Maryland Consortium for Children with Special Health Care Needs
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Core Outcomes

The federal Maternal and Child Health Bureau (MCHB), together with its partners, has identified six core outcomes as critical indicators of sucess in implementing community-based systems of services mandated for all children with special health care needs under Title V, Healthy People 2010, and the President’s New Freedom Initiative:


Who are children with special health care needs?

MCHB defines children with special health care needs (CSHCN) as:

Children with special health care needs are those children who have or who are at increased risk for chronic physical, developmental, behavioral, or emotional conditions and who also require health and related services of a type or amount beyond that required by children generally.

This broad and inclusive definition incorporates children and youth with a wide range of conditions and risk factors, and identifies children based on the consequences they experience due to an ongoing health condition.

The definition is not anchored to a specific set of health conditions as CSHCN share many common needs regardless of their specific diagnosis. Many children have more than one special health care need.

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