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Longitudinal Study: LSAC
Title: Special health care needs across the school and family contexts: Implications for service utilization
Authors: Quach, Jon 
Quach, J 
Goldfeld, Sharon 
Kvalsvig, Amanda 
O'Connor, Meredith 
Rosema, Stefanie 
Publication Date: 2017
Pages: 687-693
Keywords: disability
emerging special health care needs
school functioning
chronic health conditions
home school partnerships
Abstract: Objective: A fifth of children enter school with special health care needs (SHCN), many of whom have difficulties that are milder or not yet formally diagnosed (emerging SHCN). This study aimed to investigate how differing perceptions of children's emerging SHCN across the family and school contexts relates to service utilization. Methods Sample: The nationally representative birth cohort of the Longitudinal Study of Australian Children, which includes parent reports on the abbreviated Children with Special Health Care Needs Screener. For a subsample of 2459 children teachers also completed the Australian Early Development Census, a measure of early childhood development at school entry that includes SHCN. Analysis: Logistic regression analyses were conducted adjusting for severity of condition, gender, language background, and disadvantage. Results: Overall 24.1% of children were identified by their parent and/or teacher as experiencing emerging SHCN. Compared with those with consistent reports, children with parent-only identified needs had lower odds of accessing school services (odds ratio [OR], 0.29; 95% confidence interval [CI], 0.10–0.81). Similarly, children with parent-only (OR, 0.39; 95% CI, 0.20–0.75) and teacher-only (OR, 0.25; 95% CI, 0.14–0.46) identified needs had significantly lower odds of accessing services in the community. Conclusions: When parent and teacher perceptions of children's emerging SHCN were inconsistent, service use was lower at school and in the community. Further efforts are needed by health and education providers to ensure that common understandings about a child's needs at school are established early in children's educational careers.
Keywords: Health -- Medical conditions; Education and Training
Research collection: Journal Articles
Appears in Collections:Journal Articles

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