With school budgets seeming to be inexorably contracting, and with welfare reform looming, the future of school health programs is both important and uncertain. Jennie Jacobs Kronenfeld begins by clearly defining the key issues in the debate and outlining the history of school health programs. She then turns to more contemporary examples of school health care delivery, with a special emphasis on the Arizona model—crucial due to its being the first state to go to a managed care Medicaid program. Finally, she theorizes on the likely future of school health care in the light of proposed changes to Medicaid and other welfare initiatives. Schools and the Health of Children will be of great interest to scholars and professionals in the area of public health, educational administration, as well as social work and public policy.

Argues the need for schools to examine the school environment and its effects on children's and staff's well-being.

Considers legislation to authorize Federal aid to states to establish school health services for the prevention, diagnosis, and treatment of physical and mental defects.

This book presents a framework for systematically addressing the health needs of children by integrating health, mental health, and educational systems of care. From leading scientist-practitioners, the volume is grounded in cutting-edge research as well as public policy mandates on health promotion and prevention for at-risk students. Strategies are delineated for developing and evaluating evidence-based programs targeting a variety of goals, including successfully integrating children with health problems into school, bolstering adherence to health interventions, and planning and monitoring pharmacological interventions. Multidisciplinary approaches to prevention are also discussed in detail. The book's concluding section provides guidelines for preparing professionals for health-related careers.

This Revised Reprint of our 8th edition, the "gold standard" in community health nursing, Public Health Nursing: Population-Centered Health Care in the Community, has been updated with a new Quality and Safety Education in Nursing (QSEN) appendix that features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice. As with the previous version, this text provides comprehensive and up-to-date content to keep you at the forefront of the ever-changing community health climate and prepare you for an effective nursing career. In addition to concepts and interventions for individuals, families, and communities, this text also incorporates real-life applications of the public nurse's role, Healthy People 2020 initiatives, new chapters on forensics and genomics, plus timely coverage of disaster management and important client populations such as pregnant teens, the homeless, immigrants, and more. Evidence-Based Practice boxes illustrate how the latest research findings apply to public/community health nursing.Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health.Separate unit on the public/community health nurse's role describes the different functions of the public/community health nurse within the community.Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention.What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content.The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice.Practice Application provides case studies with critical thinking questions.Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations.Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines. NEW! Quality and Safety Education in Nursing (QSEN) appendix features examples of incorporating knowledge, skills, and attitudes to improve quality and safety in community/public health nursing practice.NEW! Linking Content to Practice boxes provide real-life applications for chapter content.NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade.NEW! Forensic Nursing in the Community chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.

Children in out-of-home care (OHC) have higher risks for developing poorer health and school achievement, being subjected to more abuse experiences, as well as negative long-term outcomes related to occupational performance, socioeconomic status, addiction, and criminality. Research related to OHC children is fragmented and the effects of interventions are under-studied. This thesis aimed to explore health, abuse, support, and preconditions for school among children in OHC and to assess changes after an intervention targeting foster children’s school performance. Paper I compared OHC pupils in last year high school to non-OHC peers in a national survey with 5 839 pupils. The study showed that risks of abuse and poor mental health are evident for adolescents in out-of-home care. Also, results indicated a lower disclosure rate of sexual abuse, particularly to police or social services. Paper II compared OHC pupils to peers in birth parent care by analyzing responses in four consecutive year surveys in a regional sample comprising 23 798 pupils in 8th-year compulsory and 2nd-year high school. Responses from the 311 pupils in OHC showed poorer outcomes than did birth-parent care peers in perceived satisfaction with social life and relations, trust to other persons in different relations, abuse experiences online, and sense of security in the school and at home. These results also applied when compared to a subset of pupils living with a single birth parent. Paper III analyzed prospective test and questionnaire data of intelligence, adaptive behavior, mathematics, literacy skills, and psychosocial wellbeing from 856 children in foster care. Results revealed poorer preconditions for school performance of between 0.5 and 1.0 standard deviations below age-standardized norms. The analysis also provided results regarding different intelligence domains, where working memory showed the lowest scores while perceptual functioning were close to norms. Boys generally scored poorer than girls except in mathematics. Paper IV explored the effects of a school-based intervention, Skolfam, on a subset of Paper III cohort (n= 475). Results showed improved skills in higher-order cognitive executive functions such as reading comprehension, sentence chains, mathematics, and intelligence. For less complex cognitive functions, affective functioning or psychosocial symptoms, no improvements were seen, except for reduced hyperactivity. Conclusion: The studies confirm that children in OHC have poorer mental health, are less satisfied with social life, have more adverse experiences both online and in real life and have poorer preconditions for school performance than do non-OHC peers. Importantly, Skolfam intervention can partially enhance preconditions for school performance. Further studies on longitudinal risk, with a design to identify specific protective factors, development of school-related competencies and ways to support OHC children in school are needed. Barn i social heldygnsvård har som grupp högre risker för att utveckla sämre hälsa och skolresultat, vara mer utsatta för övergrepp samt ha sämre långtidsutsikter relaterat till arbetsmarknad, socioekonomisk status, drogberoende och kriminalitet. Forskning om barn i social heldygnsvård är ofta fragmenterad och effekter av olika interventioner är sparsamt utvärderade. Syftet med avhandlingen var att utforska hälsa, stöd, övergrepp och förutsättningar för skola för barn i social heldygnsvård, samt att bedöma hur förutsättningar för skolprestation förändras genom en intervention som inriktas mot skolresultat för barn i familjehem. Artikel I jämförde samhällsvårdade studenter i tredje året på gymnasiet med icke samhällsvårdade jämnåriga studenter. 5 839 elever besvarade en nationell enkät. Resultatet visade att risker för övergrepp och sämre psykisk hälsa var mer frekvent för ungdomar i samhällsvård. Dessutom var andelen som berättar om övergrepp lägre bland de samhällsvårdade ungdomarna, i synnerhet till polis och socialtjänst. Artikel II jämförde samhällsvårdade elever med jämnåriga som bor med föräldrar, genom att analysera svaren från fyra på varandra följande års enkäter i ett regionalt urval som omfattade 23 798 elever från grundskolans åttonde och gymnasieskolans andra år. Svaren från de 311 eleverna i samhällsvård visade sämre utfall än icke samhällsvårdade i upplevd tillfredsställelse med socialt liv och relationer, tillit till andra personer i olika relationer, erfarenhet av nätövergrepp, samt upplevd säkerhet såväl i skolan som i hemmet, även i jämförelse med en undergrupp av studenter som bor med bara en förälder. Artikel III analyserade test- och formulärdata av intelligens, adaptivt beteende, matematik, läsfärdigheter och psykosocialt mående av 856 barn i familjehem. Resultaten visade sämre förutsättningar för skolprestation mellan 0.5 och 1.0 standardavvikelser under åldersstandardiserade normer. I analysen från olika domäner av intelligens, visade arbetsminne de lägsta resultaten, medan perceptuell funktion visade sig ligga nära medelvärdet från normeringsstudier. Pojkar hade generellt lägre poäng än flickor, förutom i matematik. Artikel IV undersökte effekter av en skolbaserad intervention, från ett antal elever från Skolfam kohorten (n = 475). Resultaten visade förbättrade färdigheter i högre exekutiva funktioner som läsförståelse, meningskedjor, matematik, samt intelligens efter intervention. För mindre komplexa kognitiva funktioner, affektiv funktion eller psykosomatiska symptom noterades inga förändringar, med undantag för lägre hyperaktivitet. Slutsatserna från dessa studier bekräftar bilden av att barn i samhällsvård har sämre psykisk hälsa, är mindre tillfreds med sitt sociala liv, har mer erfarenheter av övergrepp såväl på nätet som i verkliga livet och har sämre förutsättningar för skolresultat än sina icke samhällsvårdade jämnåriga. Ett viktigt bidrag är att interventionen Skolfam till del kan stärka förutsättningar för bättre skolprestation. Fortsatta studier av longitudinella risker, med möjlighet att identifiera specifika skyddsfaktorer, modeller för att utveckla skolrelaterade kompetenser och sätt att ytterligare stödja barn i samhällsvård behövs.

Written and edited by leading pediatric and family nurse researchers, Children and Families in Health and Illness provides a synthesis of the research literature in nursing for health promotion of children, pediatric acute and chronic conditions, and children and families and the health care system. Each of the four sections begins with a historical overview of the literature. The first three sections present reviews of assessment and intervention models and implications for practice, education, and research for their respective topics. The concluding section examines community infrastructures and issues in health services research. Children and Families in Health and Illness will prove an excellent shelf reference for researchers, graduate students and faculty, and a thought-provoking read for advanced-level practitioner nurses in child or family nursing.