Nearly one in every five households has a child with a special health care need (CSHCN), and at least one quarter of these children also has a mental health problem. These data underscore the fact that CSHCN have substantial unmet mental health needs; for those with more chronic emotional or behavioral problems, unmet need is even higher (Inkelas et al. 2007). High levels of unmet need persist in the face of substantial resources that have been committed to improving care for these populations, including the integration of behavioral health into Medicaid managed care.
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