Authors: IHS-
Publication Year: 1994
Last Updated: 2010-01-21 08:14:08
Journal: Indian Health Service, Staff Office of Planning, Evaluation, and Research
Keywords: Consensus Development Conferences/Publication Type/); Community Health Planning; Community Networks; Clinical Competence; Comprehensive Health Care; Consumer Participation; Efficiency, Organizational; Eligibility Determination; Financial Management; Financing, Government; Financing, Organized; Health Care Quality, Access, and Evaluation; Health Care Reform; Health Services Accessibility; Health Planning Support; Medicare Part B; Organizational Innovation; Professional Competence; Quality Assurance, Health Care; Regional Health Planning; Social Responsibility

Short Abstract: This Roundtable on Health Care Reform was the second Indian Health Service (IHS)-sponsored Roundtable on the topic of Health Care Reform and its impact on Indian health.  This second Roundtable was held to provide tribal leaders, urban health care providers, and national Indian organizations with the opportunity to contribute their perspectives on detailed substance of the Health Security Act and other reform proposals, and to provide the IHS with Consensus Statements from which further policy analysis can occur.

Abstract: This Roundtable on Health Care Reform was the second Indian Health Service (IHS)-sponsored Roundtable on the topic of Health Care Reform and its impact on Indian health. This second Roundtable was held to provide tribal leaders, urban health care providers, and national Indian organizations with the opportunity to contribute their perspectives on detailed substance of the Health Security Act and other reform proposals, and to provide the IHS with Consensus Statements from which further policy analysis can occur. The Consensus Statements reflected in this document were developed through a process which allowed for presentation of most current information, deliberation, and discussion by Roundtable participants, and formulation of Consensus Statements which best projected the breadth of positions. The Consensus Statements developed by the Roundtable participants focused on the following major issue areas: 1) tribal sovereignty; 2) comprehensive and supplemental benefits; 3) governance and structure; 4) eligibility and enrollment; 5) financing; and 6) transition and competition. A major overriding concern expressed by Roundtable participants that influenced the discussion of every major aspect of Health Care Reform were the cutbacks to the IHS in fiscal years 1994 and 1995. These cuts will cause devastating and potentially irreparable harm to the Indian health care delivery structure nationally. The Roundtable participants stated repeatedly, that it will be impossible for the Indian health care system to withstand the magnitude of proposed staffing and budget cuts, and still compete under the new Health Care reform system

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Code: 3090
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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
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