Book Review -- Health Care Reform and Child Welfare: Meeting the Needs of Abused and Neglected Children by Madelyn DeWoody
Halfon, Neal, Child Welfare
Health Care Reform and Child Welfare: Meeting the Needs of Abused and Neglected Children
By Madelyn DeWoody. CWLA Publications Department, Child Welfare League of America, Inc., 440 First Street NW, Suite 310, Washington, DC 20001-2085. 1994, 57 pp., $12.95.
The opening section of this very informative yet concise monograph is an overview of the health status of children and youths in the United States, with particular attention to defining the health care needs of children in the child welfare system. This description identifies a number of generic problems that include the fragmentation of the health care system, inadequate funding and availability of services, and the existence of both financial and nonfinancial obstacles to care.
The second section suggests that if the needs of vulnerable children in the child welfare system are to be met, health care reform must provide a core set of primary health care services as well as specialized health care and support services. The part on primary health care is general and includes reproductive health services, mental health services, screening services, and so on. The part on specialized services concerns children who are HIV infected and those who were exposed prenatally to drugs. The last section of the monograph specifies those financial and nonfinancial obstacles that are the biggest threats to the provision of adequate health services.
In addressing the needs of children in the child welfare system in the context of what all children need, the author moves between problems that affect all children and those that specifically affect children in protective custody. …