Children with special health care needs

Seventeen percent of children in Iowa (127,000) had a special health care need as defined by the FACCT screening instrument. These results are similar to those from a study that found that eighteen percent of children nationally had a special health care need using a different method to identify CSHCN.[7] The five most common chronic conditions reported for these children were asthma (20%), chronic allergies/sinus problems (18%), Attention Deficit Hyperactivity Disorder (ADHD) (17%), behavioral problems other than ADHD or depression (4%), and depression (4%).

Most CSHCN were able to find appropriate care; only parents of two percent of the children were stopped from getting care for their child in the previous 12 months because they were not able to find a provider with the skills necessary to treat their child. About one in ten children with a special health care need (12%) had a care coordinator to help with their care. Only two percent of CSHCN in Iowa had a time in the previous year when he or she was not able to receive needed help with organizing or coordinating care.


7 Newacheck PW. McManus M. Fox HB. Hung YY. Halfon N. Access to health care for children with special health care needs. Pediatrics. 105(4 Pt 1):760-6, 2000 Apr.