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CHILDREN WITH EPILEPSY. A STUDY OF THEIR NEEDS IN CALIFORNIA

H E HOWARD, R FUJIKAWA

    California Medicine
    |April 1, 1964
    PubMed

    Insights

    A California study demonstrated a specialized care program for children with epilepsy. This program significantly reduced or eliminated seizures in most participating children.

    Area of Science:

    • Pediatric Neurology
    • Public Health Services
    • Epilepsy Management

    Background:

    • California Legislature mandated a study on the needs of children with epilepsy in 1959.
    • The study aimed to assess the feasibility of integrating epilepsy care into the Crippled Children Services program.
    • Existing services were insufficient for the complex needs of children with epilepsy.

    Purpose of the Study:

    • To evaluate the needs of children with epilepsy in California.
    • To determine the costs and feasibility of the Crippled Children Services program for epilepsy care.
    • To demonstrate a model for comprehensive diagnostic and treatment services.

    Main Methods:

    • A demonstration program was implemented in Contra Costa and San Bernardino counties.
    • Children with suspected epilepsy were referred for specialist examinations and testing.
    • Data was collected on medical, social, and educational challenges, seizure types, and co-occurring conditions.

    Main Results:

    • 236 children were referred, with private physicians providing most referrals.
    • Many children presented with complex co-morbidities, including mixed or focal seizures and other handicaps.
    • Specialized care led to 58% seizure freedom and a 24% reduction in seizure frequency for others.

    Conclusions:

    • The demonstration program proved effective in managing epilepsy in children.
    • Comprehensive care significantly improved seizure control and addressed multifaceted patient needs.
    • The project offered a practical model for program planning and supporting private physician care.

    Keywords:
    CALIFORNIACHILDEPILEPSYLEGISLATION, MEDICALMENTAL RETARDATIONPUBLIC HEALTH ADMINISTRATIONSOCIAL SERVICESTATISTICSVOCATIONAL EDUCATION

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