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9780763708672

Health and Welfare for Families in the 21st Century

by ; ; ;
  • ISBN13:

    9780763708672

  • ISBN10:

    0763708674

  • Format: Paperback
  • Copyright: 1999-01-01
  • Publisher: Jones & Bartlett Pub
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Summary

Analyzes the effect of changes occurring today in the social, educational, political, and economical aspects of family health care. For educators in graduate medical and nursing schools. Softcover.

Table of Contents

Preface xix(2)
PHILIP LEE
Preface xxi(2)
AUDREY H. NORA
Foreword xxiii
HELEN M. WALLACE
GORDON GREEN
KENNETH J. JAROS
MARY STORY
LISA L. PAINE
I Foundations 1(112)
1. The American Family: Changes and Challenges for the 21st Century
3(10)
SANDRA L. HOFFERTH
Demographic Changes
4(2)
Policy Challenges
6(4)
Conclusion
10(3)
2. Health Care and Health Care Policy in a Changing World
13(18)
PHILIP R. LEE
A.E. BENJAMIN
DONALD A. BARR
The American Character
14(1)
Federalism and the Role of Government in Health Care
15(2)
Pluralism and the Role of Special Interests
17(2)
Incrementalism as the Principal Means of Health Policy Reform
19(2)
Historical Development of American Health Policy
21(10)
3. Healthy American Families in a Postmodern Society: An Ecological Perspective
31(22)
JOAN M. PATTERSON
Children and Families are Part of An Ecosystem
32(2)
The Functions of Families
34(2)
What is a Family?
36(1)
Variations in Family Structure and Functioning
37(5)
Family System Health
42(4)
Primary Systemic Issues Shaping Family Functioning Patterns
46(2)
The Role of Policymakers and Professionals in Facilitating Family Health
48(3)
Conclusion
51(2)
4. The Family and Health in the 21st Century
53(10)
CLAUDE EARL FOX
Health Status of Children, Youth, and Families
55(1)
Progress Through Public Health Interventions
56(4)
Health Goals for the Year 2010
60(3)
5. The Health and Welfare Policy Process: The Case of the 1996 Welfare Reforms
63(16)
EUGENE DECLERCO
The Policy Process in the United States
64(4)
Making Health and Welfare Policy in the United States: The Policy Cycle
68(3)
Welfare Reform and the Policy Cycle
71(4)
Implications for the Future
75(4)
6. The Children's Health Care Safety Net: A Changing Environment
79(22)
LYNN SQUIRE
RALPH MARTINI
Safety Net Programs
82(14)
Emerging Safety Net Provider Scenarios
96(2)
Beyond Managed Care
98(1)
Conclusion
98(3)
7. Evaluation, Performance Monitoring, and Health Status Surveillance
101(12)
DONNA J. PETERSEN
GREG R. ALEXANDER
Evaluation
102(1)
Performance Monitoring
103(1)
Evaluation of Systems
104(3)
Health Status Surveillance
107(2)
Case Examples
109(2)
Conclusion
111(2)
II Social Welfare 113(106)
8. Children and Welfare Reform: What are the Effects of this Landmark Policy Change?
115(20)
JULIE HUDMAN
BARBARA STARFIELD
Why Be Concerned with Children's Health?
117(2)
Programs Important to Children's Health
119(3)
Impact of Welfare Reform Eligibility for Children's Health Programs
122(5)
Impact of Welfare Reform on Enrollment In and Use of Children's Health Programs
127(3)
The Future for Children's Health
130(5)
9. Combating Family Poverty: A Review of the American Welfare System
135(18)
SANDRA WEXLER
VALIRE CARR COPELAND
Assistance for Poor Families Before 1935
136(3)
The 1935 Social Security Act-The Creation of the Welfare System
139(3)
The War on Poverty and the Beginning of the Welfare "Problem"
142(3)
The Reagan Years and the Family Support Act of 1988
145(3)
The 1990s and the End of the Welfare Entitlement
148(1)
Conclusion
149(4)
10. Potential Effects of the 1996 Welfare Reform Legislation on the Economic Status, Health, and Well-being of Low-income Families
153(14)
MARY ELIZABETH COLLINS
LENA LUNDGREN-GRAVERAS
Welfare to Work
154(3)
Effects on Economic Status of Families
157(6)
Conclusion
163(4)
11. Child Care
167(22)
ROBERT C. FELLMETH
Demand for Child Care in the 21st Century
168(11)
Child Care Changes as the 20th Century Ends
179(3)
A Vision for Child Care in the New Millennium
182(7)
12. Child Abuse and Neglect
189(8)
PATTI R. ROSQUIST
RICHARD D. KRUGMAN
Incidence and Prevalence
190(1)
Historical Perspective
191(1)
Etiology
192(1)
Prevention and Intervention Strategies
193(2)
Conclusion
195(2)
13. Health Care Issues of Children in Placement: The Example of Foster Care
197(8)
MARY CARRASCO
Poor Health Status of Children in Placement
198(1)
Reasons for Poor Health Status
199(1)
Limitations of Present System for Health Assessments
200(1)
Lack of Coordination
201(2)
Strategies for System Improvement: The Potential of Case Management
203(2)
14. Homeless Women and Their Children
205(14)
PETER SHERMAN
IRWIN REDLENER
Numbers of Homeless
206(1)
Causes of Homelessness
207(2)
Factors Putting Families at Risk for Homelessness
209(3)
Impact of Homelessness on Children's Health and Development
212(2)
Long-Term Outcome of Homelessness on Women and Children
214(1)
The Impact of Welfare Reform on Homeless Families
215(4)
III Health Expenditures and Insurance 219(126)
15. Overview of Health Insurance for Children and Youth
221(18)
HELEN M. WALLACE
The Politics of Children's Health
222(1)
The Consequences of Lack of Insurance for Children and Youth
222(1)
Profile of Uninsured Children in the United States
223(4)
Source of Health Insurance for Children Younger Than Age 18
227(1)
Recent Events in Children's Health Insurance
228(2)
Appendix: AMCHP Summary
230(9)
16. Title XXI-The State Children's Health Insurance Program: What the New Authority Means for States
239(12)
SHELLY GEHSHAN
The Problem of Uninsured Children
240(2)
Options for Children's Health Coverage Under Title XXI
242(2)
Current State Activities
244(5)
Conclusion
249(2)
17. A View from the Field: Lessons Learned From More Than Twelve Years of Providing Health Care Coverage for Uninsured Children
251(18)
CHARLES P. LAVALLEE
KEVIN D. SUNDERMAN
Western Pennsylvania Caring Foundation for Children
252(7)
Expanding the Model
259(4)
Impact of the Programs
263(2)
Title XXI: Another Dream Come True
265(1)
Means to an End
265(4)
18. Managed Care and Children
269(12)
DANA HUGHES
What is Managed Care?
270(1)
Managed Care and Health Care Delivery for Children
271(2)
Challenges and Opportunities
273(1)
Managed Care, Access, Quality, and Costs
274(1)
Managed Care for Low-Income Children
275(2)
Why We Don't Know More
277(1)
Summary and Recommendations
278(3)
19. The Supplemental Security Income Program for Children
281(18)
JOHN REISS
HELEN M. WALLACE
MERLE MCPHERSON
Program Background
282(2)
Program Description
284(6)
Impact of Welfare Reform on Children with Special Needs
290(6)
Summary
296(3)
20. The Health Insurance Portability and Accountability Act of 1996 (Kassebaum-Kennedy Act): Preliminary Phase
299(6)
HELEN M. WALLACE
Purpose of Act
300(1)
Description of the Legislation
300(2)
Special Coverage Rules for Dependents
302(1)
Health Insurance Reform
302(1)
Synopsis of the Health Insurance Reform Act (S 10280)
303(1)
Potential Significance of the New Legislation
304(1)
Children's Continuity of Coverage Under the Kassebaum-Kennedy Bill
304(1)
21. National Health Expenditures
305(20)
KATHARINE R. LEVIT
HELEN C. LAZENBY
BRADLEY R. BRADEN
CATHY A. COWAN
PATRICIA A. MCDONNELL
LEKHA SIVARAJAN
JEAN M. STILLER
DARLEEN K. WON
CAROLYN S. DONHAM
ANNA M. LONG
MADIE W. STEWART
General Trends in National Health Expenditures
306(3)
Personal Health Care Expenditures Category
309(8)
Managed Care
317(2)
Covered Services
319(1)
Medicare
320(1)
Medicaid
321(1)
Conclusion
322(3)
22. Quality Health Insurance for All Our Children
325(20)
DONALD SCHIFF
Issues of Child Health Care
326(4)
Current Insurance Coverage
330(2)
State Children's Health Insurance Program
332(4)
A Plan for the Future--"Pediacare"
336(5)
Appendix: American Academy of Pediatrics
341(4)
IV Health Issues and Policy Implications 345(110)
23. Maternal and Infant Health in the United States: Implications for Women's Health
347(28)
LOIS MCCLOSKEY
PAUL H. WISE
Changing Demographics
348(2)
Changing Policy Environment
350(2)
Key Indicators of Maternal and Infant Health: Implications for Prevention
352(8)
Indicators of Maternal Health and Women's Health
360(2)
Key Issues in Health Services and Health Policy for Mothers and Infants
362(4)
Policy Impact and Future Directions
366(5)
On the Horizon: Women's Health as a Family Imperative
371(4)
24. Infant Mortality in Japan and the United States
375(24)
MICHELE KIELY
MUNEHIRO HIRAYAMA
HELEN M. WALLACE
WOODIE KESSEL
YASUHIDE NAKAMURA
JOHN L. KIELY
AUDREY H. NORA
International Trends in Infant Mortality
377(1)
Comparison of Infant Mortality in Japan and the United States
377(6)
Comparison of Factors Contributing to Infant Mortality
383(12)
Inferences Associated with Japan's Low Infant Mortality Rate
395(1)
Implications for Other Countries, Including the United States
396(3)
25. Sexually Transmitted Diseases in the United States
399(10)
ROBERT E. FULLILOVE
STDs: The Hidden Epidemic
400(1)
Factors Driving STD Infection in the United States
401(2)
Control Strategies for the Management of STDs
403(2)
Prevention Programs
405(1)
Conclusion
406(3)
26. AIDS in the United States: The Changing Epidemic
409(10)
ROBERT E. FULLILOVE
Demographics
410(1)
Changing Trends
411(2)
Treatment Issues
413(3)
Conclusion
416(3)
27. Nutrition Issues for Mothers, Children, Youth, and Families
419(22)
MARY STORY
LISA HARNACK
Priority Nutrition Concerns
421(13)
Food Assistance Programs
434(3)
Improving Nutrition for the 21st Century
437(4)
28. Oral Health in Maternal and Child Health
441(14)
PAUL S. CASAMASSIMO
Reduction of Oral Diseases
442(3)
Access to Care
445(3)
Public Health Measures
448(2)
Infrastructure for Oral Health
450(1)
Integration of Oral Health into General Health
450(5)
V Programs and Initiatives 455(148)
29. The Future of Prevention
457(10)
JAMES S. MARKS
LYNNE S. WILCOX
The Nature of Prevention
458(2)
Specific Prevention Opportunities
460(3)
Changes to Prevention
463(1)
Conclusion
464(3)
30. The Healthy Start Initiative
467(16)
THURMA MCCANN GOLDMAN
DAVID S. DE LA CRUZ
Overview of Coalitions
468(1)
The Healthy Start Initiative
469(4)
Healthy Start Community Case Examples
473(7)
Conclusions and Recommendations
480(3)
31. Head Start
483(12)
ANNE COHN DONNELLY
FREDERICK C. GREEN
The History and Intent of Head Start
484(2)
Innovations in Head Start
486(1)
Early Head Start: Promise for the Future
487(1)
Variation Across Head Start Programs: A Question of Quality
488(1)
What Head Start Has Accomplished
488(3)
Head Start's Future: Welfare Reform and Beyond
491(2)
Conclusion
493(2)
32. Childhood Immunizations
495(16)
LANCE RODEWALD
JOEL KURITSKY
Importance of Childhood Immunization
496(2)
What Prevents Timely Vaccination of Preschool Children
498(2)
Programmatic Strategies to Address Vaccination Barriers
500(3)
Challenges for the Immunization Delivery System
503(3)
Vision of the Future Immunization Delivery System
506(5)
33. Adolescent Health and Welfare Reform
511(14)
JENNIFER C. MAEHR
MARIANNE E. FELICE
Welfare Reform and Teen Parenting
513(1)
Welfare Reform and Statutory Rape
514(1)
Welfare Reform and Abstinence Promotion
515(2)
Adolescent Health Care and Insurance Coverage
517(3)
Recommendations
520(5)
34. The Progress and Potential of Injury Prevention
525(22)
G. ALLEN BOLTON
MARTHA STOWE
PAUL J. BOUMBULIAN
Rates and Types of Injuries in the United States
527(3)
History of Injury Prevention
530(4)
Future of Injury Prevention
534(13)
35. Emergency Medical Services for Children
547(14)
JEAN L. ATHEY
History of Emergency Medical Services Systems
548(1)
Why Children Need Special Attention
549(2)
The EMSC Continuum of Care
551(2)
Factors Affecting Children's Emergency Medical Services
553(4)
A Vision for the Future
557(4)
36. Immigration and Health
561(8)
MARY LOU VALDEZ
Immigration in the United States
562(1)
Impact of Welfare and Immigration Reform
563(1)
Public Health Issues
564(2)
Maternal and Child Health Issues
566(3)
37. Ensuring Substance Abuse Services for Families
569(8)
ELLEN HUTCHINS
Adolescent Substance Use
570(1)
Prevalence of Substance Use Among Women, Including Pregnant Women
571(1)
Research Findings
571(1)
Treatment Services
572(1)
State's Responses to the Problem
573(1)
Screening Issues
574(1)
Welfare Reform
574(1)
Summary
575(2)
38. Social Policy Reform and America's Cities: Risk and Opportunity for Material and Child Health
577(16)
MAGDA G. PECK
The Urban Convergence of Maternal and Child Health Risks
578(2)
Factors Intensifying the Urban Impact of Social Reforms
580(3)
Recent Health and Welfare Reforms: An Urban Perspective
583(4)
Finding Opportunity: Recommended Strategies for Safeguarding Cities Health
587(6)
39. Maternal and Child Health at Critical Crossroads
593(10)
KAREN VANLANDEGHEM
CATHERINE A. HESS
Looking Forward, Looking Back: An Historical Context for the Changing Role of Title V Maternal and Child Health Services Block Grant Programs
595(2)
Shifting the Medicaid Population Into Managed Care and the Role of Public Health: The Case of Vermont
597(2)
Florida's Children's Medical Services Program and Its Evolving Role in Serving Children with Special Health Care Needs
599(1)
Delaware's Diamond State Health Plan
600(3)
VI Summing Up 603
40. Steps for the Future
605
VINCE HUTCHINS
30-Year Cycles and Social Security
606(3)
End of the 20th Century and Beyond
609(6)
Looking Forward
615
Appendix
Appendix A: Ten Essential Public Health Services to Promote Maternal and Child Health in America (AMCHP) A-2
Appendix B: Web Resources for Health and Welfare for Families A-4
Glossary G-1
Index 1-1

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