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Children with Special Health Care Needs (CSHCN) The Children with
Special Health Care Needs program exists as a component of the Title V Maternal
Child Health Block Grant Program. There
are distinct but related goals that this program is designed to support. 1.
Provide
and Promote family-centered, community based, coordinated care for children
with special health care needs. 2.
Facilitate
and develop community-based systems of services for children with special
health care needs and their families. This community
service supports the child (Birth to 18) and family in the transition from
hospital/clinic to home. Public Health
Nurses (PHNs) continue to be available to the family and facilitate services as
they progress through the continuum of care.
This service is provided to
families regardless of income and there is no charge to the family for PHN
services. Home Health vs. PHN It is very
appropriate to refer to both a home health care nursing agency and a PHN since
their roles are different. The home health care nurse focuses primarily on the
child and the specific condition. The
PHN focuses on the child within the family and the community and promotes family choice
and collaboration between parents and professionals. The PHN will contact the family and do a
nursing assessment and will define with the family the services the PHN can
provide. Services may be provided in the
home, clinic or phone. Reasons
for CSHCN Public Health Nurse (PHN) Referrals Child has
complex health needs and the family needs help with: ·
finding or coordinating
medical/behavioral health providers ·
accessing local resources
and/or services for their child ·
finding financial assistance
for their child’s health-related needs ·
understanding and/or coping
with child’s health condition NOTE: If
you suspect child neglect or abuse, you should make a referral to Child
Protective Services (CPS). It is not appropriate to make a PHN referral
to assess abuse when that possibility has already been identified. It is appropriate to also make a PHN referral
on these children, with a note that CPS referral has been made; the PHN will
make every effort to coordinate with the CPS caseworker. Referral
Information That Should Be Included ·
Child’s
name, birthdate, gender and race/ethnicity ·
Address
and phone numbers- this should be the address of the place where the family
resides (not a P.O. Box #); ·
Names
of parents and birthdate of the mother,
if available ·
List
primary language of the child and the parent if other than English ·
List
the community physician or health care practitioner who provides the child’s
primary care in the community. ·
Explain
why the referral is being made; what do you expect the PHN to accomplish? ·
List
who to contact regarding follow-up.
Should information go to a specific clinic or program at a hospital, the
community health care provider, or a specific person ·
For
infants/children being discharged from the hospital: include discharge summary/notes,
discharge instructions for parents and relevant chart notes (ie: OT, PT, SLP,
SW, specialist & surgeries). ·
Fax
Referrals to Carla Prock – CSHCN
Coordinator at 509-460-4515 |
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