Addressing Unaddressed Needs: Helping Agencies Target Services to Children and Caregivers in Child Welfare
Among children who qualify for Medicaid based on receipt of child welfare services, roughly 55 percent have two or more chronic conditions. Fifty-six percent of children ages 6 to 17 had developmental problems (including cognitive issues), but only 25 percent had an Individualized Education Program. For children ages 11 to 17, 52 percent were at risk for an emotional and behavioral problem, and 14 percent were at risk for a substance abuse problem. Only 24 percent of all children, however, received any behavioral health services in the past year Among parents whose children were living at home 18 months after a child welfare investigation in 2008 or 2009, 55 percent lived below the poverty level, 50 percent were on public health insurance, and 30 percent were uninsured. 20 percent of caregivers scored within the clinical range for major depression, and 31 percent needed mental health services.