Comparison of the Children With Special Health Care Needs Screener to the Questionnaire for Identifying Children With Chronic Conditions—Revised

Bethell, Christina; Read, Debra; Neff, John M.; Blumberg, Stephen J.; Stein, Ruth E.K.; Sharp, Virginia L.; Newacheck, Paul W.

doi:10.1367/1539-4409(2002)002<0049:cotcws>2.0.co;2

Cited by 104 publications

(83 citation statements)

References 13 publications

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“…It is important to note that children who qualified only because they take prescription medications generally had similar school outcomes as those without an SHCN, as This article extends the literature on the effects of chronic disease on school outcomes by using a noncategorical definition of SHCNs that is based on impact rather than diagnosis. 15,25,26 The advantages of the noncategorical approach are its simplicity and practicality, enabling screening to be done in virtually any setting, such as the primary medical home and even schools, while obviating the need for parents to recall specific diagnostic labels.…”

Section: Discussionmentioning

confidence: 99%

“…25,26 The results of the CSHCN Screener are positive if the child has a condition lasting at least 12 months and the parent reports that the child has any 1 of the following qualifying indicators: (1) needs or uses more medical care, mental health, or educational services than is usual for most children of the same age; (2) currently needs or uses medicine prescribed by a doctor, other than vitamins; (3) is limited in his or her ability to do the things most children of the same age can do; (4) needs or gets special therapy, such as physical, occupational, or speech therapy; or (5) has any kind of emotional, developmental, or behavioral problem for which he or she needs treatment or counseling.…”

Section: Children With Special Health Care Needsmentioning

confidence: 99%

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School Outcomes of Children With Special Health Care Needs

Forrest

Bevans

Riley³

et al. 2011

Pediatrics

128

117

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WHAT'S KNOWN ON THIS SUBJECT:Using a noncategorical approach to identifying children with special health care needs, previous research has shown that these individuals are at increased risk for poor health and high health care resource use. WHAT THIS STUDY ADDS:Children who screen positive for a special health care need because of functional limitations or behavioral health problems are at risk for low student engagement, disruptive behaviors, poor grades, and belowaverage performance on standardized achievement tests. abstract OBJECTIVE: To examine the associations between having a special health care need and school outcomes measured as attendance, student engagement, behavioral threats to achievement, and academic achievement. PARTICIPANTS AND METHODS:A total of 1457 children in the fourth through sixth grades from 34 schools in 3 school districts and their parents provided survey data; parents completed the Children With Special Health Care Needs Screener. School records were abstracted for attendance, grades, and standardized achievement test scores. RESULTS:Across 34 schools, 33% of children screened positive for special health care needs. After adjusting for sociodemographic and school effects, children with special health care needs had lower motivation to do well in school, more disruptive behaviors, and more frequent experiences as a bully victim. They experienced significantly lower academic achievement, as measured by grades, standardized testing, and parental-assessed academic performance. These findings were observed for children who qualified as having a special health care need because they had functional limitations attributed to a chronic illness or a behavioral health problem but not for those who qualified only because they took prescription medications. CONCLUSIONS:Specific subgroups of children with special health care needs are at increased risk for poor school outcomes. Health and school professionals will need to collaborate to identify these children early, intervene with appropriate medical and educational services, and monitor long-term outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Children With Special Health Care Needsmentioning

confidence: 99%

School Outcomes of Children With Special Health Care Needs

Forrest

Bevans

Riley³

et al. 2011

Pediatrics

128

117

View full text Add to dashboard Cite

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“…The 15-question "Children With Special Health Care Needs" (CSHCN) screening instrument, the approach accepted by the U.S. Bureau of Maternal and Child Health for identifying children with special health care needs in a survey, was included in the interview (Bethell et al, 2002). A child is categorized as having a special health care need if he or she has a health condition that has lasted or is expected to last at least 12 months and has resulted in the child (1) needing or using prescription medication, (2) needing or using more services compared with other children, (3) having functional limitations, (4) needing or using specialized therapy, or (5) having a mental health problem requiring treatment for a health condition that has lasted or is expected to last for 12 months.…”

Section: Methodsmentioning

confidence: 99%

Type of Oral Cleft and Mothers’ Perceptions of Care, Health Status, and Outcomes for Preadolescent Children

Damiano

Tyler

Romitti

et al. 2006

The Cleft Palate Craniofacial Journal

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Objective-To evaluate the outcomes of care for children by type of oral cleft. Main Outcome Measures-Rating of cleft care, severity of condition, health status, esthetic outcome, speech, and school performance were evaluated by type of oral cleft. Design-Results-Children with cleft lip and palate were most likely to have their clefts rated as very severe. Children with palatal involvement were reported to have a lower health status and were almost twice as likely to be identified as having a special health care need compared with either children with cleft lip or children statewide. Children with cleft lip had more esthetic concerns; children with palatal involvement had the most speech concerns.Conclusions-Although mothers generally believed their children had received high-quality care, ratings of the children's current health status and outcomes of care varied significantly by type of cleft (cleft lip, cleft palate, and cleft lip and palate). Differences observed in this population-based study support the proposition that cleft type should be considered when examining outcomes of care for children with oral clefts.

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“…The validity was tested on the International dataset using information about the physical health of the children and adolescents (Children with Special Health Care Needs screener for parents (CSHCN), Bethell et al, 2002), mental health (Strength and Difficulties Questionnaire (SDQ), Goodman et al, 2000) and psychosomatic health complaints (HBSC symptom checklist, Currie et al, 2001). Correlations up to 0.53 were found when correlating the KIDSCREEN-52 dimensions with the frequency of physical complaints; for the (dimension: psychological well-being) and Index version, correlations were up to 0.52.…”

Section: Findings From Reliability and Validity Measuresmentioning

confidence: 99%