Use of Health Services by Chronically Ill and Disabled Children

Smyth-Staruch, Kathleen; Breslau, Naomi; Weitzman, Michael; Gortmaker, Steven L.

doi:10.1097/00005650-198404000-00003

Cited by 32 publications

(9 citation statements)

References 5 publications

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“…A 3-year trend analysis of Medicaid claims from 4 states revealed that the prevalence of ADHD among youths aged 0 to 20 years receiving SSI was nearly 3 times higher after the Social Security Administration implemented new guidelines in 1990 for mental health disabilities among children. 12 Although psychosocial problems have been shown to be more pronounced among Medicaid than among non-Medicaid youths, 36 children with chronic illness and disability are more likely to have mental health and social adjustment problems 37 and are more likely to use mental health services 38 than their nondisabled peers. Thus, our finding that mental health service use was higher among youths in foster care than among youths receiving SSI is surprising.…”

Section: Discussionmentioning

confidence: 99%

Mental health services for youths in foster care and disabled youths

dosReis

Zito

Safer³

et al. 2001

Am J Public Health

192

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OBJECTIVES: This study assessed whether mental health services for youths differ with respect to medical assistance aid category. METHODS: Computerized claims for 15,507 youths with Medicaid insurance in a populous county of a mid-Atlantic state were used to establish population-based prevalence estimates of mental disorders and psychotherapeutic treatments during 1996. RESULTS: An analysis of service claims revealed that the prevalence of mental disorders among youths enrolled in foster care (57%) was twice that of youths receiving Supplemental Security Income (SSI; 26%) and nearly 15 times that of other youths receiving other types of aid (4%). Rates of mental health service use were pronounced among foster care youths aged 6 to 14 years. Attention deficit/hyperactivity disorder, depression, and developmental disorders were the most prevalent disorders. Stimulants, antidepressants, and anticonvulsants were the most prevalent medications. CONCLUSIONS: Youths enrolled in foster care and youths receiving SSI use far more mental health services than do youths in other aid categories. Additional research should evaluate the complexity and outcomes of mental health services for youths in foster care.

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Section: Discussionmentioning

confidence: 99%

Mental health services for youths in foster care and disabled youths

dosReis

Zito

Safer³

et al. 2001

Am J Public Health

192

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“…Rates of use of these services have been reported in the literature (Smyth-Staruch, Breslau, Weitzman, & Gortmaker, 1984;Walker, Palfrey, Butler, & Singer, 1988), but future research should focus on the rate at which families' needs for such therapies go unmet, as well as factors that prevent families from receiving these services. A recent survey of Interagency Early Intervention Committees in Minnesota suggests that there are problems recruiting and retaining qualified related service personnel, especially in rural areas (Jex, 1994).…”

Section: Discussion and Summarymentioning

confidence: 99%

Unmet service needs of families of young children with chronic illnesses and disabilities

et al. 1995

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ABSTRACT:. Data about health and educational services were collected from 187 families with young children (under two years) who have chronic illnesses and disabilities. The purpose w,.; to assess par,.ats' satisfaction with services their families received and to identify families' unmet service needs as well as the reasons for these unmet needs. Although families' ratings of the adequacy of services are relatively high, 28% of the families report unmet service needs. The unmet needs most often reported are occupational, physical, or speech therapy; respite care/child care; and special education. Lack of funding is the most commonly given reason for unmet needs. Children with multiple impairments are at highest risk for unmet needs. Only 22% of unmet needs reported at the initial interview have been met by the time of the six-month follow-up. Increased coordination and monitoring of services across service sectors are indicated.

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“…Providing care for a child with a disability can take considerably more commitment and resources than caring for a child without a developmental or physical delay (Smyth‐Staruch et al . 1984; Neufeld et al .…”

Section: Introductionmentioning

confidence: 99%