The plight of children in many low-income countries continues to be reminiscent of conditions in 19th century Sweden. At the threshold of the 21st century, we would urge global cooperation in child health with the aim of realising a broader concept of health and development in low-income countries. This would enable the reduction of mortality to be accelerated and child health to be improved by targeting sick children for specific intervention, combined with preventive and health promotion measures.
Caring for people in the community with persistent and disabling mental illnesses presents a major challenge to government, planners and mental health professionals. The success with which mentally disabled people are integrated into community life says much about the society in which we live. This article describes the experience of the Greater Vancouver Mental Health Service Society in offering community-based mental health services to persons with schizophrenia and other major mental disorders over the past 20 years. The key to its success lies in a decentralized, relatively non hierarchical organizational structure which allows committed and skilled multidisciplinary teams to work with patients and their families in their community. The resulting services are fully integrated within the fabric of the community and are responsive to local needs. Partnerships among professionals, patients, families and community agencies result in work that is creative, productive and effective.