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Caregiver perceptions of the pediatric medical home model to address the health services needs of youth in foster care

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  • Espeleta, Hannah C.
  • Bakula, Dana M.
  • Cherry, Amanda S.
  • Lees, Julie
  • Shropshire, Deborah
  • Domm, Kathleen
  • Ruggiero, Kenneth J.
  • Mullins, Larry L.
  • Gillaspy, Stephen R.

Abstract

Children in foster care demonstrate higher rates of physical health difficulties and lower rates of engagement in preventative health services than the general population. This pattern places foster youth at heightened risk for long-term health complications in adolescence and adulthood. Interventions for children in foster care are needed to decrease barriers to health services, increase continuity of care, and ameliorate negative long-term outcomes. Pediatric Medical Home (PMH) models may be a viable solution, but little guidance exists on the adaptation of these models for vulnerable youth.

Suggested Citation

  • Espeleta, Hannah C. & Bakula, Dana M. & Cherry, Amanda S. & Lees, Julie & Shropshire, Deborah & Domm, Kathleen & Ruggiero, Kenneth J. & Mullins, Larry L. & Gillaspy, Stephen R., 2023. "Caregiver perceptions of the pediatric medical home model to address the health services needs of youth in foster care," Children and Youth Services Review, Elsevier, vol. 150(C).
    • Handle: RePEc:eee:cysrev:v:150:y:2023:i:c:s0190740923001597
    DOI: 10.1016/j.childyouth.2023.106964
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    References listed on IDEAS

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    1. Jee, Sandra & Szilagyi, Moira & Blatt, Steven & Meguid, Victoria & Auinger, Peggy & Szilagyi, Peter, 2010. "Timely identification of mental health problems in two foster care medical homes," Children and Youth Services Review, Elsevier, vol. 32(5), pages 685-690, May.
    2. Zlotnick, C. & Tam, T.W. & Soman, L.A., 2012. "Life course outcomes on mental and physical health: The impact of foster care on adulthood," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 534-540.
    3. Cummings, Angela D.L. & Van Horne, Bethanie S. & Avritscher, Elenir B.C. & Greeley, Christopher S. & Keefe, Rachael J., 2020. "Healthcare utilization among children in foster care in the greater Houston area," Children and Youth Services Review, Elsevier, vol. 116(C).
    4. Jee, Sandra & Szilagyi, Moira & Schriefer, Jan & Conn, Anne-Marie & Weld, Julia & Scribano, Philip V. & Sagor, Linda & Forkey, Heather & Arnold-Clark, Janet & Carmack, Adrienne & Chytraus, Chris & Ada, 2015. "Quality improvement learning collaborative to examine foster care guidelines," Children and Youth Services Review, Elsevier, vol. 59(C), pages 84-88.
    5. Schneiderman, Janet U. & Smith, Caitlin & Palinkas, Lawrence A., 2012. "The caregiver as gatekeeper for accessing health care for children in foster care: A qualitative study of kinship and unrelated caregivers," Children and Youth Services Review, Elsevier, vol. 34(10), pages 2123-2130.
    6. Gypen, Laura & Vanderfaeillie, Johan & De Maeyer, Skrallan & Belenger, Laurence & Van Holen, Frank, 2017. "Outcomes of children who grew up in foster care: Systematic-review," Children and Youth Services Review, Elsevier, vol. 76(C), pages 74-83.
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