The course presents an overview of issues related to the design and delivery of services for children with special health care needs and their families in the United States. It addresses the nature and extent of chronic illness and disability among children, the demographics of childhood disability, the legislative framework for health and social services for this population, and the organization and implementation of services at local, state and federal levels. Throughout the course, the central role of family in the child's life and the importance of family-centered service systems are emphasized. The challenge of balancing complex care needs with needs related to childhood social and cognitive development is highlighted. Students are given opportunities to enhance skills in the areas of needs assessment, program and policy development, and evaluation through class discussion, readings, and assignments.

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