A comprehensive, multidisciplinary approach to providing health care for children in out-of-home care

S D Blatt1, R D Saletsky, V Meguid

  • 1Department of Pediatrics, SUNY Health Science Center, Syracuse 13210, USA.

Child Welfare
|March 1, 1997
PubMed

Insights

Children in out-of-home care often have significant health and developmental issues. This study describes a multidisciplinary clinic designed to provide essential diagnostic and therapeutic services for these vulnerable children.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Developmental Pediatrics
  • Child Welfare Services

Background:

  • Children in out-of-home care experience high rates of health, mental health, and developmental challenges.
  • Existing child welfare systems often lack adequate diagnostic and therapeutic resources for these children.
  • This gap in services necessitates specialized interventions for children in care.

Purpose of the Study:

  • To describe a comprehensive, multidisciplinary clinic model for children in out-of-home care.
  • To present the health, mental health, and developmental profiles of children served by the clinic.
  • To advocate for improved service delivery for this population.

Main Methods:

  • Establishment of a multidisciplinary clinic integrating pediatrics, child psychology, nursing, child development, and child welfare professionals.
  • Systematic assessment of the health, mental health, and developmental status of children entering the clinic.
  • Data collection on presenting problems and service utilization.

Main Results:

  • Children in out-of-home care exhibit complex and overlapping health, mental health, and developmental concerns.
  • The multidisciplinary approach facilitates comprehensive assessment and coordinated care planning.
  • Initial data highlights the significant needs of this population.

Conclusions:

  • A multidisciplinary clinic is essential for addressing the complex needs of children in out-of-home care.
  • Such clinics can improve diagnostic accuracy and therapeutic effectiveness.
  • Enhanced service models are crucial for supporting the well-being of children in the child welfare system.

Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities