Children receive all necessary health, dental, developmental, and mental health examinations and treatment within appropriate timeframes.
Health care services are coordinated for each child to ensure:
Interpretation: When possible, children should continue receiving healthcare services from familiar providers, and a medical home should be established for each child with special health care needs.
Interpretation: Agencies that have the responsibility for placing Indian children should be aware of health care services that the child may have access to through tribally contracted health facilities or through the federal Indian Health Service. The agency should work with the tribe or a local Indian organization to ensure they have access to needed medical information.
The child’s relevant health information, including family medical history, is recorded in an efficient and secure system and shared with providers and foster parents, as appropriate.
Interpretation: Medical passports and electronic medical records systems can be used to store and share health information. The agency should have mechanisms in place for cross-agency information sharing that respects confidentiality.
Qualified professionals provide the child with age-appropriate health services including:
Update: Added Fourth Interpretation - 12/01/10
Added Fourth Interpretation
Interpretation: See Recommendations for Preventative Health Care published by the American Academy of Pediatrics.
Interpretation: When documentation of recent examinations is unavailable or incomplete, the agency must ensure that examinations are completed within 30 days after entry into care. Medical assessments include, as appropriate to the child’s age and circumstances: lead exposure, TB testing, and HIV/STD risk assessment screening. Dental assessments should be provided for children over age 3.
Interpretation: The agency should recognize the value of incorporating culturally-grounded interventions into the treatment plan, and include traditional practices or customs of the child’s culture, tribe, or faith-based community to the greatest extent possible and appropriate. Whenever possible, Indian children should receive health services from qualified professionals who have experience working with the tribe and knowledge of tribal customs and practices.
Interpretation: Best practice suggests that dental exams should occur every six months and more frequently for children based on clinical need. In situations where resources are not provided for preventive care to occur every six months, the agency can receive a rating of 2 if there is an annual preventive exam and evidence that recommendations from the clinician indicate the child is not in need of more frequent care. In addition, children with dental issues or at high risk of dental problems must be receiving the care they need.
Youth receive age appropriate support and education regarding:
Prior to discharge, the child receives assistance to maintain or obtain:
Interpretation: The agency should provide information regarding alternative health care options when insurance coverage is not available, and provide assistance to promote access to coverage, including coverage provided through the child’s tribal affiliation when one has been established.