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1.
J Dev Behav Pediatr ; 41(1): 58-64, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31567857

RESUMO

OBJECTIVES: To identify the diverse services required by families of children with special health care needs (CSHCN) and identify the specific care coordination (CC) efforts associated with the most common types of observed diagnoses. Requested services were categorized into specific sectors, and CC efforts were quantified by observed diagnoses and defined sectors. METHODS: CC service data were extracted and analyzed from patient encounters over 4 years (2009-2013) in a department database. This included descriptive information about referrals and linkages to medical, dental, and behavioral health providers and to state, private, and community agencies. Diagnostic classifications and CC sectors were defined to enable categorization. RESULTS: A total of 2682 CSHCN records were reviewed. The majority (59%) required services/resources in 1 to 2 sectors, 24% required services/resources in 3 to 5 sectors, and 17% required services/resources in 6 or more sectors. Including informational service, the most frequently required sectors across the study population were education, financial, medical/dental, social connections, and advocacy. Children diagnosed with autism spectrum disorder had the highest needs across all sectors. CONCLUSION: Most CSHCN and their families use a substantial amount of CC time and effort to secure services from diverse sectors. High-quality and efficient CC requires an understanding of the specific needs of these CSHCN and their families and how to link them to a diverse array of services and resources.


Assuntos
Transtorno do Espectro Autista , Serviços de Saúde da Criança/estatística & dados numéricos , Crianças com Deficiência/estatística & dados numéricos , Utilização de Instalações e Serviços/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Serviços de Saúde/estatística & dados numéricos , Adolescente , Adulto , Criança , Serviços de Saúde da Criança/organização & administração , Pré-Escolar , Connecticut , Feminino , Necessidades e Demandas de Serviços de Saúde/organização & administração , Humanos , Lactente , Masculino , Adulto Jovem
2.
Child Adolesc Psychiatr Clin N Am ; 27(3): 441-454, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29933793

RESUMO

Emergency departments (EDs) across North America have become a safety net for patients seeking mental health (MH) services. The prevalence of families seeking treatment of children in MH crisis has become a national emergency. To address MH access and improve quality and efficient management of children with MH conditions, the authors describe ED projects targeting this vulnerable population. Five North American health care systems volunteered to feature projects that seek to reduce ED visits and/or improve the care of MH patients: Allina Health, Nationwide Children's Hospital, Children's Hospital of Eastern Ontario, Connecticut Children's Medical Center, and Rhode Island Hospital.


Assuntos
Serviço Hospitalar de Emergência , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Equipe de Assistência ao Paciente , Adolescente , Criança , Serviço Hospitalar de Emergência/normas , Humanos , Equipe de Assistência ao Paciente/normas
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