Health Care Issues for Children and Adolescents in Foster Care and Kinship Care.

Children and adolescents who enter foster care often do so with complicated and serious medical, mental health, developmental, oral health, and psychosocial problems rooted in their history of childhood trauma. Ideally, health care for this population is provided in a pediatric medical home by physicians who are familiar with the sequelae of childhood trauma and adversity. As youth with special health care needs, children and adolescents in foster care require more frequent monitoring of their health status, and pediatricians have a critical role in ensuring the well-being of children in out-of-home care through the provision of high-quality pediatric health services, health care coordination, and advocacy on their behalves.

COUNCIL ON FOSTER CARE ，ADOPTION, AND KINSHIP CARE ，COMMITTEE ON ADOLESCENCE, and COUNCIL ON EARLY CHILDHOOD 《-》

Health Care Issues for Children and Adolescents in Foster Care and Kinship Care.

Children and adolescents involved with child welfare, especially those who are removed from their family of origin and placed in out-of-home care, often present with complex and serious physical, mental health, developmental, and psychosocial problems rooted in childhood adversity and trauma. As such, they are designated as children with special health care needs. There are many barriers to providing high-quality comprehensive health care services to children and adolescents whose lives are characterized by transience and uncertainty. Pediatricians have a critical role in ensuring the well-being of children in out-of-home care through the provision of high-quality pediatric health services in the context of a medical home, and health care coordination and advocacy on their behalf. This technical report supports the policy statement of the same title.

Szilagyi MA ，Rosen DS ，Rubin D ，Zlotnik S ，COUNCIL ON FOSTER CARE, ADOPTION, AND KINSHIP CARE ，COMMITTEE ON ADOLESCENCE ，COUNCIL ON EARLY CHILDHOOD ... -  《-》

Foster care: an update.

Rosenfeld AA ，Pilowsky DJ ，Fine P ，Thorpe M ，Fein E ，Simms MD ，Halfon N ，Irwin M ，Alfaro J ，Saletsky R ，Nickman S ... -  《JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY》

Health and mental health services for children in foster care: the central role of foster parents.

Pasztor EM ，Hollinger DS ，Inkelas M ，Halfon N ... -  《-》

Foster care and healing from complex childhood trauma.

Children enter foster care with many forms of adversity and trauma beyond maltreatment that impact their short- and long-term physical, mental, and developmental health and their adaptation to their new care environment. Applying an understanding of the impact of toxic stress on the developing brain and body allows the health care provider to understand findings in this vulnerable population. Complex trauma alters immune response, neurodevelopment, and the genome, resulting in predictable and significant cognitive, behavioral, and physical consequences. Pediatric care of children in foster care must be trauma informed to meet their medical, mental health, and developmental needs.

Forkey H ，Szilagyi M 《-》