{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:14:04Z","timestamp":1778102044269,"version":"3.51.4"},"reference-count":60,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12,1]]},"abstract":"<jats:title>This Clinical Report was reaffirmed February 2019 and November 2024.<\/jats:title>\n               <jats:p>Children and adolescents with significant intellectual and developmental disabilities and complex medical problems require safe and comprehensive care to meet their medical and psychosocial needs. Ideally, such children and youth should be cared for by their families in their home environments. When this type of arrangement is not possible, there should be exploration of appropriate, alternative noncongregate community-based settings, especially alternative family homes. Government funding sources exist to support care in the community, although there is variability among states with regard to the availability of community programs and resources. It is important that families are supported in learning about options of care. Pediatricians can serve as advocates for their patients and their families to access community-based services and to increase the availability of resources to ensure that the option to live in a family home is available to all children with complex medical needs.<\/jats:p>","DOI":"10.1542\/peds.2016-3216","type":"journal-article","created":{"date-parts":[[2016,11,28]],"date-time":"2016-11-28T10:10:09Z","timestamp":1480327809000},"source":"Crossref","is-referenced-by-count":14,"title":["Out-of-Home Placement for Children and Adolescents With Disabilities\u2014Addendum: Care Options for Children and Adolescents With Disabilities and Medical Complexity"],"prefix":"10.1542","volume":"138","author":[{"given":"Sandra L.","family":"Friedman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Kenneth W.","family":"Norwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"COUNCIL ON CHILDREN WITH DISABILITIES","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Kenneth W.","family":"Norwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard C.","family":"Adams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J.","family":"Brei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn F.","family":"Davidson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth Ellen","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra L.","family":"Friedman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy J.","family":"Houtrow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan L.","family":"Hyman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis Z.","family":"Kuo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garey H.","family":"Noritz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Larry","family":"Yin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy A.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Kalichman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2016,12,1]]},"reference":[{"issue":"4","key":"2025010319262329200_B1","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1542\/peds.2014-2279","article-title":"Out-of-home placement for children and adolescents with disabilities.","volume":"134","author":"Friedman","year":"2014","journal-title":"Pediatrics"},{"issue":"1","key":"2025010319262329200_B2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2011-2663","article-title":"The lifelong effects of early childhood adversity and toxic stress.","volume":"129","author":"Shonkoff","year":"2012","journal-title":"Pediatrics"},{"issue":"s","key":"2025010319262329200_B3","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1542\/peds.113.S4.1485","article-title":"Access to the medical home: results of the national survey of children with special health care needs.","volume":"113","author":"Strickland","year":"2004","journal-title":"Pediatrics"},{"key":"2025010319262329200_B4"},{"key":"2025010319262329200_B5"},{"issue":"2","key":"2025010319262329200_B6","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1542\/peds.2004-2520","article-title":"Helping families raise children with special health care needs at home.","volume":"115","author":"Johnson","year":"2005","journal-title":"Pediatrics"},{"issue":"4","key":"2025010319262329200_B7","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1542\/peds.2011-1467","article-title":"Parent-provider-community partnerships: optimizing outcomes for children with disabilities.","volume":"128","author":"Murphy","year":"2011","journal-title":"Pediatrics"},{"issue":"5","key":"2025010319262329200_B8","doi-asserted-by":"crossref","first-page":"996","DOI":"10.1542\/peds.2012-0606","article-title":"Home care of children and youth with complex health care needs and technology dependencies.","volume":"129","author":"Elias","year":"2012","journal-title":"Pediatrics"},{"key":"2025010319262329200_B9","author":"American Academy of Pediatrics, Section on Home Care","year":"2009"},{"key":"2025010319262329200_B10","unstructured":"The Anne E. 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