It Matters Where Low Income Families with Special Needs Kids Live
Author: Washington University in St. Louis
Published: 2009-12-04 : (Rev. 2010-06-29)
Synopsis and Key Points:
Caring for a child with special health care needs usually means higher medical expenses for a family.
Main DigestFor low-income families caring for special needs children, where you live matters.
In the United States, caring for a child with special health care needs usually means higher medical expenses for a family, particularly for low-income families, who spend a dis-proportionally large share of their income on their child's care. Yet, for individual families, the impact of out-of-pocket expenses is often a function of their state of residence, says Paul T. Shattuck, Ph. D., professor of social work at Washington University in St. Louis.
"The percentage of low-income families in a given state with out-of-pocket expenses that exceeded 3 percent of their income varied considerably according to state and ranged from 5 percent to 25. 8 percent (District of Columbia and Montana, respectively). Families living in states with more generous Medicaid and State Children's Health Insurance Program (SCHIP) benefits report less financial burden," Shattuck says.
Research has shown that families raising children with disabilities face exceptionally high rates of financial hardship, which can have a negative effect on the children's well-being.
"Policy makers should consider ways to strengthen Medicaid and the State Children's Health Insurance Program (SCHIP) to reduce the financial burdens these families shoulder," Shattuck says.
In a recent study published in the journal Pediatrics, Shattuck and lead author Susan Parish, Ph.D., professor of social work at the University of North Carolina at Chapel Hill, also found that:
Among all low-income families, 61 percent reported having some out-of-pocket health care costs for caring for their children with special needs.
Of those reporting an out-of-pocket financial burden, 30 percent reported expenses of $250-$500 per year. Thirty-four percent reported expenditures that exceeded $500 for the year.
Overall, 27 percent of low-income families who reported any out-of-pocket costs had a financial burden that exceeded 3 percent of their total household income for the year. Twenty-five percent of these families had expenditures that exceeded 5 percent of their income.
The percentage of low-income families who have out-of-pocket costs for caring for their special-needs children varies greatly from state to state. The range is from 33.5 percent in the District of Columbia to 84.4 percent in Utah.
This data can help clinicians and policy makers understand the challenges that low-income families caring for children with special health care needs face.
"State Medicaid and SCHIP policy decisions are modifiable," Shattuck says. "States have considerable leeway in determining program funding and eligibility levels, and there is an opportunity for policy makers to adequately fund the health insurance programs.
"Projected cuts due to budget shortfalls may have a particularly detrimental effect on the financial well-being of low-income families raising children with special needs."
The researchers used data from a national telephone survey of households with children who have special health care needs, including a representative sample from each state and the District of Columbia.
This study grows out of Shattuck's earlier work comparing the cost of raising a child with special needs by state.
- 1 - Baby Formula Higher Arsenic Than Breast Milk : Dartmouth College (2015/02/23)
- 2 - Childhood Trauma Symptoms and Behavior Information : Disabled World (2015/06/22)
- 3 - Teen Puberty Now A Gateway to Heart Disease : Heart and Stroke Foundation of Canada (2009/10/27)
- 4 - Osgood-Schlatters Disease: Causes, Diagnosis and Treatments : Disabled World (2009/03/20)
- 5 - Screening Lowers Severe Jaundice Risk in Babies : University of California San Francisco (2009/09/28)
- 6 - Jaundice in the Newborn Baby : Cecilia Koh (2017/10/03)
- 7 - Coaxing Kids Through Vaccinations - Pain Expectation is Pain Reality for Children : University of California - Riverside (2018/06/04)
• Disabled World is strictly a news and information website provided for general informational purpose only and does not constitute medical advice. Materials presented are in no way meant to be a substitute for professional medical care by a qualified practitioner, nor should they be construed as such. Any 3rd party offering or advertising on disabled-world.com does not constitute endorsement by Disabled World. Please report outdated or inaccurate information to us.