Authors: Indian Health Service, IHS
Publication Year: 1994
Last Updated: 2010-01-21 08:14:08
Journal: IHS Primary Care Provider
Keywords: Education, Continuing; Education, Medical, Continuing; Health Occupations; Health Planning Support; Health Services Administration; Information Services

Short Abstract: This article is a brief description of some of the services available through the Clinical Support Center (CSC) to Indian Health Service (IHS), Tribal, and Urban Indian health programs. The CSC directs the planning, implementation, and evaluation of continuing education activities for health care providers; enhances communication for health care providers and educators; and facilitates special initiatives and activities for IHS clinical programs.

Abstract: This article is a brief description of some of the services available through the Clinical Support Center (CSC) to Indian Health Service (IHS), Tribal, and Urban Indian health programs. The CSC directs the planning, implementation, and evaluation of continuing education activities for health care providers; enhances communication for health care providers and educators; and facilitates special initiatives and activities for IHS clinical programs.

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Code: 3086
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Authors: Costello EJ, Angold A, Stangl DK, Tweed, DL, Erkanli A, Worthman CM, Burns BJ
Publication Year: 1996
Last Updated: 2010-01-21 08:14:08
Journal: Archives of General Psychiatry
Keywords: youth, psychiatric disorder, mental health, behavioral health, anxiety, hyperactivity, tic disorder, oppositional defiant disorder, conduct disorder, poverty

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BACKGROUND:  The Great Smoky Mountains Study of youth focuses on the relationship between the development of psychiatric disorder and the need for and use of mental health services.

Abstract: BACKGROUND: The Great Smoky Mountains Study of youth focuses on the relationship between the development of psychiatric disorder and the need for and use of mental health services. METHODS: A multistage, overlapping cohorts design was used, in which 4500 of the 11758 children aged 9, 11, and 13 years in an 11-county area of the southeastern United States were randomly selected for screening for psychiatric symptoms. Children who scored in the top 25% on the screening questionnaire, together with a 1 in 10 random sample of the rest, were recruited for 4 waves of intensive, annual interviews (n = 1015 at wave 1). In a parallel study, all American Indian children aged 9, 11, and 13 years were recruited (N = 323 at wave 1). RESULTS: The 3-month prevalence (+/-SE) of any DSM-III-R axis I disorder in the main sample, weighted to reflect population prevalence rates, was 20.3% +/- 1.7%. The most common diagnoses were anxiety disorders (5.7% +/- 1.0%), enuresis (5.1% +/- 1.0%), tic disorders (4.2% +/- 0.9%), conduct disorder (3.3% +/- 0.6%), oppositional defiant disorder (2.7% +/- 0.4%), and hyperactivity (1.9% +/- 0.4%). CONCLUSIONS: The prevalence of psychiatric disorder in this rural sample was similar to rates reported in other recent studies. Poverty was the strongest demographic correlate of diagnosis, in both urban and rural children. 

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Funding: This project was supported by grant MH48085 from the National Institute of Mental Health, Bethesda, MD. Additional support was provided through a project grant (Dr Worthman) and a Faculty Scholars award (Drs Costello, Angold and Worthman) from the William T. Grant Foundation and a Center grant from the Leon Lowenstein Foundation, New York, NY (Dr Angold).We gratefully acknowledge support of the psychometric studies of the Child and Adolescent Psychiatric Assessment from the William T Grant Found
Code: 199
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Authors: Michalek AM,, Mahoney MC, Burhansstipanov L., Tenney M, Cobb N
Publication Year: 1996
Last Updated: 2010-01-21 08:14:08
Journal: Journal of Cancer Education
Keywords: Cancer Care Facilities/Supply & Distribution; Female; Health Services Accessibility; Male; Neoplasms/Epidemiology; Neoplasms/Prevention & Control; Patient Education/Methods; Preventive Health Services; Urban Population

Short Abstract: Over the past several decades Native peoples have experienced significant increases in life expectancy and, with these gains, significant increases in cancer incidence and mortality. Limited data are available concerning cancer-control activities accessible to American Indian communities. Even less is known about control programs in place for American Indians resident in urban areas, where more that half of all Native peoples reside.

Abstract: BACKGROUND: Cancer has become a significant health concern in American Indian communities. Over the past several decades Native peoples have experienced significant increases in life expectancy and, with these gains, significant increases in cancer incidence and mortality. Limited data are available concerning cancer-control activities accessible to American Indian communities. Even less is known about control programs in place for American Indians resident in urban areas, where more that half of all Native peoples reside. METHODS: To ascertain the extent of available services and perceptions of health directors, a survey of all Indian-Health-Service-recognized urban clinics was undertaken. RESULTS: Results indicate that the cancer needs of American Indians resident in urban areas are not being adequately addressed. Only one-third of urban health directors reported perceived increases in cancer incidence and mortality rates. The directors ranked cancer fifth among seven health problems in terms of their clinics' commitment to addressing them. Findings from this study are juxtaposed with whose obtained in a separate survey of reservation-based health directors. CONCLUSIONS: Results indicate a need to develop more responsive cancer-control programs in Indian country and to sensitize researchers to other health needs of these communities. 

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Code: 3075
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