Nutrition for Children with Special Health Care Needs Nutr 530. Betty Lucas, MPH, RD, CD 685-1289 [email protected] Who are CSHCN?.
Betty Lucas, MPH, RD, CD
Those who have or are at increased risk for a chronic physical, developmental, behavioral, or emotional condition, and who also require health and related services of a type or amount beyond that required by children generally
McPherson M et al. A new definition of children with special health care needs. Pediatrics, 1998.
A chronic severe disability of a person 5 yrs and older which:
-is attributable to a mental or physical impairment or combination
- is manifested before age 22 yrs
- is likely to continue indefinitely
(Public Law No. 101-496, Developmental Disabilities Assistance and Bill of Rights Act of 1990)
Results in substantial functional limitations in 3 or more of these areas of major life activity:
-self care - receptive/expressive language
- learning - mobility
- self-direction - capacity for independent living
- economic sufficiency
1993 census data, Newacheck
(a challenge with limited resources and service $$)