Foster Care : Health Concerns of Children in Foster Care
Children in foster care are among the most medically vulnerable. Many have had inadequate prenatal care, maternal substance use, inconsistent medical attention, or significant trauma. Early identification and intervention are critical to improving health and well-being.
Common Medical and Psychosocial Concerns
Dental disease
Vision/hearing problems
Speech
Motor (40–60%)
Depression
PTSD
Attachment disorders (60–70%)
Neglect
Prenatal substance exposure
School failure
Poor health screening history
For a more detailed list of possible ongoing medical problems, see the Possible Medical Problems Table below.
Medical Evaluation Guidelines
Children in foster care need to be reassessed within one month and as soon as the previous medical records, including immunizations, have been received. Documentation of visits, needs, and concerns should be provided to the local Department of Social Services.
(within 7 days)
(within 30 days)
Assess for active illnesses, injuries, disabilities
Update immunizations
Ongoing Care
More frequent medical visits, usually every three to six months, may be necessary to evaluate the child's on-going health needs and to assess the foster parents’ and caseworker’s needs and responsibilities. Ongoing developmental assessments may also be necessary. Routine, periodic, health care visits should take place as recommended by American Academy of Pediatrics. For more information, see American Academy of Pediatrics/Bright Futures Guidelines for Health Supervision of Infants, Children, and Adolescents.
Genetic syndromes
Chronic illness
Depression
Attachment disorders
Shaken baby syndrome
Fractures
Hyperphagia
Polydipsia
Sleep disorders
STIs
Encopresis
Enuresis





