Health care reaches more children under age three in the United States than any other family-facing system and represents the most common entry point for developmental assessment of and services for children. In this article, Adam Schickedanz and Neal Halfon examine how well the child health care system promotes healthy child development early in…

It is well documented that children enter foster care with special health and mental health needs and, while in care, those conditions are often exacerbated. However, less attention has been given to foster parents who have the most contact with these children. Results are presented from a national study on the developmental, health and mental…

Reviews the unique health care needs of children in the out-of-home care system and the standards developed over the past decade to deliver comprehensive health care services to this population. Raises key policy and practice questions for each standard to facilitate effective implementation of recommendations makes suggestions for future research…

This report examines the use of health care services by children enrolled in Medi-Cal, California's counterpart to Medicaid, and the Child Health and Disability Prevention (CHDP) program. Expenditures related to these services are also examined. Data for the report were derived from utilization and expenditure data from Medi-Cal and CHDP. Analysis…

Outlines access to health care for children in out-of-home care under current law, reviews how health care access for these children would be affected by President Clinton's health care reform initiative, and proposes additional measures that could be considered to improve access and service coordination for children in the child welfare system.…

Although most American infants and young children receive adequate well-child care, they may not receive needed help if developmental problems arise. This report examines primary health care services that promote infant/child development and suggests ways to improve those services as part of routine primary child health care. The report details…

As part of a series of reports designed to support the implementation of Proposition 10: The California Children and Families Act and to provide comprehensive and authoritative information on critical issues concerning young children and families in California, this report examines how child health services can be improved to support two related…

Data on 3,449 children (ages 0-3) indicate children at risk because of low income, minority status, or lack of insurance were 3 to 12 times more likely to be without a usual source of care and 2 to 30 times more likely to have unmet needs for health care. (Contains references.) (Author/CR)

As medical knowledge and treatments improve, pediatricians' role in promoting children's health continues to change. Genetics and early experiences may have long-term effects on health and development. Theoretical models that influence providers' decisions about the use of health-care resources are: the disease model, the neuromaturational model,…

In recent years, state Medicaid programs have implemented significant change and innovation in delivering health and behavioral health services. Prepaid capitated financing and the provider networks created by Medicaid managed care expansions have altered systems of medical and mental/behavioral health. Most children in foster care receive…

If early childhood systems are to be effective at the population level then they must be able to provide family-centered care to all the racial, ethnic and cultural groups that they serve. Despite major policy driven and technological advances in healthcare, health disparities across different races and ethnicities persist. For example, the infant…