Search Results: MCHLine

Annotation: This manual is intended to help clergy and other religious professionals address the complex pastoral, moral, and ethical issues raised by assisted reproductive technologies. The manual provides an overview of the technologies and how they are used, examines traditional religious perspectives on reproduction and fertility, and outlines a model of pastoral care and counseling to help religious leaders effectively minister to individuals and communities. The manual also suggests ways that congregations and denominations can support, educate, and engage in the ethical issues surrounding assisted reproductive technologies.

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Keywords: Clergy, Communities, Counseling, Education, Ethics, Fertility, Moral values, Pastoral care, Religious organizations, Reproduction, Reproductive technologies

Annotation: This document describes (1) the current practice of newborn screening and the ethical challenges that come from trying to reap the benefits of screening while minimizing the harm; (2) the guiding ethical principles of the last forty years, and the debate concerning their alteration; (3) a vision of the future of newborn screening given the advances of genomic medicine; and (4) the controversy over whether states should have mandatory screening programs, elective programs, or some combination of the two. The document concludes with personal statements by prominent experts in the field of newborn screening.

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Keywords: Ethics, Genetic screening, Neonatal screening, Newborn infants, Program evaluation, Public policy

Annotation: This report examines policies and practices of biotechnology related to assisted reproduction and reviews the regulatory policies and practices involved in screening and selecting for genetic conditions and traits; modification of traits and characteristics; research involving in vitro human embryos; and commercial and financial interests in this arena. For each topic, the report reviews the relevant techniques and practices, the principal ethical issues, the existing regulatory activities, who currently provides oversight and guidance in each area, pursuant to what authority, according to what principles and values, and with what ultimate practical effect. The report concludes with findings based on the examination described above and a discussion of possible policy recommendations.

• Full Report
• Executive Summary

Keywords: Biotechnology, Embryo, Ethics, Genetic screening, Government, Prenatal screening, Public policy, Reproductive technologies

Annotation: This reference covers traditional public health responsibilities--assessing the burden of disease, preventing and controlling health threats, and developing policies and constituencies to improve health--in a contemporary framework that reflects the ongoing transition from a public to a population health perspective. Topics include the basics of administration including organizational design law, human resources, budgeting and financing, marketing, and communications; newly defined and emerging areas such as health information management, geographic information systems, performance measurement and improvement, ethics, leadership, and community partnerships; and effective managerial decision-making.

Keywords: Administration, Assessment, Communications, Decision making, Ethics, Financing, Information systems, Leadership, Legal issues, Management, Measures, Planning, Prevention, Public health programs, Public private partnerships

Annotation: This guide explores laws, regulations, and other authorities that govern the dispensation of prescription medications, with a focus on contraceptives, and provides resources to help advocates find governing and supporting authority to fight against religious, moral, or personal refusals to fill lawful prescriptions. Part one provides an overview of state laws, regulations, policies, and administrative decisions directly addressing pharmacy refusals. Part two discusses other support against refusals in state law and regulation. Part three summarizes other national and state policy statements and guidance, such as those from national organizations. Part four outlines pharmacy policies on refusals, transfers, and stocking. Part five highlights selected cases brought by pharmacists claiming a right to refuse. Conclusions are offered along with extensive references.

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Keywords: Contraceptives, Emergency contraception, Patient rights, Pharmacies, Prescription drugs, Professional ethics, Regulations, Right to refuse treatment, Right to treatment, Treatment refusal

Annotation: This fact sheet outlines issues over refusals of pharmacies to fill prescriptions for contraceptives, particularly emergency contraceptives. Topics include (1) prescription contraception as basic health care for women, (2) increases in refusals to dispense contraception, (3) laws governing the practice of pharmacy, (4) legislative and administrative responses to pharmacist refusals, (5) public opinion, and (6) how to respond to a pharmacist's refusal.

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Keywords: Contraceptives, Emergency contraception, Patient rights, Pharmacies, Prescription drugs, Professional ethics, Right to refuse treatment, Right to treatment

Annotation: This textbook provides prehospital medical information for the emergency care of infants and children. The textbook presents medical content using special features and an interactive course. Features include learning objectives, case studies, tips, and key terms, among others. Topics covered include pediatric assessment, using a developmental approach, respiratory emergencies, cardiovascular emergencies, medical emergencies, trauma, toxic emergencies, children in disasters, emergency delivery and newborn stabilization, children with special health care needs, sudden infant death syndrome, child maltreatment, medicolegal and ethical considerations, transportation considerations, and making a difference.

Keywords: Children with special health care needs, Legal issues, Child health, Child maltreatment, Childbirth, Disasters, Emergency medical care, Infant health, Medical ethics, Newborn infants, SIDS, Training, Trauma

Annotation: This training tool is designed to enhance oral health professionals' response to domestic violence. Topics include clinical signs of domestic violence, routine assessment, documentation and intervention, and action steps. Contents include a fact sheet, a national resource list, and a pocket card with assessment tips. Summaries on JCAHO standard PC.3.10, mandatory reporting, and privacy issues with corresponding web links for more information are also provided.

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Keywords: Adults, Case assessment, Dental hygienists, Dentists, Domestic violence, Facial injuries, Head injuries, Intervention, Laws, Neck injuries, Oral health, Professional ethics

Annotation: This final report describes the Expanded Newborn Screening Using Tandem Mass Spectrometry: Financial, Ethical, Legal, and Social Issues Project during the period June 1, 2001, through August 31, 2005. This multi-state, collaborative project was designed to research, identify strategies, and develop materials for addressing the financial, ethical, legal,and social issues surrounding the use of tandem mass spectrometry for neonatal metabolic screening of culturally and ethnically diverse populations. Participating states included Hawaii, California, Idaho, Oregon, and Washington. The final report is divided into the following sections: (1) overview, (2) collaboration, (3) experiences to date, (4) dissemination of materials, (5) copies of publications and other materials, and (6) next steps. The report also includes seven appendices: (1) educational activities (development), (2) educational activities (products), (3) financial, ethical, legal, and social issues, (4) parent fact sheets, (5) professional fact sheets, (6) information dissemination, and (7) Web site. [Funded by the Maternal and Child Health Bureau]

Keywords: California, Cultural diversity, Ethics, Ethnic factors, Final reports, Financing, Hawaii, Idaho, Legal issues, Neonatal screening, Oregon, Social factors, Washington

Annotation: This report represents one component of the Health Care Reform Tracking Project -- a 5-year project designed to track and analyze the impact of public sector managed care reforms on children and adolescents with emotional and substance abuse problems and their families. The report focuses on surveys of all the states. The report, which includes an executive summary, also contains information about state managed care initiatives, populations covered by managed care reform, managed care entities, service coverage and capacity, special provisions for youth with serious and complex behavioral health needs, financing and risk, clinical decision-making and management mechanisms, access, service coordination, early identification and intervention, cultural competence, family involvement, providers, accountability, the State Children's Health Insurance Program, and Concluding Observations. Two appendices provide the survey instrument and a list of technical assistance materials. Data are presented in tables throughout the report. The report also includes a child welfare special analysis.

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Keywords: Access to health care, Accountability, Adolescent behavior, Adolescents, Affective disorders, Child behavior, Child welfare, Children, Culturally competent services, Early intervention, Emotional instability, Ethics, Families, Financing, Health care delivery, Health care reform, Managed care, State health insurance programs, State initiatives, Substance abuse, Surveys

Annotation: This draft manuscript was presented in part at the meeting "Shaping the Future of Children's Health" held in San Juan, Puerto Rico, February 12-16, 2004. It summarizes research into the consequences of child trauma and its contribution to public health problems worldwide. Topics include the prevalence of traumatized children, consequences of trauma, a definition of trauma, how trauma hurts children, protective factors and resiliency, trauma as a risk factor, assessment and evaluation strategies and issues, universal vs. targeted screening for children, ethical issues in the assessment of traumatized children, and therapeutic responses to positive screens. Findings are discussed with examples given of models and programs, as well as discussion and summary conclusions. References conclude the manuscript.

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Keywords: Child abuse, Child health, Child mental health, Children, Emotional trauma, Ethics, Grief, Health screening, Physical abuse, Posttraumatic stress disorder, Public health, Research, Risk assessment, Stress, Trauma

Annotation: This book provides an overview of the past, present, and future of public health education, assessing its readiness to provide the training and education needed to prepare for 21st-century challenges. Eight areas of importance to public health education are examined: informatics, genomics, communication, cultural competence, community-based participatory research, global health, policy and law, and public health ethics. Recommendations address the content of public health education, qualifications for faculty, availability of supervised practice, opportunities for cross-disciplinary research and education, cooperation with government agencies, and government funding for education. Statistical information is presented in tables throughout the book. Eight appendices include: a school of public health catalogue abstract, a school of public health survey instrument, the Association of Schools of Public Health survey answers, a paper on the education of public health professionals by Elizabeth Fee, a listing of occupational classifications, a collection of competency sets, an outline of public meetings held in 2001 and 2002, and committee member biographies. References and an index are provided.

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Keywords: Communication, Cultural sensitivity, Ethics, Government financing, Professional education, Professional personnel, Public health agencies, Public health education, Public health infrastructure, Public health schools, Public policy, Questionnaires, Surveys

Annotation: This book examines what is known about the needs of children who are dying, as well as the needs of their families; the extent to which these needs are being met; and what can be done to provide more competent, compassionate, and consistent care. The book offers recommendations for involving the child and parents in treatment decisions, strengthening the organization and delivery of services, hospice care, reducing financial barriers to care, developing support programs for bereaved families, training health professionals, ethical and legal issues; and expanding the knowledge base to guide clinicians and families. Nine appendices provide information on study origins and activities, prognostication scores, assess health-related quality of life in end-of-life care, bereavement experiences, end-of-life care in emergency medical services, education in pediatric palliative care, a description of a New York state demonstration project, and committee biographical statements. The book also includes a summary, a list of reviewers, a reference list, and an index.

Keywords: Bereavement, Child death, Ethics, Families, Family support, Fetal death, Financial barriers, Health care delivery, Hospice services, Infant death, Palliative treatment, Parent professional relations, Professional training, Terminal care, Terminal illness

Annotation: This book is a compendium of selected clinical practice guidelines in effect as of December 31, 2001, from the American College of Obstetricians and Gynecologists (ACOG), including committee opinions, educational and technical bulletins, practice bulletins, practice patterns, and policy statements. The ACOG code of professional ethics is also included. Each section begins with a complete alphabetical listing of current documents in the series. An index is provided.

Keywords: American College of Obstetricians and Gynecologists, Guidelines, Gynecologists, Obstetrical care, Professional ethics, Professional training, Resources for professionals

Annotation: This compendium includes selected resources and abstracts on the following topics: (1) general newborn screening; (2) biotinidase deficiency, (2) congenital adrenal hyperplasia, (3) congenital hypothyroidism, (4) cystic fibrosis, (5) drug exposure, (6) galactosemia, (7) hearing screening, (8) hemoglobinapathies, (9) HIV, (10) medium chain co-A dehydrogenase deficiency, (11) phenylketonuria. Additional resources are provided on newborn screening policy; ethical, legal, and social issues; costs and financing of screening newborns; laboratory analysis; research and new technologies; and treatment and management. [Funded in part by the Maternal and Child Health Bureau]

Keywords: Biotinidase deficiency, Congenital adrenal hyperplasia, Congenital hypothyroidism, Cystic fibrosis, Drug affected infants, EPSDT, Ethics, Financing, Galactosemia, HIV, Hearing screening, Hemoglobinopathies, Laboratories, Legal issues, Management, Neonatal screening, Phenylketonuria, Research, Technology

Annotation: This brochure and poster describe the values, beliefs, and assumptions inherent to a public health perspective.

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• Poster

Keywords: Professional ethics, Public health

Annotation: This curriculum is designed to serve as a bridge between primary care and genetics. The curriculum includes modules focusing on the following eight areas: (1) breast/ovarian cancer, (2) cardiovascular disease, (3) colorectal cancer, (4) congenital hearing loss, (5) dementia, (6) developmental delay, (7) iron overload, and (8) ethical, legal, and social issues. Each module includes teaching cases with questions and discussion to illustrate genetic themes and diagnoses. Each module also includes references to key documents and useful Web sites for additional background information. An overview of the Genetics in Primary Care (GPC) program and a list of its members from 1998-2001 are provided. [Funded in part by the Maternal and Child Health Bureau]

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Keywords: Breast cancer, Cardiovascular disease, Colon cancer, Curricula, Developmental disabilities, Ethics, Genetics, Hearing disorders, Iron overload diseases, Legal issues, Mental disorders, Ovarian cancer, Primary care, Professional education materials

Annotation: This book is intended to assist the clinician in providing lifelong preventive and primary care to women in the office setting. It is organized into eight parts and contains many tables, references, and an index. Topics include the social context of women's health, prevention, health care needs over the course of life, reproductive health and disorders, office diagnostic procedures, psychiatric and psychosocial issues and societal violence, general health, drug therapies and interactions, ethics for the practitioner, risk management, alternative medicine, and patient education in the office.

Keywords: Cancer, Cardiovascular diseases, Diabetes, Diagnosis, Domestic violence, Eating disorders, Ethics, Life cycle, Lung diseases, Medical records, Mental health, Patient education, Pregnancy, Prevention, Reproductive health, Screening, Social factors, Sports injuries, Substance abuse, Women's health

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Keywords: Access to health care, Accountability, Adolescent behavior, Adolescents, Affective disorders, Child behavior, Child welfare, Children, Culturally competent services, Early intervention, Emotional instability, Ethics, Families, Financing, Health care delivery, Health care reform, Managed care, State health insurance programs, State initiatives, Substance abuse, Surveys

Annotation: These conference proceedings are from the Dentists C.A.R.E. (Child Abuse Recognition and Education) Conference held in 1998 in Chicago, Illinois. Included are presentations on the following aspects of child abuse: clinical signs of child abuse and neglect specific to dentistry; forensic dentistry and case management; legal and liability issues related to reporting suspected abuse; ethical issues related to child abuse and family violence; psychological and patient management considerations in treating pediatric patients; dentistry's interventions and perspectives in preventing child abuse and neglect; the American Medical Association's perspective; and family violence as a public health issue. [Funded by the Maternal and Child Health Bureau]

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Keywords: Adolescents, Case management, Child abuse, Child neglect, Child protective services, Children, Coalitions, Conference proceedings, Dentists, Ethics, Family violence, Legal responsibility, Liability, Oral health, Parents, Psychological needs