19815 Bay Branch Rd
Andalusia, Alabama 36420
(334) 222-2523
HELPLINE: 1-877-530-0002



SCAMHC is an approved Mental Health site for the National Health Service Corps Loan Repayment program.  Find out the program details and see if you qualify by visiting: http://nhsc.hrsa.gov/

SCAMHC is an Equal Opportunity Provider and Employer and maintains a Drug-Free Workplace.

SCAMHC serves all individuals regardless of inability to pay. Discounts for essential services are offered based on family size and income. For more information, contact (334) 222-2523 or our 24/7 Helpline at 1-877-530-0002.



powered by centersite dot net
Child & Adolescent Development: Overview
Basic InformationMore InformationLatest News
Pandemic Putting Added Strain on Parents of Kids With CancerDogs and Kids Are 'In Sync,' Study ShowsTeachers Main Drivers of School COVID Outbreaks, So Vaccinations Needed: StudyTips to Keep Young Athletes Injury-FreeMental Illness in Childhood Could Mean Worse Physical Health Decades LaterKids' Robust Immune Systems May Shield Them From COVID-19: StudyFertility Treatments Might Affect Kids' Growth, But Not for LongMom's Heart Health While Pregnant Could Influence Her Child's Health for YearsPandemic Has Affected Kids' Dental Health: PollNew Rabies Prevention Treatment Also Works in Kids: StudyWhen Will Kids Get the COVID Vaccines?U.S. Schools Can Reopen, With Safeguards in Place: CDCFetal Surgery Is Changing Lives for Kids With Spina BifidaKids Who Got Flu Shot Had Milder COVID Symptoms: StudyVery Little Spread of Coronavirus at Kids' Day Camps: StudyWhen Kids Misbehave, 'Verbal Reasoning' Can Sometimes BackfireVaccines Saved 37 Million Lives, Mostly Children, Over Past Two DecadesAnchor It! Toppling TVs, Furniture Can Injure and Kill KidsWhy Do Black Children Get Fewer Scans When They're Seen in ERs?Pandemic May Be Affecting How Parents Feed Their KidsRace Plays Role in Kids' Food Allergies: StudyToo Many Kids With Special Needs Are Going Without Adequate SupportThere’s ‘A Path Forward’ to Reopening Schools, CDC Officials SayKids Aren't Scared by Medical Workers' PPE, Study FindsHand Sanitizer Is Harming Kids' Eyes, Often SeriouslyKids Highly Likely to Transmit Coronavirus to Others: StudyKids' ER Visits for Injuries Rose During Lockdown, While Non-Injury Cases FellShould Your Child Get a COVID Test?Climate Change Is Spurring Malnutrition in Kids WorldwideNew Year, New Tips for Keeping Your Kids Safe and HealthyAHA News: Pandemic Pods Offer Social Relief, But There Are RisksPediatricians' Group Says School Is Priority, With Proper Safety MeasuresKids With Congenital Heart Disease Face Higher Odds of Mental Health IssuesReady to Resume Sports?  Health Tips for Getting Back in the GameMasks Don't Mask Others' Emotions for KidsCould Going Vegetarian Lower Kids' Asthma Risk?Parents Feel the Strain as Pandemic Adds New Role: TeacherInvolved Dads Make a Difference for Disadvantaged TeensPoll Charts U.S. Parents' Biggest Worries During PandemicDo Genes Doom Some Kids to Obesity? Probably Not, Study FindsSchools, Day Care Not a Big Factor in Kids Getting COVID: StudyType 2 Diabetes in Youth Is Especially Unhealthy: StudyWhen Sepsis Strikes Children, Black Kids More Likely to Die: StudyNew Clues to Crohn's Disease in KidsKids With Dyslexia May Have Hidden StrengthsKids' Weight Rises When Convenience Stores Open Nearby: StudyA Better, Safer Way to Rid Some Kids of Seizures?More Clues to Why Kids Have Much Milder COVID-19Pandemic Causing Dangerous Delays in Care When Appendicitis Strikes KidsHow to Keep Kids Resilient in a Strange Holiday Season
Questions and AnswersVideosLinksBook Reviews
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses

Too Many Kids With Special Needs Are Going Without Adequate Support

HealthDay News
by By Denise Mann HealthDay Reporter
Updated: Jan 28th 2021

new article illustration

THURSDAY, Jan. 28, 2021 (HealthDay News) -- As many as one in five U.S. children has special health care needs, and some of their caregivers are struggling to get them the support, care and services they need, new research shows.

Kids with special health care needs may have physical conditions (such as asthma or diabetes), mental health issues (including attention-deficit/hyperactivity disorder or anxiety), developmental disorders (like autism or Down syndrome), or a combination of these conditions.

These kids often require additional health care and support. Right now, those who receive such care are likely to get it through the "medical home" model, new research shows. In such a model, a pediatrician serves as quarterback and coordinates care with specialists and other providers.

Children who did not receive consistent care in a medical home model were less likely to receive preventive services, easily access community services, and their caregivers were more likely to report unmet health care needs and unmet family support needs, the study found.

The findings are based on interviews with more than 32,000 caregivers of special needs kids who took part in the 2009/2010 National Survey of Children with Special Health Care Needs. Of these, 43% said their child was receiving care through a medical home model. The study was published online recently in the journal Children's Health Care.

Medical homes are the gold standard for these kids, but even this model is not 'one-size-fits-all,' the study authors found.

"Medical home-consistent care does not seem to be enough to guarantee positive outcomes for families dealing with more complex conditions, who have lower incomes, and whose children were uninsured or inconsistently insured through the year," noted study author Rebecca Wells. She is a clinical assistant professor at University of Georgia's College of Public Health and School of Social Work, in Athens, Ga.

Another big factor in care is where in America kids live, Wells said. A family of a child with autism and severe symptoms may really struggle in a rural county, for example. "They may need special therapies, support groups, or respite that is just not available in their area," she explained.

More is needed to make sure these kids and their families get the care and services they need as efficiently as possible, Wells said.

This starts with making sure all children are insured and remain that way. "We have private insurance, Medicaid and the State Children's Health Insurance Program in our country, yet children still can fall through the cracks if a caregiver loses a job or even if there is a paperwork error, or the caregiver gets confused about re-certifying the child's eligibility for state-sponsored health coverage," Wells explained.

Increased funding to train health professionals who want to work with children with special health care needs, and incentives to work in underserved areas may help shore up some of these gaps, she suggested.

Experts not involved in the new study agreed that the medical home model is the way forward.

"Each child [needs] a relationship with a personal physician and a practice-based care team that takes collective responsibility for the patient's ongoing care -- ensuring that it is coordinated across care settings and disciplines," said Dr. Andrew Adesman. He is chief of developmental and behavioral pediatrics at Cohen Children's Medical Center in New Hyde Park, N.Y. Such care is especially important for children with greater or more complex health care needs.

"The medical home model actually reduces health care costs by reducing hospital and emergency department visits," Adesman said.

Dr. Nicola Brodie, a pediatrician at Children's National Hospital in Washington, D.C., noted that "children who have added medical complications need a system in place for one-stop shopping to access all of these services. The medical home model should be the standard of care for all children."

More information

The U.S. Social Security Administration offers information on insurance benefits for children with special health care needs and disabilities.

SOURCES: Rebecca Wells, MPH, PhD, clinical assistant professor, College of Public Health and School of Social Work, University of Georgia, Athens; Andrew Adesman, MD, chief, developmental and behavioral pediatrics, Cohen Children's Medical Center, New Hyde Park, N.Y.; Nicola Brodie, MD, pediatrician, Children's National Hospital, Washington, D.C.; Children's Health Care, Nov. 28, 2020, online