Children with special health care needs: A health care model for families from diverse cultural and linguistic backgrounds

Theora Evans, Ann Garwick

Research output: Contribution to journalArticle

4 Scopus citations


The health care model presented in this paper is a non-linear, systems approach to service delivery. The model was a by-product of three ethnic-specific conferences that were convened to discuss strategies for improving access to care and the quality of services provided to children with special health care needs (CSHCN) from diverse cultural backgrounds. The model evolved as insights regarding the common values and norms held by parents, health care providers, and cultural representatives were shared. Content analysis was used to identify core themes identified by participants. These themes were incorporated into a model that included the following elements: community-based, culturally competent, health-oriented, resiliency-focused, and family-centered care. At the fourth Consensus Conference, selected participants from the previous ethnic specific conferences reviewed the proposed model anddeemed it a vehicle for facilitating health care service utilization by culturally and linguistically diverse CSHCN and their families.

Original languageEnglish (US)
Pages (from-to)7-24
Number of pages18
JournalJournal of Social Work in Disability and Rehabilitation
Issue number2
StatePublished - Sep 1 2002



  • Adolescent health
  • Cultural competence
  • Family-centered care
  • Health care
  • Special health care needs
  • Strengths-based practice

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