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HEALTHY PEOPLE 2010 - Health Objectives For People With Disabilities
www.healthypeople.gov
Healthy People 2010 is the prevention agenda for the nation. In the late 1990's, 75 organizations and 150 people introduced 150-200 draft objectives for the "Disability and Secondary Conditions" chapter. The objectives were premised on inclusion of: 1) all stakeholders represented in the draft objectives; 2) environmental factors; and 3) ADA principles.

Healthy People 2010 Objective 16.23: implement service systems for children with special health care needs (CSHCN)

 

Healthy People 2010 - Objectives for People with Disabilities
http://www.cdc.gov/ncbddd/dh/hp2010.htm
The 1979 U.S. Surgeon General's Report on Health Promotion and Disease Prevention, Healthy People established the Healthy People initiative. Under this initiative, the U.S. health plan is updated every 10 years. Recommendations made during the Healthy People 2000 progress review included developing health objectives for people with disabilities; and examining their health and receipt of clinical preventive services.

Building on those recommendations, people with disabilities are represented in 207 of the 467 objectives that span 21 of the 28 Healthy People 2010 chapters. However, data on people with disabilities are available for only 88 of those 207 objectives. Chapter 6 of the plan specifically contains 13 objectives that focus on promoting the health and well-being of children and adults with disabilities across their lifespan. Chapter 6 is co-led by the CDC's, Disability and Health Team and the National Institute on Disability and Rehabilitation Research at the U.S. Department of Education.

 

Healthy People 2010 - Disability and Secondary Conditions – Chapter 6
www.healthypeople.gov/Document/HTML/Volume1/06Disability.htm
Because disability status has been traditionally equated with health status, the health and well-being of people with disabilities has been addressed primarily in a medical care, rehabilitation, and long-term care financing context. Four main misconceptions emerge from this contextual approach: (1) all people with disabilities automatically have poor health, (2) public health should focus only on preventing disabling conditions, (3) a standard definition of “disability” or “people with disabilities” is not needed for public health purposes, and (4) the environment plays no role in the disabling process. These misconceptions have led to an under-emphasis of health promotion and disease prevention activities targeting people with disabilities and an increase in the occurrence of secondary conditions (medical, social, emotional, family, or community problems that a person with a primary disabling condition likely experiences).

 

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The HRTW Center is headquartered at the Maine State Title V CSHN Program. Activities are coordinated through the Maine Support Network's Center for Self-Determination, Health and Policy. The Center is funded through a cooperative agreement (U39MC06899-01-00) from the Integrated Services Branch, Division of Services for Children with Special Health Care Needs (DSCSHN) in the Federal Maternal and Child Health Bureau (MCHB), Health Resources and Service Administration (HRSA), Department of Health and Human Services (DHHS).
Elizabeth McGuire, HRSA/MCHB Project Officer.