On any given day, nearly half a million children are served by foster care services in the U.S. at an annual cost of over $25 billion. Growing demand and shrinking funds have so greatly stressed the child welfare system that calls for orphanages have re-entered the public debate for the first time in nearly half a century. New ideas are desperately needed to transform a system in crisis, guarantee better outcomes for children in foster care, and reduce the need for out-of-home care in the first place. Yet little is known about what works in foster care. Very few studies have examined how alumni have fared as adults or tracked long-term health effects, and even fewer have directly compared different foster care services. In one of the most comprehensive studies of adults formerly in foster care ever conducted, the Northwest Foster Care Alumni Study found that quality foster care services for children pay big dividends when they grow into adults. Key investments in highly trained staff, low caseloads, and robust supplementary services can dramatically reduce the rates of mental disorders and substance abuse later in life and increase the likelihood of completing education beyond high school and remaining employed. The results of this unparalleled study document not only the more favorable outcomes for youth who receive better services but the overall return when an investment is made in high quality foster care: every dollar invested in a child generates $1.50 in benefits to society. These findings form the core of this book's blueprint for reform. By keeping more children with their families and investing additional funds in enhanced foster care services, child welfare agencies have the opportunity to greatly improve the health, well being, and economic prospects for foster care alumni. What Works in Foster Care? presents a model foster care program that promises to revolutionize the way policymakers, administrators, case workers, and researchers think about protecting our most vulnerable youth.

Methodological problems have hampered researchers' efforts to understand and control AIDS since the beginning of the epidemic. This practical book addresses these problems by using actual health research case studies to develop strategies regarding design and sampling, measurement, and analysis and modeling issues. Researchers working on both biological and behavioral aspects of the disease will find this work a singularly effective tool to improve their study designs.

This unique book presents original research from the largest cross-national survey of the epidemiology of mental disorders ever conducted. It provides the latest findings from the WHO World Mental Health Surveys based on interviews of nearly 150,000 individuals in twenty-six countries on six continents. The book is ordered by specific disorder, with individual chapters dedicated to presenting detailed findings on the prevalence, onset timing, sociodemographic profile, comorbidity, associated impairment and treatment for eighteen mental disorders. There is also discussion of important cross-national consistencies in the epidemiology of mental disorders and highlighting of intriguing patterns of cross-national variation. This is one of the most comprehensive summaries of the epidemiology of mental disorders ever published, making this an invaluable resource for researchers, clinicians, students and policy-makers in the fields of mental and public health.

Methodological problems have hampered researchers' efforts to understand and control AIDS since the beginning of the epidemic. This practical book addresses these problems by using actual health research case studies to develop strategies regarding design and sampling, measurement, and analysis and modeling issues. Researchers working on both biological and behavioral aspects of the disease will find this work a singularly effective tool to improve their study designs.

Mental disorders have profound social, cultural, and economic effects throughout the world. Although most psychiatry and psychology texts provide some basic data on the prevalence and treatment of mental disorders, no previous book has ever presented such data with the breadth or depth of the current volume.
Reported here are the first results of the WHO World Mental Health (WMH) Survey Initiative, the largest coordinated series of cross-national psychiatric epidemiological surveys ever undertaken. The general population surveys in the WMH series span 17 countries in all parts of the world. In many of these countries the WMH surveys provide the first community epidemiological data ever available on mental disorders in the population. The detailed information on lifetime prevalence, age of onset, course, correlates, and treatment of mental disorders in this volume provides mental health professionals and healthcare policy planners with an unprecedented state-of-the-art reference on the cross-national descriptive epidemiology of mental disorders.

Mental disorders have profound social, cultural, and economic effects throughout the world. Although most psychiatry and psychology texts provide some basic data on the prevalence and treatment of mental disorders, no previous book has ever presented such data with the breadth or depth of the current volume.
Reported here are the first results of the WHO World Mental Health (WMH) Survey Initiative, the largest coordinated series of cross-national psychiatric epidemiological surveys ever undertaken. The general population surveys in the WMH series span 17 countries in all parts of the world. In many of these countries the WMH surveys provide the first community epidemiological data ever available on mental disorders in the population. The detailed information on lifetime prevalence, age of onset, course, correlates, and treatment of mental disorders in this volume provides mental health professionals and healthcare policy planners with an unprecedented state-of-the-art reference on the cross-national descriptive epidemiology of mental disorders.

This book is a resource for health and social scientists who assess the role of stress in their studies of physical and psychiatric illness. This work discusses how stress is conceptualized, the pathways through which stressors influence the onset and progression of psychiatric and physical illness, the alternate methods of measuring stress, and how one decides on appropriate measurement.

Childhood, adolescence, even the "twilight years" have been extensively researched and documented. But the vast terrain known as midlife--the longest segment of the life course--has remained uncharted. How physically and psychologically healthy are Americans at midlife? And why do some experience greater well-being than others?
The MacArthur Foundation addressed these questions head-on by funding a landmark study known as "Midlife in the U.S.," or MIDUS. For the first time in a single study, researchers were able to integrate epidemiological, sociological, and psychological assessments, as well as innovative new measures to evaluate how work and family life influence each other.
"How Healthy Are We?" presents the key findings from the survey in three sections: physical health, quality of life and psychological well-being, and the contexts (family, work) of the midlife. The topics covered by almost forty scholars in a wide variety of fields are vast, including everything from how health and well-being vary with socioeconomic standing, gender, race, or region of the country to how middle-aged people differ from younger or older adults in their emotional experience and quality of life. This health--the study measures not only health-the absence of illness--but also reports on the presence of wellness in middle-aged Americans.
The culmination of a decade and a half of research by leading scholars, "How Healthy Are We?" will dramatically alter the way we think about health in middle age and the factors that influence it. Researchers, policymakers, and others concerned about the quality of midlife in contemporary America will welcome its insights.
* Having a good life meanshaving good relationships with others to almost 70% of those surveyed. Less than 40% mentioned their careers.
* Reports of disruptive daily stressors vary by age, with young adults and those in midlife experiencing more than those in later adulthood.
* Men have higher assessments of their physical and mental health than woman until the age of 60.