Youth and Transition to Work A Health Perspective. Merle McPherson, MD, MPH Disability Research Institute Symposium April 2005. History. Surgeon General’s Conferences, 1982 & 1988 Title V’s Revised Legislative Mandate – OBRA 1989 Facilitate the development of community-based systems
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A Health Perspective
Merle McPherson, MD, MPH
Disability Research Institute Symposium
Facilitate the development of community-based systems
Published in Pediatrics (1998)
Challenges governments to develop more opportunities for individuals with disabilities through more accessible system
of cost-effective community-based services.
“HRSA’s MCHB will take the lead in developing & implementing a plan to achieve appropriate community-
based services systems for children & youth with special health care needs (CYSHCN) & their families” (pg III-39).
that they need.
Source: “A Consensus Statement on Health Care Transitions
for Young Adults with Special Health Care Needs”
Pediatrics. 2002 Dec; 110 (6 Pt 2): 1304-6.
Phase I: 9 Demonstration Sites & 1 National Center (1996-2001)
Phase II: 6 State Implementation Projects (2001-2005) & HRTW National Center
(2002 – 2006)
From July 2001 to September 2004, the 6 Phase II Projects reported 12,182 youth & young adults served.
Federal, State & community-based services are organized, financed & delivered in ways that promote & sustain the well-being of YSHCN & their integration into community activities & the workforce.
Effective community-based systems of care for all CYSHCN through private-public partnerships are in place.