Go to Kentucky.gov home page
Kentucky Cabinet for Health and Family Services (Banner Imagery) - Go to home page

The Commission's Foster Care Support Program

The Commission for Children with Special Health Care Needs has three programs specifically developed to support Kentucky's child welfare system.

These programs are the result of collaboration between agencies of the Cabinet for Health and Family Services. Involved are the CCSHCN, the Department for Community Based Services (DCBS) Division of Protection and Permanency, and the DCBS Medical Support Section. The University of Kentucky is a partner in the Thomas H. Pinkstaff Medical Home Clinic.

Medically Fragile Foster Care Program

The Medically Fragile Foster Care Program provides nursing consultation for medically fragile children in Kentucky foster care through monthly home visits with the DCBS social service worker and provides education and ongoing training for the foster parents. There are approximately 150-160 medically fragile foster care children statewide and currently all CCSHCN offices are participating with the nine DCBS regions to provide services to these medically fragile children. 

CCSHCN Nurse Consultant Foster Care Support Program

The CCSHCN Nurse Consultant Foster Care Support Program includes all children in or at risk of out of home care. Currently there are more than 7,000 Kentucky children in out of home placement. These children are the most underserved yet one of the most expensive pediatric populations in terms of medical, dental and behavioral health. Many children receive multiple front end services while their chronic healthcare needs may not be fully met. These children also move frequently within the system yet their health records often do not follow them. Health care providers do not have the benefit of health histories and records of previous diagnoses, treatment modalities and medications. Social Serivce workers have limited medical background and may experience difficulty interpreting medical records or health care reports.
 
The Commission for Children with Special Health Care Needs hired nine nurse consultants to reside in each of the nine DCBS regions to provide consultation to the social service workers and foster care families on medical issues. In addition, these nurse consultants interpret medical records and reports, assure updated “Medical Passports,” enhance care coordination of all services and track the utilization of all health services including prevention and wellness programs.

Thomas H. Pinkstaff Medical Home Clinic

A medical home is a place where the staff knows your needs, your history and how to help you stay healthy. For children in foster care, this medical home is hard to find. The Commission for Children with Special Health Care Needs, in collaboration with the University of Kentucky, has created a clinic to provide a medical home to children in foster care in central Kentucky.

The Thomas H. Pinkstaff Medical Home Clinic provides comprehensive primary care including:

  • Well-child checks;
  • Immunizations;
  • Developmental assessments;
  • Referral and coordination of specialty care as needed;  and
  • Care for common childhood illnesses.

CLinic staff coordinates with providers to limit the number of separate appointments, consolidate doctor visits and studies whenever possible. For families working with a DCBS caseworker, the Thomas H. Pinkstaff Medical Home Clinic assists the case worker and family by avoiding fragmentation of medical records and ensuring that the child’s medical passport is kept current. 

The Thomas H. Pinkstaff Medical Home Clinic serves foster children in Anderson, Bourbon, Boyle, Clark, Estill, Fayette, Franklin, Garrard, Harrison, Jessamine, Lincoln, Madison, Mercer, Nicholas, Powell, Scott and Woodford counties.

 

Related Content
 

Brochures:

Foster Care Support

Medical Home Clinic (Serving central Kentucky)

 

Last Updated 9/2/2014
Privacy | Security | Disclaimer | Accessibility Statement