AAP finds a collaborative approach to health care is
important in caring for the nearly 20 percent of U.S. children with special
health care needs
The number of children in America with special health care
needs is rising, increasing about 15 percent in the past six years. To equip
pediatricians in caring for these children, the American Academy of Pediatrics
(AAP) is publishing a new clinical report, “Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families” in the January
2019 issue of Pediatrics (published online Monday, Dec. 17).
Children and youth with special health care needs are at increased risk for chronic physical, developmental,
behavioral, or emotional conditions, and studies show their families
experience greater financial and caregiving demands. Yet, pediatricians can play
a role in promoting the strengths of these children, who thrive when provided
with the proper supports.
“Children and families who have special health care needs
are more likely to face emotional or psychological challenges, financial
problems, difficulties in school and staying motivated in studies, and
bullying,” said pediatrician Gerri Mattson, MD, FAAP, lead author of the
“The American Academy of Pediatrics urges pediatricians to
promote protective psychosocial factors as part of a coordinated comprehensive
care for children with special needs and their families,” she said. “A
team-based approach with community partners such as child care and schools can
help with the mitigation of risk factors and promotion of protective factors
such as healthy parenting techniques, stress reduction and social services, to
Roughly 19.4 percent of children and teens in the U.S. have
a special health care need, according to 2016 data. This represents a 15.1
percent increase from 2010. To care for these children, the AAP recommends
pediatricians play a leadership role in screening and assessment, promoting
health and wellness, offering flexible payments to lower financial burdens of
health care, and implementing team-based strategies.
Other recommendations include:
Promote health and
wellness and timely assessments of child social-emotional health, parental
and/or caregiver depression, and social determinants of health.
practices to improve screening, referrals and follow-up of these children
to ensure they receive the care they need.
Work with child care and
school staff to monitor progress, reduce absences, and improve learning
experiences and academic performance.
community-based resources and strategies to address social determinants of
health and reduction of disparities for children with health issues and
In addition, the AAP recommends more research be done on
screening tools and adaptations to help children with special health care
The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit www.aap.org and follow us on Twitter @AmerAcadPeds