were defined as children who have "a chronic physical, developmental, behavioral, or emotional condition and who also require health and related services of a type or amount beyond that required by children generally" (3).
To be included in the sample, households had to have at least one child with a special health care need (SHCN), as defined by the CSHCN
Screener (CAHMI 2009a).
Although the individual state-based Medicaid and Title V CSHCN
programs have their legislative basis in the federal Social Security Act, they demonstrate much variability at the state level in how policies are implemented and programs are designed.
and (2) Do CSHCN
have better access to care while enrolled in SCHIP than the uninsured CSHCN
or the privately insured CSHCN
Another major barrier for the family is the financial and personal demands when caring for a CSHCN
5% of eligible sampling units may have given a more accurate picture of CSHCN
in the United States.
The creation of SCHIP under Title XXI, through passage of the Balanced Budget Act of 1997, was viewed as a significant opportunity to provide public insurance coverage to many low income uninsured CSHCN
(Newacheck et al.
In addition, families of CSHCN
have higher out-of-pocket expenses and lower rates of private insurance, compared with families caring for typical children (Davidoff, 2004).
Caregiver Burdens and Preventive Dental Care for Patientswith Autism Spectrum Disorder, Developmental Disability and/or Mental Health Conditions: National Survey of CSHCN
Good nutrition is also critical for children with special healthcare needs, but it can be made more difficult because CSHCN
are more likely to have allergies, health conditions that restrict what they can eat, and disability--related aversions to or preferences for certain foods that make it harder for parents to feed their children a healthy diet and limit unhealthy foods.
The effect of state early intervention eligibility policy on participation among a cohort of young CSHCN
was randomly selected in cases where a household had multiple CSHCN