Resources and information about health-care issues and services for children in out-of-home care, including State and local examples.
Addressing the Health Care Needs of Children in the Child Welfare System (PDF - 628 KB)
Highlights critical health concerns and policies impacting children in the foster care system, including utilizing electronic medical records to improve care, psychotropic medication usage, the health-care provisions of the Fostering Connections to Success and Increasing Adoptions Act, the Patient Protection and Affordable Care Act, the provision of behavioral health care in Medicaid, and other managed care models.
Diagnoses and Health Care Utilization of Children Who Are in Foster Care and Covered by Medicaid (PDF - 1,157 KB)
Richardson, Mark, & Miller (2013)
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Center for Substance Abuse Treatment
Examines the prevalence of mental and physical illnesses and the utilization of health care services among children in foster care who are covered by Medicaid. Trends across three age groups and disparities between the children in foster care and children covered by Medicaid who are not in foster care are also identified.
Estimates of Supplemental Security Income Eligibility for Children in Out-of-Home Placements
Office of Planning, Research, and Evaluation, Administration for Children and Families (2008)
Examines Supplemental Security Income (SSI) eligibility among children living in out-of-home care in the child welfare system, using data from the National Survey of Child and Adolescent Well-Being. Indicates that a large number of children living in foster care may be eligible for SSI. (PDF - 520 KB)
HIV Prevention for Youths in Foster Care: Understanding Future Orientation and Intended Risk Behaviors
Polgar & Auslander
Journal of HIV/AIDS and Social Service, 8(4), 2009
Reviews findings that suggest youth with stronger orientations toward the future tend to exhibit fewer behavioral intentions that involve HIV risk and have fewer problems with mental health or substance abuse.
Pediatricians with a Special Interest in Adoption and Foster Care Medicine: Foster Care Directory
American Academy of Pediatrics
State-by-State directory to help parents locate pediatricians who provide primary care to children in foster care.
Perspectives on Fostering Connections: A Series of White Papers on the Fostering Connections to Success and Increasing Adoptions Act of 2008 (PDF - 1,465 KB)
FosteringConnections.org Project (2013)
Discusses State plans to improve their systems of care and the additional policies that have been put into place to address the oversight of psychotropic medications and the health-care needs of youth aging out of foster care. All of the provisions outlined in the law are described, the challenges in oversight and coordination are presented, and achievements thus far are noted.
Piecing Together a Medical History
Adoptive Families, 45(6)
Offers recommendations for tracking down the medical history of a child transitioning from foster care into adoption. The article includes tips for finding medical records; addresses the educational, developmental, and behavioral needs of the child; and discusses adoption subsidies that may be available to cover long-term care and different types of services.
Standards of Excellence for Health Care Services for Children in Out-of-Home Care
Child Welfare League of America (Rev. ed.) (2007)
Describes best practices for the planning, provision, and evaluation of health care services for children in out-of-home care. The standards address the needs of children for developmental, physical, dental, and mental health services and describe how child welfare workers can collaborate with health care providers to meet those needs.
Child Welfare Information Gateway
Download (PDF - 264KB)
The Caregiver as Gatekeeper for Accessing Health Care for Children in Foster Care: A Qualitative Study of Kinship and Unrelated Caregivers
Schneiderman, Smith, & Palinkas (2012)
Children and Youth Services Review, 34(10)
Examines issues that unrelated and kinship foster caregivers in Los Angeles, CA, have in seeking help and accessing and using health care for children in foster care.
Expanded Medical Home Model Works for Children in Foster Care
Kienberger Jaudes, Champagne, Harden, Masterson, & Bilaver (2012)
Child Welfare, 91(1)
Presents study findings that demonstrate that the Medical Home model, implemented by the Illinois Child Welfare Department, works for children in foster care by providing better health outcomes and higher immunization rates.
Fact Sheet: Key Information for Massachusetts Lawyers and Other Child Advocates About Free Meals for Foster Children (PDF - 176 KB)
Massachusetts Law Reform Institute (2011)
Explains provisions of the Healthy, Hunger-Free Kids Act of 2010 and includes recommendations to ensure that children in foster care are receiving free meals. A list of other nutrition programs for which children in foster care may be eligible is also included.
Foster Care Medical Home
Wisconsin Department of Health Services
Describes a new health-care program for children and youth in foster care and other out-of-home care that will offer comprehensive, coordinated services for children in foster care in Wisconsin. The program goals include improving the quality, timeliness, and access of health services.
Key Information for Lawyers and Child Advocates About Foster Child Eligibility for Free School Meals and Other Government Nutrition Programs
Hunger Solutions New York (2011)
Explains the Federal Healthy, Hunger-Free Kids Act of 2010, which creates opportunities for New York State to enroll children who are in foster care for free school meals in a more simple and efficient manner. The factsheet identifies ways in which children in foster care can qualify for free meals and discusses strategies advocates can implement to ensure children in care receive free meals.