{"id":"https://openalex.org/W1571523979","doi":"https://doi.org/10.1542/peds.80.2.183","title":"Health Services for California's Foster Children: Current Practices and Policy Recommendations","display_name":"Health Services for California's Foster Children: Current Practices and Policy Recommendations","publication_year":1987,"publication_date":"1987-08-01","ids":{"openalex":"https://openalex.org/W1571523979","doi":"https://doi.org/10.1542/peds.80.2.183","mag":"1571523979","pmid":"https://pubmed.ncbi.nlm.nih.gov/3615088"},"language":"en","primary_location":{"id":"doi:10.1542/peds.80.2.183","doi":"https://doi.org/10.1542/peds.80.2.183","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.80.2.183","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5044692574","display_name":"Neal Halfon","orcid":"https://orcid.org/0000-0002-7956-118X","observed_orcids":["https://orcid.org/0000-0002-7956-118X"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]},{"id":"https://openalex.org/I4405261371","display_name":"Philip R. Lee Institute for Health Policy Studies","ror":"https://ror.org/0570qwq18","country_code":"US","type":"facility","lineage":["https://openalex.org/I180670191","https://openalex.org/I4405261371"]},{"id":"https://openalex.org/I95457486","display_name":"University of California, Berkeley","ror":"https://ror.org/01an7q238","country_code":"US","type":"education","lineage":["https://openalex.org/I95457486"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Neal Halfon","raw_affiliation_strings":["From the Institute for Health Policy Studies, Department of Pediatrics, Medical Anthropology Program, University of California, San Francisco, and Health and Medical Sciences, University of California, Berkeley"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Institute for Health Policy Studies, Department of Pediatrics, Medical Anthropology Program, University of California, San Francisco, and Health and Medical Sciences, University of California, Berkeley","institution_ids":["https://openalex.org/I180670191","https://openalex.org/I4405261371","https://openalex.org/I95457486"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062812560","display_name":"Linnea Klee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]},{"id":"https://openalex.org/I4405261371","display_name":"Philip R. Lee Institute for Health Policy Studies","ror":"https://ror.org/0570qwq18","country_code":"US","type":"facility","lineage":["https://openalex.org/I180670191","https://openalex.org/I4405261371"]},{"id":"https://openalex.org/I95457486","display_name":"University of California, Berkeley","ror":"https://ror.org/01an7q238","country_code":"US","type":"education","lineage":["https://openalex.org/I95457486"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Linnea Klee","raw_affiliation_strings":["From the Institute for Health Policy Studies, Department of Pediatrics, Medical Anthropology Program, University of California, San Francisco, and Health and Medical Sciences, University of California, Berkeley"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Institute for Health Policy Studies, Department of Pediatrics, Medical Anthropology Program, University of California, San Francisco, and Health and Medical Sciences, University of California, Berkeley","institution_ids":["https://openalex.org/I180670191","https://openalex.org/I4405261371","https://openalex.org/I95457486"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.6913,"has_fulltext":false,"cited_by_count":45,"citation_normalized_percentile":{"value":0.9630621,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"80","issue":"2","first_page":"183","last_page":"191"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11380","display_name":"Child Welfare and Adoption","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11380","display_name":"Child Welfare and Adoption","score":0.9150000214576721,"subfield":{"id":"https://openalex.org/subfields/3311","display_name":"Safety Research"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13883","display_name":"Child and Adolescent Health","score":0.08160000294446945,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/children-in-foster-care","display_name":"foster children","score":0.9200000166893005},{"id":"https://openalex.org/keywords/child-welfare","display_name":"child welfare","score":0.8040000200271606},{"id":"https://openalex.org/keywords/health-care-organization","display_name":"health care organization","score":0.75},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.5789999961853027},{"id":"https://openalex.org/keywords/mental-health-assessment","display_name":"mental health assessment","score":0.75},{"id":"https://openalex.org/keywords/medicaid-reimbursement","display_name":"Medicaid reimbursement","score":0.7870000004768372},{"id":"https://openalex.org/keywords/access-barriers","display_name":"access barriers","score":0.7879999876022339},{"id":"https://openalex.org/keywords/service-fragmentation","display_name":"service fragmentation","score":0.8029999732971191},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.5519999861717224},{"id":"https://openalex.org/keywords/california-counties","display_name":"California counties","score":0.7850000262260437}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7988145351409912},{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.7831469774246216},{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.6799103021621704},{"id":"https://openalex.org/C100243477","wikidata":"https://www.wikidata.org/wiki/Q12002092","display_name":"Welfare","level":2,"score":0.6293224096298218},{"id":"https://openalex.org/C2777935177","wikidata":"https://www.wikidata.org/wiki/Q1430789","display_name":"Foster care","level":2,"score":0.5794475674629211},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.5328500866889954},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5047963857650757},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4309423267841339},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.39306533336639404},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.21679958701133728},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.15389493107795715},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002662","descriptor_name":"Child Health Services","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D005581","descriptor_name":"Foster Home Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1542/peds.80.2.183","doi":"https://doi.org/10.1542/peds.80.2.183","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.80.2.183","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},{"id":"pmid:3615088","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3615088","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.5,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1968080175","https://openalex.org/W1969407080","https://openalex.org/W202131083","https://openalex.org/W1824854619","https://openalex.org/W2151199276","https://openalex.org/W6998864590","https://openalex.org/W7160610244","https://openalex.org/W2733182608","https://openalex.org/W7221792439","https://openalex.org/W7037909430"],"abstract_inverted_index":{"The":[0,48],"organization":[1,49,156],"and":[2,28,35,72,82,100,106,138,142,157,171,173],"delivery":[3,88,158],"of":[4,50,57,89,94,112,124,144,159],"health":[5,29,51,91,128],"services":[6,52,77,102,145,166],"to":[7,33,86,151],"children":[8,68],"in":[9,14,18,136],"foster":[10,26,116],"care":[11,21,30],"was":[12,103,121],"investigated":[13],"14":[15],"California":[16],"counties":[17,63,107],"1985.":[19],"Foster":[20],"administrators,":[22],"child":[23,45],"welfare":[24,46],"workers,":[25],"parents,":[27],"providers":[31],"responded":[32],"questionnaires":[34],"structured":[36],"interviews":[37],"performed":[38],"by":[39,115],"two":[40],"pediatricians":[41],"knowledgeable":[42],"about":[43],"the":[44,122,155],"system.":[47],"demonstrated":[53],"a":[54],"high":[55],"degree":[56],"variability":[58],"between":[59],"counties.":[60],"Although":[61],"some":[62],"initially":[64],"evaluate":[65],"all":[66],"dependent":[67],"using":[69,139],"specific":[70],"protocols":[71],"examinations":[73],"sites,":[74],"more":[75],"often":[76],"were":[78,146],"poorly":[79],"organized,":[80],"fragmented,":[81],"had":[83],"few":[84],"safeguards":[85],"ensure":[87],"appropriate":[90],"care.":[92],"Use":[93],"recommended":[95],"Early":[96],"Periodic":[97],"Screening":[98],"Diagnosis":[99],"Treatment":[101],"also":[104],"variable,":[105],"could":[108],"not":[109],"provide":[110],"documentation":[111],"use":[113],"rates":[114],"children.":[117],"Even":[118],"less":[119],"consistent":[120],"performance":[123],"routine":[125],"initial":[126],"mental":[127],"assessments.":[129],"Financial":[130],"disincentives,":[131],"fewer":[132],"available":[133],"providers,":[134],"difficulties":[135],"obtaining":[137],"Medicaid-reimbursed":[140],"services,":[141,160],"fragmentation":[143],"frequently":[147],"identified":[148],"as":[149],"barriers":[150,162],"access.":[152],"To":[153],"improve":[154],"access":[161],"must":[163,167,177],"be":[164,168,178],"diminished,":[165],"better":[169],"organized":[170],"integrated,":[172],"new":[174],"financing":[175],"mechanisms":[176],"developed.":[179],"Specific":[180],"policy":[181],"recommendations":[182],"are":[183],"presented.":[184]},"counts_by_year":[{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}