A Profile of Care Coordination, Missed School Days, and Unmet Needs Among Oregon Children with Special Health Care Needs with Behavioral and Mental Health Conditions.

To inform Oregon's Title V needs assessment activities, we aimed to (1) characterize the state's subpopulation of children with special health care needs (CSHCN) with behavioral and mental health conditions (B/MHC) and (2) determine associations of care coordination with missed school days and unmet...

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Publicado en:Community Mental Health Journal Vol. 56; no. 8; pp. 1571 - 1581
Autores principales: Lindly, Olivia J., Martin, Alison J., Lally, Kathryn
Formato: Artículo
Publicado: Springer Nature Nov2020
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: A Profile of Care Coordination, Missed School Days, and Unmet Needs Among Oregon Children with Special Health Care Needs with Behavioral and Mental Health Conditions.
      aug:
        au:
          Lindly, Olivia J.
          Martin, Alison J.
          Lally, Kathryn
        affil:
          Department of Health Sciences, Northern Arizona University, 1100 S. Beaver Street, Room 488, 86011, Flagstaff, AZ, USA
          Oregon Center for Children and Youth with Special Health Needs, Institute on Development & Disability, Oregon Health & Science University, Oregon Health & Science University-Portland State University Joint School of Public Health, 707 SW Gaines Street, CDRC, 97239, Portland, OR, USA
          Yale Child Study Center, 230 S. Frontage Road, 06519, New Haven, CT, USA
      su:
        Oregon
        Behavior disorders in children
        Health services accessibility
        Mental illness
        Needs assessment
        Socioeconomic factors
        Confidence intervals
        Surveys
        At-risk people
        Odds ratio
      sug:
        subj:
          Behavior disorders in children
          Health services accessibility
          Mental illness
          Needs assessment
          Socioeconomic factors
          Oregon
          Confidence intervals
          Surveys
          At-risk people
          Odds ratio
      keyword:
        Behavioral health
        Care coordination
        Children with special health care needs
        Mental health
        School attendance
        Unmet needs
        Behavioral health
        Care coordination
        Children with special health care needs
        Mental health
        School attendance
        Unmet needs
      ab: To inform Oregon's Title V needs assessment activities, we aimed to (1) characterize the state's subpopulation of children with special health care needs (CSHCN) with behavioral and mental health conditions (B/MHC) and (2) determine associations of care coordination with missed school days and unmet needs for this subpopulation. We analyzed 2009–2010 National Survey of Children with Special Health Care Needs data on 736 Oregon CSHCN < 18 years, including 418 CSHCN with B/MHC. Among Oregon CSHCN with B/MHC: 48.9% missed ≥ 4 school days, 25% had ≥ 1 unmet health services need, and 14.8% had ≥ 1 unmet family support services need. Care coordination was associated with lower adjusted odds of ≥ 1 unmet health services need but was not significantly associated with missed school days or unmet family support services need. The approach to identify Oregon CSHCN with B/MHC may be adopted by other states endeavoring to improve health for this vulnerable subpopulation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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