Doctors Urged To Help Families Seeking Out-Of-Home Placements

Pediatricians are being encouraged to help families of children with developmental disabilities find solutions if they’re struggling to care for their kids at home.
In new guidance, the American Academy of Pediatrics said that home with family is the best place for kids with significant intellectual and developmental disabilities and complex medical needs.
However, acknowledging that such situations are not always workable, the pediatrics group says its members should serve as a resource for families.

“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,” states the clinical report published recently in the journal Pediatrics.
The information builds on similar guidance issued two years ago advising doctors on how to assist families considering out-of-home placements.
Those recommendations focused on congregate care settings such as skilled nursing facilities, intermediate care facilities, specialty hospitals, residential schools and medical group homes, but pediatricians asked for more information on other out-of-home options which led to the new report.
In addition to congregate settings, the guidance indicates that parents may consider host families, shared care arrangements, voluntary foster care or placement with other relatives if they are unable to continue providing assistance at home for kids with complex medical needs that often involve 24-hour care.
Doctors should also help families navigate offerings through Medicaid home and community-based services waivers and other programs that may help them get the support they need to allow even those with complex issues to remain at home.
“Children with significant disabilities and complex medical conditions, like all children, need stable homes with loving families and caregivers who provide the essential physical and emotional resources to promote well-being,” according to the report. “Family life with caring and loving caregivers should be the goal for every child with disabilities and medical complexity.”


Hot tuna salad with basil dressing #eeeek_giannitson


  • 1 bunch apsaragus , trimmed (or use a good handful of green beans instead)
  • 2 handfuls cherry tomatoes , quartered
  • 1 large bunch fresh basil , leaves picked, baby leaves kept to one side
  • 1 handful black olives , stones removed
  • extra virgin olive oil
  • 1 lemon
  • sea salt
  • freshly ground black pepper
  • 2 tuna steaks , from sustainable sources, ask your fishmonger
  • 2 tablespoons fat-free natural yoghurt


  1. Heat a griddle pan until it gets really hot then put your asparagus in it. Place a heavy saucepan on top so that it presses the spears right down on to the bars. Cook them for 2 minutes, turning them halfway through, until they have lovely charred marks. Pop the asparagus on a board and chop them in half at an angle.
  2. Put the asparagus in a bowl with your tomatoes, half the basil leaves, the olives, a splash of oil and a squeeze of lemon juice. Season, then toss it all together and put it to one side while you get the fish ready.
  3. Rub your tuna steaks with a little bit of oil and season them. Sear them for about a minute on each side in the griddle pan for a rare steak – leave them for 2 minutes on each side if you prefer them cooked medium, or 3 to 4 minutes each side if you like them well done.
  4. Pound the remaining basil in a pestle and mortar then mix in the yoghurt. Season and add some more lemon juice to taste.
  5. Put the salad on a plate, then tear the tuna into strips and pop them on top. Spoon over some of the basil dressing and scatter over the baby basil leaves.


Οργάνωση και Λειτουργία Εστιατορίου (ΣΗΜΕΙΩΣΕΙΣ)

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Revision Questions