Schools and Health: An Essential Partnership for the Effective Care of Children with Chronic Conditions

Minier, Mark; Hirshfield, Laura E.; Ramahi, Renad; Glassgow, Anne Elizabeth; Fox, Kenneth; Martin, Molly A.

doi:10.1111/josh.12671

Cited by 17 publications

(19 citation statements)

References 12 publications

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“…When school participation is reduced, this can lead to psychosocial losses for the adolescent (Allen et al, 2018;Bethell et al, 2012;Lum et al, 2019b;Santos et al, 2016a). There is evidence that points to the fact that the adolescents with chronic conditions tend to have a lower life satisfaction (Marquez & Main, 2021;Santos et al, 2016b) and worse school results, which reflect an increased vulnerability (Layte & McCrory, 2013;Lum et al, 2017;Maslow et al, 2011;Minier et al, 2018;Santos et al, 2016b).…”

Section: Introductionmentioning

confidence: 99%

Chronic Conditions, School Participation and Quality of Life of Portuguese Adolescents: Highlights from the Health Behavior in School aged Children study - HBSC 2018

et al. 2021

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This study intends to analyze the influence that the health condition (with/without chronic condition (CC) and CC that affect/does not affect the school participation), the factors related to the school context (liking school, perception of school success, difficulties at school, relationship with peers and teachers) and the physical and psychological symptoms exert on the adolescents' quality of life (QoL). This work is part of the HBSC 2018 study and relies on the participation of 8215 students (52,6% female), aged between 10 and 22 years old (M=14.36 and SD=2.28). The results show that the adolescents with CC have more physical and psychological symptoms and a lower perception of QoL. Having a CC that does not affect school participation is associated with a better QoL. The students with CC that affect school participation like school less than the students with CC that does not affect school participation, perceive a lower academic success and a lower QoL, have more difficulties at school and present more physical and psychological symptoms. Liking school, having a better relationship with teachers and peers, a higher perception of school success, fewer difficulties at school and fewer physical and psychological symptoms is associated with a better QoL. These results underline the importance of school participation regarding the adolescents' well-being and QoL. More than having a CC, what causes a greater impact on the adolescents' QoL is the fact that this condition affects the school participation which reinforces the importance of promoting and ensuring the school participation of the students with CC.

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Section: Introductionmentioning

confidence: 99%

Chronic Conditions, School Participation and Quality of Life of Portuguese Adolescents: Highlights from the Health Behavior in School aged Children study - HBSC 2018

et al. 2021

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“…A full description of the CHECK intervention model is described elsewhere. [20][21][22][23] Data for this study were collected from December 1, 2014 through September 1, 2017. CHECK participants were identified for eligibility based on Medicaid claims data from the Illinois Medicaid agency, Medicaid managed care organizations, direct referrals from providers, or self-referrals.…”

Section: Introductionmentioning

confidence: 99%

Exploring Racial Disparities in Mental Health Diagnoses and Neighborhood Disorganization Among an Urban Cohort of Children and Adolescents with Chronic Medical Conditions

et al. 2019

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Objective: This article describes the demographic distribution of, and association between, neighborhood disorganization and mental health diagnosis by race in a large cohort of urban children with chronic medical conditions. Methods: Data for this study were from Coordinated Healthcare for Complex Kids (CHECK), a health care demonstration project funded by the Center for Medicare and Medicaid Innovation. We conducted regression analyses to examine the relationship between neighborhood disorganization and mental health diagnosis among 6,458 children enrolled in CHECK. Results: The most common mental health diagnoses were mood disorders (8.6%), Attention-Deficit/ Hyperactivity Disorder (7.4%), conduct disorders (6.1%), and anxiety disorders (4.8%). Black children had the highest neighborhood disorganization scores compared with other racial/ethnic categories. However, Black children had the lowest proportion of mental health diagnoses. Lower neighborhood disorganization was associated with having a mental health diagnosis; however, when adding race/ethnicity to the model, neighborhood disorganization no longer was significant. Conclusions: Level of neighborhood disorganization was highly correlated with racial/ethnic composition of the neighborhoods, and Black children disproportionately resided in highly disorganized neighborhoods compared with other groups. Neighborhood disorganization may not have sufficient variability within the racial/ethnic categories, which may explain the absence of an interaction between race/ethnicity and mental health diagnosis. Keywords: neighborhood disorganization; mental health diagnoses in children with chronic medical conditions; mental health disparities; mental health in urban children Departments of

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“…CHECK provided educational and support services to partner clinical practices, community partners, and schools. Details on the CHECK program services are provided elsewhere 14‐17 …”

Section: Methodsmentioning

confidence: 99%

“…The Coordinated HEalthcare for Complex Kids (CHECK) program was funded in 2014 by a Centers for Medicare and Medicaid Award to the University of Illinois at Chicago (UIC). CHECK was designed as a quality improvement program to provide comprehensive care coordination and a range of services to Medicaid‐enrolled children and young adults with chronic health conditions in the Chicago area 14‐17 . CHECK services targeted health disparities through a multi‐level population health approach that incorporated individual, family, and community determinants 14 .…”

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confidence: 99%

Trends in School Attendance for Low‐Income Children with Chronic Health Conditions: Results from a Randomized Controlled Trial

Martin

Caskey

Glassgow

et al. 2021

Journal of School Health

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BACKGROUND In this study, we aimed to determine how school attendance changed over time for children on Medicaid with chronic health conditions enrolled in a comprehensive care coordination program called Coordinated HEalthcare for Complex Kids (CHECK). METHODS Medicaid beneficiaries from one managed care organization were randomized into 2 arms: CHECK program services or usual care. The final sample was 1322. RESULTS The mean age was 10.9 (SD = 3.7) years old and children were mostly non‐Hispanic Black (62.6%) or Hispanic (34.9%). The median school attendance at baseline was 94.9% (IQR 88.9, 97.9); over one‐fourth of children (28.4%) were chronically absent. School attendance was not associated with race/ethnicity, risk level, and health condition. In a model including a significant time/grade interaction, school attendance increased over time for children in pre‐kindergarten (OR = 1.52, 95% CI: 1.38, 1.68; p < .001) and kindergarten to 5th grade (OR = 1.21, 95% CI: 1.17, 1.26; p < .001), and decreased for children in 6th to 8th grade (OR = 0.80, 95% CI: 0.77, 0.83; p < .001). No differences were seen in school attendance or chronic absenteeism associated with enrollment in the CHECK program. CONCLUSIONS School attendance improved for most of the low‐income children with chronic health conditions in our cohort, except for children in middle school.

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Schools and Health: An Essential Partnership for the Effective Care of Children with Chronic Conditions

Cited by 17 publications

References 12 publications

Chronic Conditions, School Participation and Quality of Life of Portuguese Adolescents: Highlights from the Health Behavior in School aged Children study - HBSC 2018

Chronic Conditions, School Participation and Quality of Life of Portuguese Adolescents: Highlights from the Health Behavior in School aged Children study - HBSC 2018

Exploring Racial Disparities in Mental Health Diagnoses and Neighborhood Disorganization Among an Urban Cohort of Children and Adolescents with Chronic Medical Conditions

Trends in School Attendance for Low‐Income Children with Chronic Health Conditions: Results from a Randomized Controlled Trial

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