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The Oklahoma City bombing, intentional crashing of airliners on September 11, 2001, and anthrax attacks in the fall of 2001 have made Americans acutely aware of the impacts of terrorism. These events and continued threats of terrorism have raised questions about the impact on the psychological health of the nation and how well the public health infrastructure is able to meet the psychological needs that will likely result. Preparing for the Psychological Consequences of Terrorism highlights some of the critical issues in responding to the psychological needs that result from terrorism and provides possible options for intervention. The committee offers an example for a public health strategy that may serve as a base from which plans to prevent and respond to the psychological consequences of a variety of terrorism events can be formulated. The report includes recommendations for the training and education of service providers, ensuring appropriate guidelines for the protection of service providers, and developing public health surveillance for preevent, event, and postevent factors related to psychological consequences.
The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants w...
Mental health and substance use disorders affect approximately 20 percent of Americans and are associated with significant morbidity and mortality. Although a wide range of evidence-based psychosocial interventions are currently in use, most consumers of mental health care find it difficult to know whether they are receiving high-quality care. Although the current evidence base for the effects of psychosocial interventions is sizable, subsequent steps in the process of bringing a psychosocial intervention into routine clinical care are less well defined. Psychosocial Interventions for Mental and Substance Use Disorders details the reasons for the gap between what is known to be effective and...
A Review of the HHS Family Planning Program provides a broad evaluation of the Title X family planning program since its establishment in 1970. The program successfully provides family planning services to its target audience of low-income individuals, but there is room for improvement. While the program's core goals are apparent, a secondary set of changing priorities has emerged without a clear, evidence-based strategic process. Also, funding for the program has increased in actual dollars, but has not kept pace with inflation or increased costs. Several aspects of the program's structure could be improved to increase the ability of Title X to meet the needs of its target population. At th...
Social responsibility has become a goal for both employers and employees in the business community. But what does the term social responsibility mean, and what paths must businesses take to have a positive impact on society? Business Behaving Well provides a rationale and roadmap that will enable businesses to integrate social responsibility into their purpose and operations. Using real-world examples from a broad variety of industries, including health care and education, editor Ron Elsdon and his fellow authors describe how nonprofit and public sector entities can structure effective relationships with private firms for everyone's benefit. Addressing strategic issues as well as practical implementation, Business Behaving Well is for anyone who is actively engaged in the business world, individuals working in the public and nonprofit sectors, and students and faculty who study the relationship between business and social issues. It provides both the tools and structure to apply principles of business social responsibility, while inspiring readers with enthusiasm and the confidence to take action.
This provocative story of contemporary high school argues that a shallow culture of kindness can do more lasting harm than good. Based on two years of research, Nice Is Not Enough shares striking dispatches from one high school's "regime of kindness" to underline how the culture operates as a Band-Aid on persistent inequalities. Through incisive storytelling and thoughtful engagement with students, this brilliant study by C.J. Pascoe exposes uncomfortable truths about American politics and our reliance on individual solutions instead of profound systemic change. Nice Is Not Enough brings readers into American High, a middle- and working-class high school characterized by acceptance, connecti...
Essays debunking the notion that contemporary America is a colorblind society. More than half a century after the civil rights era of the mid-1950s to the late 1960s, American society is often characterized as postracial. In other words, that the country has moved away from prejudice based on skin color and we live in a colorblind society. The reality, however, is the opposite. African Americans continue to face both explicit and latent discriminations in housing, healthcare, education, and every facet of their lives. Recent cases involving law enforcement officers shooting unarmed Black men also attest to the reality: the problem of the twenty-first century is still the problem of the color line. In Race Still Matters, contributors drawn from a wide array of disciplines use multidisciplinary methods to explore topics such as Black family experiences, hate crimes, race and popular culture, residual discrimination, economic and occupational opportunity gaps, healthcare disparities, education, law enforcement issues, youth culture, and the depiction of Black female athletes. The volume offers irrefutable evidence that race still very much matters in the United States today.
The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The second of the Initiative's three forums was held on December 3, 2009, and examined care in the community, focusing on community health, public health, primary care, and long-term care.