the U.S. Centers for Disease Control gave a mandate to states receiving Health Education\\/Risk Reduction Funds (HERR) to inventory health pro motion and risk reduction services. This article reports on the findings of the Northern Virginia Inventorying Project, in which an existing service classification system in use in a health planning district serving over one million

Nancy H. Smith; Elizabeth Harper Howze

1987-01-01

474

Pediatric Partnerships: Health Promotion Through Service-Learning  

Microsoft Academic Search

Service-learning is an integral component of the Child Health Maintenance course at Louisiana Tech University. Nursing students engage the pediatric population in a variety of community settings to improve health through service-learning education. Topics such as prematurity awareness, shaken baby syndrome, hand washing and illness prevention, hygiene issues, nutrition, dental care and adolescent health needs are addressed. The opportunity to

Tanya Sims

2012-01-01

475

Dementia in Ontario: Prevalence and Health Services Utilization  

ERIC Educational Resources Information Center

To understand the impact of ongoing reform of mental health and dementia care in Ontario, an examination of prevalence and health services utilization rates is needed. However, there exists a gap in current prevalence and health services research specific to dementia care in Ontario. The objective of this study was to address these concerns using…

Tranmer, J. E.; Croxford, R.; Coyte, P. C.

2003-01-01

476

Private and Public Health Insurance for Early Intervention Services  

Microsoft Academic Search

Published information is scarce regarding the extent to which public and private health insurance will reimburse health-related services needed by infants and toddlers with developmental delays. To learn about financing opportunities for services to young children with disabilities, two national surveys were conducted: one of state Medicaid programs and one of firms offering health insurance to employees. Data were collected

ARRIETTE B. FOX; LORIB WICKS; MARGARET A. McMANUS; PAUL W. NEWACHECK

1992-01-01

477

Federal Program Encourages Health Service Innovations on Developmental Disabilities  

ERIC Educational Resources Information Center

|There is always room for improvement in the delivery of health services. This article discusses the U.S. Agency for Healthcare Research and Quality's (AHRQ) Health Care Innovations Exchange (www.innovations.ahrq.gov), a comprehensive program that aims to increase awareness of innovative strategies to meet health service delivery challenges and…

Nix, Mary P.

2009-01-01

478

Sex, Kids, and Politics. Health Services in Schools.  

ERIC Educational Resources Information Center

This book examines practical, cultural, and political implications of placing health service programs in public schools, detailing three cases of Florida school districts, where a controversial statewide initiative for health services in schools recently went into effect. The plan supports programs to promote the health of medically underserved…

Emihovich, Catherine; Herrington, Carolyn D.

479

Dementia in Ontario: Prevalence and Health Services Utilization  

ERIC Educational Resources Information Center

|To understand the impact of ongoing reform of mental health and dementia care in Ontario, an examination of prevalence and health services utilization rates is needed. However, there exists a gap in current prevalence and health services research specific to dementia care in Ontario. The objective of this study was to address these concerns using…

Tranmer, J. E.; Croxford, R.; Coyte, P. C.

2003-01-01

480

75 FR 48235 - Rural Health Care Universal Service Support Mechanism  

Federal Register 2010, 2011, 2012, 2013

...47 CFR Part 54 Rural Health Care Universal Service Support Mechanism; Proposed...02-60; FCC 10-125] Rural Health Care Universal Service Support Mechanism AGENCY...improve the quality and delivery of health care, and addresses each of the major...

2010-08-09

481

The quest for an Indian blood law as of blood transfusion services regulatory framework  

PubMed Central

Background: Blood transfusion services are a vital part of the national health delivery system. The responsibility for ensuring a continuous supply of blood rests with health administrators, who need to galvanize entire communities towards regular and non-remunerated blood donation. Objective: The present study aimed to examine the prevailing global regulations and practices related to blood transfusion and press the case for a dedicated blood law in India. Materials and Methods: We attempted a comprehensive, annotated assembly of published studies on blood transfusion services in India. Data Abstraction and Synthesis: Laws related to blood transfusion services exist in India as a part of the Drugs and Cosmetics Law. In the developed world, most blood donors are unpaid volunteers who give blood for a community supply. In order to augment safe blood transfusion services in India, we have to develop operational legal guidelines on recruitment and retention of voluntary blood donors to direct related organizations for this imperative activity. Conclusion: Several factors, such as political will and a professional and ethical approach can help in formulating a common vision, building trust, by providing optimum information towards a social movement for the rational blood transfusion services. We have to come together for a dedicated blood law in order to improve the quality of blood transfusion services in India.

Pal, Ranabir; Kar, Sumit; Zaman, Forhad Akhtar; Pal, Shrayan

2011-01-01

482

The prisoner as patient - a health services satisfaction survey  

PubMed Central

Background There is evidence for higher morbidity among prison inmates than in the general population. Despite this, patient satisfaction with the prison health services is scarcely investigated. The aim of the present study was to investigate patient satisfaction with prison health services in Norway and to analyze possible patient and service effects. Methods The survey took part in 29 prisons in the southern and central part of Norway, representing 62% of the total prison capacity in Norway. A total of 1,150 prison inmates with prison health services experiences completed a satisfaction questionnaire (90% response rate). The patients' satisfaction was measured on a 12-item index. Multilevel analyses were used to analyze both patient and service characteristics as predictors of satisfaction. Results The study revealed high levels of dissatisfaction with prison health services. There were substantial differences between services, with between-service-variance accounting for 9% of the total variance. Satisfaction was significantly associated with a senior staff member's evaluation of the health services possessing adequate resources and the quality of drug abuse treatment. At the patient level, satisfaction was significantly associated with older age, frequent consultations and better self-perceived health. Conclusion Prison inmates' satisfaction with the health services provided are low compared with patient satisfaction measured in other health areas. The substantial differences observed between services - even when adjusting for several known factors associated with patient satisfaction - indicate a potential for quality improvement.

Bj?rngaard, Johan Hakon; Rustad, Ase-Bente; Kjelsberg, Ellen

2009-01-01

483

Climate change: The challenges for public health preparedness and response- An Indian case study  

PubMed Central

Extremes weather changes surpassing their usual statistical ranges and tumbling records in India could be an early warning bell of global warming. Extreme weather events like the recent record setting in western Indian city of Mumbai or all time high fatalities due to the heat wave in southern Indian states or increasing vulnerability of easten Indian states to flood could all be a manifestation of climate change in the Asian subcontinent. While the skeptics may be inclined to dismiss these events as simple local aberrations, when viewed in an epidemiological paradigm in terms of person, time and space couple with frequency, intensity and fatalities, it could well be an early manifestation of climate change. Global warming poses serious challenge to the health sector and hence warrants emergency health preparedness and response. Climate-sensitive diseases are among the largest global killers, hence major brunt of global climate change in terms of adverse health impact will be mostly borne by poor and developing countries in Asia, given the levels of poverty, nutional levels and poor public health infrastructure.

Patil, Rajan R.; Deepa, T. M.

2007-01-01

484

Climate change: The challenges for public health preparedness and response- An Indian case study.  

PubMed

Extremes weather changes surpassing their usual statistical ranges and tumbling records in India could be an early warning bell of global warming. Extreme weather events like the recent record setting in western Indian city of Mumbai or all time high fatalities due to the heat wave in southern Indian states or increasing vulnerability of easten Indian states to flood could all be a manifestation of climate change in the Asian subcontinent. While the skeptics may be inclined to dismiss these events as simple local aberrations, when viewed in an epidemiological paradigm in terms of person, time and space couple with frequency, intensity and fatalities, it could well be an early manifestation of climate change. Global warming poses serious challenge to the health sector and hence warrants emergency health preparedness and response. Climate-sensitive diseases are among the largest global killers, hence major brunt of global climate change in terms of adverse health impact will be mostly borne by poor and developing countries in Asia, given the levels of poverty, nutional levels and poor public health infrastructure. PMID:21957376

Patil, Rajan R; Deepa, T M

2007-09-01

485

45 CFR 1304.20 - Child health and developmental services.  

Code of Federal Regulations, 2010 CFR

...BY GRANTEE AND DELEGATE AGENCIES Early Childhood Development and Health Services...entryâ means the first day that Early Head Start or Head Start services...of well child care utilized by the Early and Periodic Screening,...

2009-10-01

486

45 CFR 1304.20 - Child health and developmental services.  

Code of Federal Regulations, 2010 CFR

...BY GRANTEE AND DELEGATE AGENCIES Early Childhood Development and Health Services...entryâ means the first day that Early Head Start or Head Start services...of well child care utilized by the Early and Periodic Screening,...

2010-10-01

487

Developing Minimal Health Services Standards for Florida Junior / Community Colleges.  

National Technical Information Service (NTIS)

Because little effort has been made to establish general guidelines for health services in Florida's community college system, the services provided by the 28 autonomous community colleges had a nurse available. There was an exceptional need for coordinat...

J. H. Caldwell

1975-01-01

488

Health Services Research and Development: the Veterans Administration Program.  

PubMed Central

Health expenditures are rising inexorably; health status shows relatively little gain; technological possibilities are outstripping our ability or willingness to provide a commensurate level of resources. Clinical and administrative managers face increasingly difficult choices among alternative interventions in attempting to resolve these problems. If health services research is to succeed as a tool for assisting these decisions, clinicians, administrators, and researchers must view it as an integral part of management. This paper describes this concept of health services research and its implementation by the VA HSR&D Service, results from 1981 to date, and future directions. Four programs implement the Service's system to make relevant, valid information accessible to VA staff who can use it to improve veterans' health care: Investigator-Initiated Research (IIR) Program; HSR&D Field Program, which implements the Service's mission in various local areas VA-wide; Special Projects Program, responsive to system-wide issues, including technology assessment and transfer; and Resources Program, the Service's own management system. The Service's impact on improving veterans health care is already apparent. However, the true value of the HSR&D system will become apparent only in the 1990s, after the capacity for conducting health services research has been built and integrated fully with clinical and administrative practice. The VA, the nation's largest health care system, has a unique opportunity to demonstrate how health services research can improve health care.

Goldschmidt, P G

1986-01-01

489

Learning lessons from the National Health Service.  

PubMed

The Canadian College of Health Service Executives has recently formalized a learning partnership with the UK's Institute of Healthcare Management. The development of such a partnership offers Canadian healthcare leaders an opportunity to learn from the UK's decade long multibillion pound effort to improve its healthcare system using a multipronged approach. This article provides an initial insight into the UK system starting with some of the high-level cultural differences between the UK and Canada. It is important to be aware of these differences as an appreciation of the context of the UK system can assist Canadian leaders in adapting the positive aspects to our system. The article describes some of the high-level cultural differences and then focuses on 3 specific areas that hold salient lessons for Canada: (1) the evolution of the primary care system, (2) the collection of structured and comparable consumer/patient feedback, and (3) a focus on quality (or clinical governance). PMID:20527314

Sunner, Jasbir

2010-01-01

490

Reframing diabetes in American Indian communities: a social determinants of health perspective.  

PubMed

American Indians and Alaska Natives (AI/ANs) experience some of the greatest health inequities of any group within the United States. AI/ANs are diagnosed with diabetes more than twice as often as non-Hispanic white Americans. Diabetes is a chronic preventable disease often associated with individual risk factors and behaviors that indicate what interventions are needed to prevent or manage the disease. Individual ameliorative strategies in diabetes prevention and management do not fully address the fundamental causes and complexity of diabetes in American Indian communities. Through the application of a social determinants of health paradigm, social work has the opportunity to reframe diabetes and begin to understand it as a product of and a response to unjust conditions and environments, rather than as a disease rooted solely in individual pathology and responsibility. PMID:23029974

Mitchell, Felicia M

2012-05-01

491

Concordance Between Parent Reports of Children's Mental Health Services and Service Records: The Services Assessment for Children and Adolescents (SACA)  

Microsoft Academic Search

The concordance between parent reports of children's mental health services and medical and administrative service records were assessed in a field test of the Services Assessment for Children and Adolescents (SACA) interview instrument. Service use reports from primary caregivers, usually mothers, for their child's emotional or behavioral problems were compared against inpatient, outpatient, and school records in St. Louis, one

Kimberly Hoagwood; Sarah Horwitz; Arlene Stiffman; John Weisz; Donna Bean; Donald Rae; Wilson Compton; Linda Cottler; Leonard Bickman; Philip Leaf

2000-01-01

492

25 CFR 900.236 - May an Indian tribe elect to negotiate contract provisions on conflict of interest to take the...  

Code of Federal Regulations, 2010 CFR

...negotiate contract provisions on conflict of interest to take the place...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2009-04-01

493

25 CFR 900.236 - May an Indian tribe elect to negotiate contract provisions on conflict of interest to take the...  

Code of Federal Regulations, 2010 CFR

...negotiate contract provisions on conflict of interest to take the place...OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS...EDUCATION ASSISTANCE ACT Conflicts of Interest §...

2010-04-01

494

Health services and maternity in Mexico.  

PubMed

This paper considers maternity and mothers to be disdained by society, medical institutions, and medical practitioners who seek to dominate women, especially those women who are dependent upon state public health services. Many women, in fact, die from abortions, pregnancy complications, and/or undernourishment in the care of inadequate state services, and at the hands of negligent, thoughtless practitioners. a personal testimony is provided as witness to ill treatment received by expectant mothers in medical care. Instead of productively working to truly defend dignified maternity for the majority of women in the country, anti-abortionist groups only produce negative social and institutional effects which lead to new aggressions. The feminist position, however, implies support for women to control their bodies as they please, with society offering opportunities for choice. The paper notes the designation of May 28, as the International Day of Action against Maternal Mortality for deaths from medical ill treatment and negligence. It further encourages those who have witnessed or been subjected to such treatment to write in their experiences. Poor treatment may range from imposition of contraceptives to death through negligence. PMID:12284526

495

Prior Service Utilization in Detained Youth with Mental Health Needs.  

PubMed

This study examined the prevalence of mental health needs and rates of service utilization among youth detained in a metropolitan juvenile justice system in California. Of the 345 youth in the sample, 265 (76.8 %) qualified for high or acute mental health need and 210 (60.9 %) had at least one prior contact with mental health services. No differences in mental health need were found across ethnicities; however rates of prior service utilization significantly differed (?(2) = 19.18, p < 0.001). Asian and Pacific Islander participants were less likely to have had prior contact with county services than any other ethnic group. PMID:22926913

Kates, Emily; Gerber, Emily B; Casey, Shannon

2012-08-28

496

Social Services: By and For Native Americans. Proceedings of a Conference of Eight Indian Research and Demonstration Projects (Santa Fe, New Mexico, June 7-9, 1978).  

ERIC Educational Resources Information Center

|Four panel presentations in full text are presented commenting on the following: an overview of national Indian strategy; goals and strategies of eight demonstration projects; a review of current federal legislation; and making services for American Indians culturally relevant in child placement, family support, and child care. Representatives,…

Pacific Training and Technical Assistance Corp., Berkeley, CA.

497

Mental Health of Non-gamblers Versus “Normal” Gamblers Among American Indian Veterans: A Community Survey  

Microsoft Academic Search

Goal This analysis was undertaken to assess the demographic and mental health characteristics of “normal” or non-problem gamblers\\u000a versus non-gamblers in a representative community sample. Sample Study participants consisted of 557 North Central American Indian veterans. Data collection included a demographic and trauma questionnaire, a computer-based Diagnostic Interview Schedule for DSM-III-R, and a treatment\\u000a history algorithm. Findings Univariate analyses revealed

Joseph Westermeyer; Jose Canive; Paul Thuras; James Thompson; Suk W. Kim; Ross D. Crosby; Judith Garrard

2008-01-01

498

U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) Fiscal Year 2005 Budget.  

National Technical Information Service (NTIS)

This is the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Fiscal Year 2005 Budget report. For carrying out titles V and XIX of the Public Health Service Act with respect to substance abuse and mental health services, the Protectio...

2004-01-01

499

An Outcome Survey of Mergers Between University Student Counseling Centers and Student Health Mental Health Services  

Microsoft Academic Search

An outcome survey was done of organizational mergers between university student counseling centers and student health mental health services. Comparison of outcome ratings were examined as were participant's narrative responses to survey questions regarding: (1) Quality of clinical services, (2) Ability to meet needs of students, (3) Staff morale of merged services, (4) University community's utilization of available services, (5)

Russ Federman; David Emmerling

1997-01-01

500

The impact of health system governance and policy processes on health services in Iraqi Kurdistan  

Microsoft Academic Search

BACKGROUND: Relative to the amount of global attention and media coverage since the first and second Gulf Wars, very little has been published in the health services research literature regarding the state of health services in Iraq, and particularly on the semi-autonomous region of Kurdistan. Building on findings from a field visit, this paper describes the state of health services

Ali Tawfik-Shukor; Hiro Khoshnaw

2010-01-01