title: Health care needs of children with Tourette syndrome.
abstract: To document the impact of Tourette syndrome on the health care needs of children and access to health care among youth with Tourette syndrome, parent-reported data from the 2007-2008 National Survey of Children's Health were analyzed. Children with Tourette syndrome had more co-occurring mental disorders than children with asthma or children without Tourette syndrome or asthma and had health care needs that were equal to or greater than children with asthma (no Tourette syndrome) or children with neither asthma nor Tourette syndrome. Health care needs were greatest among children with Tourette syndrome and co-occurring mental disorders, and these children were least likely to receive effective care coordination. Addressing co-occurring conditions may improve the health and well-being of children with Tourette syndrome. Strategies such as integration of behavioral health and primary care may be needed to improve care coordination.
authors.affiliation: 1Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Rebecca H
authors.initials: RH
authors.lastname: Bitsko
authors.forename: Melissa
authors.initials: M
authors.lastname: Danielson
authors.forename: Michael
authors.initials: M
authors.lastname: King
authors.forename: Susanna N
authors.initials: SN
authors.lastname: Visser
authors.forename: Lawrence
authors.initials: L
authors.lastname: Scahill
authors.forename: Ruth
authors.initials: R
authors.lastname: Perou
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002662:Child Health Services / Q000379:methods / Q000706:statistics & numerical data; D003695:Delivery of Health Care; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D008297:Male; D020380:Needs Assessment; D012189:Retrospective Studies; D005879:Tourette Syndrome / Q000628:therapy*; D014481:United States
keywords: Tourette syndrome; behavioral health; care coordination; health care; mental disorders; tics