Skip to main content
Top
Gepubliceerd in:

16-10-2017 | Original Paper

A Triage Tool to Assess Unmet Health Needs for Children Entering Foster Care

Auteurs: Kelly L. Hodges, Divya Manda, Melodee L. Nugent, Pippa M. Simpson

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 2/2018

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Children in foster care have high levels of health care needs, many of which are unmet at foster care entry. Health care coordination (HCC) is essential to ensure unmet needs are addressed rapidly. Data is lacking about how best to triage children at foster care entry so limited HCC resources can be allocated most effectively. Therefore, we aimed to: (1) utilize a Triage Tool (TT) at foster care entry to stratify children based on unmet health care needs and (2) determine if the TT is an accurate predictor of health care utilization as indicated by cost during a child’s first few weeks in care. A TT was developed and utilized during the initial foster care health exam (IFCHE) to stratify children based on unmet needs. Medicaid records were reviewed to determine health care utilization and cost during the first 60 days post-IFCHE. Most children (61.6%) had the lowest level of unmet needs (Level 3), 29.5% had a moderate level of unmet needs (Level 2), and 9.9% had the highest level of unmet needs (Level 1). Medicaid claims review revealed that triage level did not correlate to health care utilization or costs during the first 60 days post-IFCHE. Youth placed in a group home incurred significantly higher costs than those placed in foster homes. These results suggest that the TT is useful clinically but does not predict health care utilization and costs during the first weeks in care. Group home placement incurs more cost than foster home placement, independent of triage level assigned.
Literatuur
go back to reference Chernoff, R., Combs-Orme, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93(4), 594–601.PubMed Chernoff, R., Combs-Orme, T., Risley-Curtiss, C., & Heisler, A. (1994). Assessing the health status of children entering foster care. Pediatrics, 93(4), 594–601.PubMed
go back to reference Council on Foster Care, Adoption, and Kinship Care, Committee on Adolescence, & Council on Early Childhood, American Academy of Pediatrics (2015). Health care issues for children and adolescents in foster care and kinship care. Pediatrics, 136(4), e1131–e1140. https://doi.org/10.1542/peds.2015-2655.CrossRef Council on Foster Care, Adoption, and Kinship Care, Committee on Adolescence, & Council on Early Childhood, American Academy of Pediatrics (2015). Health care issues for children and adolescents in foster care and kinship care. Pediatrics, 136(4), e1131–e1140. https://​doi.​org/​10.​1542/​peds.​2015-2655.CrossRef
go back to reference Criscione, T., Walsh, K. K., & Kastner, T. A. (1995). An evaluation of care coordination in controlling inpatient hospital utilization of people with disabilities. Mental Retardation & Developmental Disabilities Research Reviews, 33(6), 364–373. Criscione, T., Walsh, K. K., & Kastner, T. A. (1995). An evaluation of care coordination in controlling inpatient hospital utilization of people with disabilities. Mental Retardation & Developmental Disabilities Research Reviews, 33(6), 364–373.
go back to reference Leslie, L. K., Gordon, J. N., Lambros, K., Premji, K., Peoples, J., & Gist, K. (2005). Addressing the developmental and mental health needs of young children in foster care. Journal of Developmental & Behavioral Pediatrics, 26(2), 140–151.CrossRef Leslie, L. K., Gordon, J. N., Lambros, K., Premji, K., Peoples, J., & Gist, K. (2005). Addressing the developmental and mental health needs of young children in foster care. Journal of Developmental & Behavioral Pediatrics, 26(2), 140–151.CrossRef
go back to reference Lindsay, S., Chadwick, D., Landsverk, J., & Pierce, E. (1993). A computerized health and education passport for children in out-of-home care: The san diego model. Child Welfare, 72(6), 581–594. Lindsay, S., Chadwick, D., Landsverk, J., & Pierce, E. (1993). A computerized health and education passport for children in out-of-home care: The san diego model. Child Welfare, 72(6), 581–594.
go back to reference Nelson, E., & Berwick, D. M. (1989). The measurement of health status in clinical practice. Medical Care, 27(Suppl 3), S77–S90.CrossRefPubMed Nelson, E., & Berwick, D. M. (1989). The measurement of health status in clinical practice. Medical Care, 27(Suppl 3), S77–S90.CrossRefPubMed
go back to reference Simms, M. D., Dubowitz, H., & Szilagyi, M. A. (2000). Health care needs of children in the foster care system. Pediatrics, 106(Suppl 4), 909–918.PubMed Simms, M. D., Dubowitz, H., & Szilagyi, M. A. (2000). Health care needs of children in the foster care system. Pediatrics, 106(Suppl 4), 909–918.PubMed
go back to reference Varni, J. W., Burwinkle, T. M., & Lane, M. M. (2005). Health-related quality of life measurement in pediatric clinical practice: An appraisal and precept for future research and application. Health and Quality of Life Outcomes, 3(34). https://doi.org/10.1186/1477-7525-3-34. Varni, J. W., Burwinkle, T. M., & Lane, M. M. (2005). Health-related quality of life measurement in pediatric clinical practice: An appraisal and precept for future research and application. Health and Quality of Life Outcomes, 3(34). https://​doi.​org/​10.​1186/​1477-7525-3-34.
go back to reference Walsh, E. G., Osber, D. S., Nason, C. A., Porell, M. A., & Asciutto, A. J. (2002). Quality improvement in a primary care case management program. Health Care Financing Review, 23(4), 71–84.PubMedPubMedCentral Walsh, E. G., Osber, D. S., Nason, C. A., Porell, M. A., & Asciutto, A. J. (2002). Quality improvement in a primary care case management program. Health Care Financing Review, 23(4), 71–84.PubMedPubMedCentral
go back to reference Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010). Using the internet to promote health behavior change: A systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. Journal of Medical Internet Research, 12(1), e4 doi:0.2196/jmir.1376.CrossRefPubMedPubMedCentral Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010). Using the internet to promote health behavior change: A systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. Journal of Medical Internet Research, 12(1), e4 doi:0.2196/jmir.1376.CrossRefPubMedPubMedCentral
Metagegevens
Titel
A Triage Tool to Assess Unmet Health Needs for Children Entering Foster Care
Auteurs
Kelly L. Hodges
Divya Manda
Melodee L. Nugent
Pippa M. Simpson
Publicatiedatum
16-10-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 2/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-017-0909-z

Andere artikelen Uitgave 2/2018

Journal of Child and Family Studies 2/2018 Naar de uitgave