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This paper shows how federal resources and mandates concerning the HIV epidemic combined with the political economy and political culture of Dallas, Texas to create a distinctive local HIV/AIDS service system. The infusion of federal funds allowed nonprofit organizations to expand their services, especially in the areas of economic assistance and social services. In addition, funding to minority agencies and services to minority clients were expanded. While the fund administration structure imposed on the nonprofit providers necessitated greater administrative efforts on their part and enhanced the power of local government, it also greatly improved coordination.

Despite the recent growth of scholarship on parent activism related to disability, the existing literature tends to focus on specific organizations and time periods and draw on a social psychological approach to examine the motivations of parents in becoming activists. This paper considers disability activism as a field of social movement organizations and focuses on disability organizations led by parents and their relationship to organizations led by activists with disabilities. Using qualitative methods informed by theoretically focused coding and grounded situational analysis, we examine the public framing of four national parent-led organizations that are politically prominent. Through this field approach, the analysis reveals the diversity of parent-led organizations, commonalities and the fault lines among these organizations, and the factors which effect the likelihood of alliances between organizations led by parents and those led by activists with disabilities.

Creating a consistent federal policy with respect to AIDS (acquired immune deficiency syndrome) has proven difficult because the epidemic manifests itself differently in virtually every locality it invades. As a result, some local caseloads increasingly are dominated by intravenous drug users & others by gay men. In recognition of this reality, the primary federal program to fund AIDS services relies on local decisionmakers to make allocation decisions for serving the needs of their caseload. Under the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, local health services planning councils were assigned the task of creating an effective continuum of care for persons with HIV (human immunodeficiency virus)/AIDS & were empowered with the task of allocating federal funds to accomplish that objective. In some cases creating & fostering an effective continuum of care proved to be an essentially noncontroversial managerial task, while in other localities political turmoil & rampant self-interest served as barriers to program effectiveness. Here, the relationship between local political culture & the development of AIDS programs in Dallas County, TX, is examined, with attention to the provision of AIDS services in Dallas before passage of the Ryan White Act in 1990, how these services were affected by the Ryan White program, & the experiences since the reauthorization of the Ryan White Act in 1996. 30 References. Adapted from the source document.

Frontmatter -- CONTENTS -- SERIES FOREWORD -- LIST OF ABBREVIATIONS -- Introduction. The Health and Well-Being of Sexual Minority Couples -- 1. Serious Mental Illness in Same-Sex and Different-Sex Unions -- 2. Well-Being during Time with a Partner among Men and Women in Same-Sex Unions -- 3. Consequences of Unequal Legal Recognition -- 4. Postpartum Depression and Anxiety in Male-Partnered and Female-Partnered Sexual Minority Women -- 5. Health and Health Behaviors among Same-Sex and Different-Sex Coupled Adults with and without Children -- 6. Couples' Conjoint Work Hours and Health Behaviors -- 7. Union Status and Overweight or Obesity among Sexual Minority Men and Women -- 8. Same-Sex Contact and Alternative Medicine Usage among Older Adults -- 9. Activity Limitation Disparities between Same-Sex and Different-Sex Couples -- 10. Same-Sex Unions and Adult Mortality Risk -- 11. Access to Health Care for Partnered and Nonpartnered Sexual Minorities -- 12. Law and Same-Sex Couples' Experiences of Childbirth -- 13. Married in Texas -- 14. Social Context and the Stability of Same-Sex and Different-Sex Relationships -- 15. Same-Sex Marriage and Mental Health -- 16. First Sexual Experience with a Same-Sex Partner in the United States -- 17. "Two Sides of a Coin" -- Conclusion. Future Directions for Research on Health of Sexual Minority Couples -- NOTES ON CONTRIBUTORS -- INDEX