Psychosocial Factors in Children and Youth With Special Health Care Needs and Their Families

Pediatrics. 2019 Jan;143(1):e20183171. doi: 10.1542/peds.2018-3171.


Children and youth with special health care needs (CYSHCN) and their families may experience a variety of internal (ie, emotional and behavioral) and external (ie, interpersonal, financial, housing, and educational) psychosocial factors that can influence their health and wellness. Many CYSHCN and their families are resilient and thrive. Medical home teams can partner with CYSHCN and their families to screen for, evaluate, and promote psychosocial health to increase protective factors and ameliorate risk factors. Medical home teams can promote protective psychosocial factors as part of coordinated, comprehensive chronic care for CYSHCN and their families. A team-based care approach may entail collaboration across the care spectrum, including youth, families, behavioral health providers, specialists, child care providers, schools, social services, and other community agencies. The purpose of this clinical report is to raise awareness of the impact of psychosocial factors on the health and wellness of CYSHCN and their families. This clinical report provides guidance for pediatric providers to facilitate and coordinate care that can have a positive influence on the overall health, wellness, and quality of life of CYSHCN and their families.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child Health Services
  • Comprehensive Health Care / methods*
  • Disabled Children / psychology*
  • Health Services Needs and Demand / organization & administration*
  • Humans
  • Parents / psychology*
  • Patient Care Team
  • Professional-Family Relations*
  • Quality of Life*
  • Social Work / organization & administration*