The Experts below are selected from a list of 23640 Experts worldwide ranked by ideXlab platform
Dependent Care - One of the best experts on this subject based on the ideXlab platform.
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health Care of young children in Foster Care
Pediatrics, 2002Co-Authors: Dependent CareAbstract:Greater numbers of infants and young children with increasingly complicated and serious physical, mental health, and developmental problems are being placed in Foster Care. All children in Foster Care need to receive initial health screenings and comprehensive assessments of their medical, mental, dental health, and developmental status. Results of these assessments must be included in the court-approved social services plan and should be linked to the provision of individualized comprehensive Care that is continuous and part of a medical home. Pediatricians have an important role in all aspects of the Foster Care system.
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developmental issues for young children in Foster Care
Pediatrics, 2000Co-Authors: Dependent CareAbstract:Greater numbers of young children with complicated, serious physical health, mental health, or developmental problems are entering Foster Care during the early years when brain growth is most active. Every effort should be made to make Foster Care a positive experience and a healing process for the child. Threats to a child9s development from abuse and neglect should be understood by all participants in the child welfare system. Pediatricians have an important role in assessing the child9s needs, providing comprehensive services, and advocating on the child9s behalf. The developmental issues important for young children in Foster Care are reviewed, including: 1) the implications and consequences of abuse, neglect, and placement in Foster Care on early brain development; 2) the importance and challenges of establishing a child9s attachment to Caregivers; 3) the importance of considering a child9s changing sense of time in all aspects of the Foster Care experience; and 4) the child9s response to stress. Additional topics addressed relate to parental roles and kinship Care, parent-child contact, permanency decision-making, and the components of comprehensive assessment and treatment of a child9s development and mental health needs.
Trevor R Hadley - One of the best experts on this subject based on the ideXlab platform.
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placement stability and mental health costs for children in Foster Care
Pediatrics, 2004Co-Authors: David T. Rubin, Chris Feudtner, Evaline A Alessandrini, David S Mandell, Russell A Localio, Trevor R HadleyAbstract:Objective. Although prior population-based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims. Methods. Using administrative child welfare data linked to Medicaid claims, we assembled a unique retrospective cohort of adjudicated dependent children >2 years old who entered Foster Care between July 1993 and June 1995, spent at least 9 months in Care, and were Medicaid eligible during a 1-year follow-up period. The primary outcome was high mental health service use, defined as having costs in the top decile of the sample. The primary independent variables were the number of Foster Care placements during the year and whether placements were interrupted by a return home for at least 1 month during that year (episodic Foster Care). We used logistic regression to estimate the association between placements and service utilization, with adjustment for age and physical health Care costs. Results. Of the 1635 children in the study, 41% had ≥3 Foster Care placements, and 5% had episodic Foster Care during the year of observation. The top 10% of mental health service users accounted for 83% of the $2.4 million in mental health costs. Both multiple placements and episodic Foster Care increased the predicted probability of high mental health service use. Higher physical health Care costs also increased the probability of high mental health use for all children, but this increased probability was most dramatic among children with episodic Foster Care (probability of high mental health use: 0.78; 95% confidence interval: 0.42–0.94). Conclusions. Foster Care placement instability was associated with increased mental health costs during the first year in Foster Care, particularly among children with increasing general health Care costs. These findings highlight the importance of interventions that address the global health of children in Foster Care and may permit better targeting of health Care resources to subgroups of children most likely to use services.
Evaline A Alessandrini - One of the best experts on this subject based on the ideXlab platform.
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placement stability and mental health costs for children in Foster Care
Pediatrics, 2004Co-Authors: David T. Rubin, Chris Feudtner, Evaline A Alessandrini, David S Mandell, Russell A Localio, Trevor R HadleyAbstract:Objective. Although prior population-based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims. Methods. Using administrative child welfare data linked to Medicaid claims, we assembled a unique retrospective cohort of adjudicated dependent children >2 years old who entered Foster Care between July 1993 and June 1995, spent at least 9 months in Care, and were Medicaid eligible during a 1-year follow-up period. The primary outcome was high mental health service use, defined as having costs in the top decile of the sample. The primary independent variables were the number of Foster Care placements during the year and whether placements were interrupted by a return home for at least 1 month during that year (episodic Foster Care). We used logistic regression to estimate the association between placements and service utilization, with adjustment for age and physical health Care costs. Results. Of the 1635 children in the study, 41% had ≥3 Foster Care placements, and 5% had episodic Foster Care during the year of observation. The top 10% of mental health service users accounted for 83% of the $2.4 million in mental health costs. Both multiple placements and episodic Foster Care increased the predicted probability of high mental health service use. Higher physical health Care costs also increased the probability of high mental health use for all children, but this increased probability was most dramatic among children with episodic Foster Care (probability of high mental health use: 0.78; 95% confidence interval: 0.42–0.94). Conclusions. Foster Care placement instability was associated with increased mental health costs during the first year in Foster Care, particularly among children with increasing general health Care costs. These findings highlight the importance of interventions that address the global health of children in Foster Care and may permit better targeting of health Care resources to subgroups of children most likely to use services.
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Placement Stability and Mental Health Costs for Children in Foster Care
Pediatrics, 2004Co-Authors: David M Rubin, Trevor Hadley, Chris Feudtner, A. Russell Localio, Evaline A Alessandrini, David S Mandell, Abstract ObjectiveAbstract:Although prior population- based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims.
David S Mandell - One of the best experts on this subject based on the ideXlab platform.
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placement stability and mental health costs for children in Foster Care
Pediatrics, 2004Co-Authors: David T. Rubin, Chris Feudtner, Evaline A Alessandrini, David S Mandell, Russell A Localio, Trevor R HadleyAbstract:Objective. Although prior population-based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims. Methods. Using administrative child welfare data linked to Medicaid claims, we assembled a unique retrospective cohort of adjudicated dependent children >2 years old who entered Foster Care between July 1993 and June 1995, spent at least 9 months in Care, and were Medicaid eligible during a 1-year follow-up period. The primary outcome was high mental health service use, defined as having costs in the top decile of the sample. The primary independent variables were the number of Foster Care placements during the year and whether placements were interrupted by a return home for at least 1 month during that year (episodic Foster Care). We used logistic regression to estimate the association between placements and service utilization, with adjustment for age and physical health Care costs. Results. Of the 1635 children in the study, 41% had ≥3 Foster Care placements, and 5% had episodic Foster Care during the year of observation. The top 10% of mental health service users accounted for 83% of the $2.4 million in mental health costs. Both multiple placements and episodic Foster Care increased the predicted probability of high mental health service use. Higher physical health Care costs also increased the probability of high mental health use for all children, but this increased probability was most dramatic among children with episodic Foster Care (probability of high mental health use: 0.78; 95% confidence interval: 0.42–0.94). Conclusions. Foster Care placement instability was associated with increased mental health costs during the first year in Foster Care, particularly among children with increasing general health Care costs. These findings highlight the importance of interventions that address the global health of children in Foster Care and may permit better targeting of health Care resources to subgroups of children most likely to use services.
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Placement Stability and Mental Health Costs for Children in Foster Care
Pediatrics, 2004Co-Authors: David M Rubin, Trevor Hadley, Chris Feudtner, A. Russell Localio, Evaline A Alessandrini, David S Mandell, Abstract ObjectiveAbstract:Although prior population- based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims.
Chris Feudtner - One of the best experts on this subject based on the ideXlab platform.
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placement stability and mental health costs for children in Foster Care
Pediatrics, 2004Co-Authors: David T. Rubin, Chris Feudtner, Evaline A Alessandrini, David S Mandell, Russell A Localio, Trevor R HadleyAbstract:Objective. Although prior population-based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims. Methods. Using administrative child welfare data linked to Medicaid claims, we assembled a unique retrospective cohort of adjudicated dependent children >2 years old who entered Foster Care between July 1993 and June 1995, spent at least 9 months in Care, and were Medicaid eligible during a 1-year follow-up period. The primary outcome was high mental health service use, defined as having costs in the top decile of the sample. The primary independent variables were the number of Foster Care placements during the year and whether placements were interrupted by a return home for at least 1 month during that year (episodic Foster Care). We used logistic regression to estimate the association between placements and service utilization, with adjustment for age and physical health Care costs. Results. Of the 1635 children in the study, 41% had ≥3 Foster Care placements, and 5% had episodic Foster Care during the year of observation. The top 10% of mental health service users accounted for 83% of the $2.4 million in mental health costs. Both multiple placements and episodic Foster Care increased the predicted probability of high mental health service use. Higher physical health Care costs also increased the probability of high mental health use for all children, but this increased probability was most dramatic among children with episodic Foster Care (probability of high mental health use: 0.78; 95% confidence interval: 0.42–0.94). Conclusions. Foster Care placement instability was associated with increased mental health costs during the first year in Foster Care, particularly among children with increasing general health Care costs. These findings highlight the importance of interventions that address the global health of children in Foster Care and may permit better targeting of health Care resources to subgroups of children most likely to use services.
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Placement Stability and Mental Health Costs for Children in Foster Care
Pediatrics, 2004Co-Authors: David M Rubin, Trevor Hadley, Chris Feudtner, A. Russell Localio, Evaline A Alessandrini, David S Mandell, Abstract ObjectiveAbstract:Although prior population- based studies have found that children in Foster Care use more mental health services than their Medicaid peers, less is known about how different experiences in Foster Care impact the likelihood of mental health service use. The primary aim of this study is to test the hypothesis that instability of Foster Care placements is associated with higher costs for mental health Care services. The secondary aim is to test the hypothesis that Foster Care children are also more likely to generate high costs for mental health services if they generate higher costs for non–mental health claims.