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Meeting the Health Care Needs of Children in the Foster Care System

In 2002, the Georgetown University Center for Child and Human Development completed a study to describe promising approaches for meeting the health care needs of children in the foster care system[1](PDF Project Description)

Children in foster care have higher rates of chronic medical, mental health, and developmental problems than other children from similar socioeconomic backgrounds. (AAP 1994)[2].  The trauma of separation from their families and placement in the foster care system often compound these conditions.  Despite the availability of health care through Medicaid and other funding sources, as well as laws and policies that mandate appropriate care, numerous barriers prevent many children in foster care from receiving adequate health care (GAO 1995)[3].  However, many states and communities are implementing promising approaches to overcoming the barriers and providing comprehensive care.  This study identified such approaches, analyzed the critical elements of each, and publicized the findings. Study findings and reports can be used to develop comprehensive, systematic strategies for assuring that the health care needs of children in the foster care system are adequately met.

For more information on this study, click on any of the links below:
Home page and menu
Framework for a Comprehensive Approach: Critical Components (PDF)
Summary of State and Community Efforts (PDF)
Strategies for Implementation (PDF) 
Site Visit Reports
(PDF)
Fact Sheets (PDF)

Questions?
Contact Jan McCarthy, Director of Child Welfare Policy, National TA Center for Children's Mental Health, jrm33@georgetown.edu



[1] The study was funded by the federal Maternal and Child Health Bureau (Health Resources and Services Administration) and supported in part by the Children's Bureau (Administration for Children and Families).

[2] American Academy of Pediatrics. (1994). Health care of children in foster care (RE9404), Pediatrics, 93(2), 335-338.

[3] United States General Accounting Office. (May 1995). Foster care: Health needs of many young children are unknown and unmet. Washington, DC: (GAO/HEHS-95-114).

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