title: Health needs of regional Australian children in out-of-home care.
abstract: OBJECTIVE
  This study aims to identify the health needs of children placed in out-of-home care in regional Queensland and to compare them with the needs of similar children in metropolitan Queensland.
  
  
  METHODS
  Retrospective chart review and subsequent analysis of data from the first assessments of the children placed in care from January 2005 to April 2011. Health needs based on assessment recommendations were then compared with needs and recommendations from a similar clinic in metropolitan Brisbane.
  
  
  RESULTS
  Two hundred thirty-nine first assessments were reviewed. The average number of health referrals arising out of each assessment was 2. 72% children were between 2 and 12 years of age and accounted for 76% of the health referrals made. The 10-13% of the children needed referrals for medical and surgical specialties, audiology, speech pathology, dental, and ophthalmology/optometry, each. A percentage of 30 needed ongoing paediatric care. The 15% needed immunisation catch up, 35% counselling and behaviour management, and 15% formal mental health referrals. These were comparable to the health needs identified in out-of-home care children residing in metropolitan Queensland.
  
  
  CONCLUSIONS
  Children in care who live in a regional setting have similar health-care needs compared with urban children. Given restricted health services in regional settings, there is difficulty in accessing services to meet these needs.
authors.affiliation: Department of Family & Community Services, New South Wales, Australia.
authors.forename: Nitin
authors.initials: N
authors.lastname: Arora
authors.forename: Melissa
authors.initials: M
authors.lastname: Kaltner
authors.forename: Judy
authors.initials: J
authors.lastname: Williams
mesh_terms: D002648:Child; D002654:Child Care / Q000458:organization & administration*; D002662:Child Health Services / Q000458:organization & administration*; D002669:Child Welfare; D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D005581:Foster Home Care / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D007223:Infant; D008297:Male; D011793:Queensland; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012424:Rural Population; D014505:Urban Population
keywords: child; foster care; health; out-of-home care; rural