Abstract
A survey was made of the parents of 380 children whose mobility impairments require the use of a wheelchair, walker, or braces. They were asked about equipment, health services, related services, and family support services used during the previous year. There was extensive use of equipment and traditional medical and health services, such as visits to primary care and specialist physicians; there was moderate use of related health services, such as physical or occupational therapy and child counseling; and there was very little use of community-based family support services, such as respite care, after-school care, homemaker services, and summer camp. The cost of health care, particularly medical specialty care, was defrayed in large part by private insurance and public programs, such as Medicaid and Title V Programs for children with special health care needs, while financial support for related services, such as physical therapy and speech therapy, came largely through the schools. Compared to funding for health and related services, financial aid for community-based family support services is largely lacking.
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- Osborne A. G., Jr How the courts have interpreted the related services mandate. Except Child. 1984 Nov;51(3):249–252. [PubMed] [Google Scholar]
- Singer J. D., Butler J. A., Palfrey J. S. Health care access and use among handicapped students in five public school systems. Med Care. 1986 Jan;24(1):1–13. doi: 10.1097/00005650-198601000-00001. [DOI] [PubMed] [Google Scholar]
- Smyth-Staruch K., Breslau N., Weitzman M., Gortmaker S. Use of health services by chronically ill and disabled children. Med Care. 1984 Apr;22(4):310–328. doi: 10.1097/00005650-198404000-00003. [DOI] [PubMed] [Google Scholar]