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IMPORTANCE: An increasing diversity of children’s health coverage options under the US Patient Protection and Affordable Care Act, together with uncertainty regarding reauthorization of the Children’s Health Insurance Program (CHIP) beyond 2017, merits renewed attention on the quality…
Data are necessary for developing public health screening guidelines, but this can be challenging when working with vulnerable, dispersed populations, such as resettled refugees. We created the first large-scale dataset for refugee children who arrived to the United States between…
IMPORTANCE: There is a lack of agreement on what constitutes successful outcomes for the process of health care transition (HCT) among adolescent and young adults with special health care needs. OBJECTIVE: To present HCT outcomes identified by a Delphi process with an…
OBJECTIVE: Behavioral problems are common among children remaining at home after suspected maltreatment, but the effectiveness of current mental health services to improve these behavioral problems is unknown. The objective was to determine whether receipt of child and caregiver…
BACKGROUND: Untreated mental health problems may result in poor outcomes for youth with systemic lupus erythematosus (SLE) and mixed connective tissue disease (MCTD). We investigated perceptions, barriers and facilitators for mental healthcare of these youth. METHODS: We conducted 32…
ABSTRACT: Electronic nicotine delivery systems (ENDS) are rapidly growing in popularity among youth. ENDS are handheld devices that produce an aerosolized mixture from a solution typically containing concentrated nicotine, flavoring chemicals, and propylene glycol to be inhaled…
OBJECTIVE: Child physical abuse is commonly missed, putting abused children at risk for repeated injury and death. Several so-called sentinel injuries have been suggested to be associated with high rates of abuse, and to imply the need for routine testing for other, occult…
OBJECTIVES: We sought to describe changes in young adults’ routine care and usual sources of care (USCs), according to provider specialty, after implementation of extended dependent coverage under the Affordable Care Act (ACA) in 2010. METHODS: We used Medical Expenditure Panel Survey…
The death of any child is a tragedy. When that death is caused by abuse or neglect, sorrow is often coupled with anger: How could this have happened? More importantly, was this preventable? A federal commission, the Commission to Eliminate Child Abuse and Neglect Fatalities (CECANF),…
In the early 1970s, Caffey described infants exposed to physical child abuse with subdural hemorrhages, retinal hemorrhages, and fractures, a pattern of injuries he attributed to whiplash shaken infant syndrome. Noting the significant risk for morbidity and mortality associated…