Abstract
Chronically ill children are currently being served in every state in a number of early childhood education programs, including special education programs, Head Start, early intervention programs, and a variety of other center-based day care and preschool education programs. Although there are some mandates for serving some chronically ill young children in early education programs—the Education for All Handicapped Children Act (P.L. 94–142) and Head Start—only a small percentage of all chronically ill children under 6 years of age are currently enrolled in these programs. Care of chronically ill children in educational settings often entails the delivery of a variety of related services, for example, transportation; education-based health services; speech, physical, and occupational therapies; child and family counseling; and building and schedule modifications. Who should provide and pay for these related services is the focus of heated policy debates at local, state, and federal levels of government.
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