[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-597390-105":59,"doc-detail-597390-en":129},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":122,"head_meta":124,"extra_data":126,"updated_unix":128},105,"en","an-intersectoral-response-to-children-with-complex-health-care-needs","An Intersectoral Response to Children with Complex Health Care Needs","","Paper explores how public responsibility should be defined and enacted for children with complex health care needs and their families, arguing that macro-level policy and accountability often fail to guide micro-level practice. It links policy to effective on-the-ground implementation through a case study involving Community Care Access Centres, schools, and Saint Elizabeth Health Care under intersectoral frameworks. The discussion highlights legal rights to education, cross-sector coordination, and local delivery mechanisms that enable health-supported attendance and services in school settings.",{"@graph":69,"@context":121},[70,84,104],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/an-intersectoral-response-to-children-with-complex-health-care-needs/597390/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":98,"encodingFormat":97,"isAccessibleForFree":99,"interactionStatistic":100},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/an-intersectoral-response-to-children-with-complex-health-care-needs/597390.png","ImageObject",300,407,{"name":92,"@type":93},"Blue Pony","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":101,"interactionType":102,"userInteractionCount":4},"InteractionCounter",{"@type":103},"ViewAction",{"@type":105,"mainEntity":106},"FAQPage",[107,113,117],{"name":108,"@type":109,"acceptedAnswer":110},"What is the main purpose of the paper?","Question",{"text":111,"@type":112},"To stimulate debate on how public responsibility should be defined and enacted for children with complex health care needs and their families, especially how macro policies translate into micro-level practice.","Answer",{"name":114,"@type":109,"acceptedAnswer":115},"Why does the paper emphasize intersectoral work beyond education?",{"text":116,"@type":112},"Because meeting the needs of a growing number of children requires collaboration with other sectors such as health and community/social services, which define shared responsibilities for welfare and well-being.",{"name":118,"@type":109,"acceptedAnswer":119},"How does the SHSS program support children with health support needs in school?",{"text":120,"@type":112},"It enables children to attend school with peers and provides health-related education, teaching, and consultation to school staff and parents, coordinated locally by CCACs through contracts with health care agencies.","https://schema.org",{"og:url":83,"og:type":123,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":125,"canonical":83},"index,follow",{"doc_id":127,"site_id":62},597390,1792084922,{"code":4,"msg":5,"data":130},{"doc_id":127,"user_id":131,"nickname":92,"user_avatar":132,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":4,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":138,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":67,"update_tm":128,"read_time":142},962090760266,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","An Intersectoral Response to Children with Complex Health Care Needs Page 1 of 9  \nCanadian Journal of Educational Administration and Policy, Issue \\#29, March 5, 2004. © CJEAP and the author(s) .  \nAn Intersectoral Response to Children with Complex Health Care Needs  \nBy Wendy Young, University of Toronto  \nJasmin Earle, Saint Elizabeth Health Care, Toronto,  \nand Mark Dadebo, York University  \nIntroduction  \nThe purpose of this paper is to stimulate debate on how to define and enact public responsibility to children with complex health care needs and their families . National and provincial policies define accountability at a macro level and are not intended to be prescriptive at the micro level. Indeed, principals, teachers and service providers would be critical of the involvement of policy makers in micro-management. Yet, decision-makers focus on the shortcomings of existing policy and not on the shortcomings of management. For example, the Children and Youth Home Care Network has called for\"governments at all levels to assign higher priority to developing coherent policies for children with special needs and families, particularly in the home and community\". Spalding and colleagues reported that service integration and coordination would not improve until there are \"fundamental changes at the broader system level…. . There is no urgent need for policy to ‘catch up' with reality. Rather there is a need for principals, teachers and service providers to develop programs that support policies.  \nThis paper details a case study of an evidence-based program that provides the critical link between the policy and good practice . This program involves Community Care Access Centres, schools and Saint Elizabeth Health Care, a complex-care nursing provider. The case study illustrates how public responsibility has been successfully enacted at a local level within existing policies for children with complex health care needs.  \nStatement of the problem  \nChildren with complex health care needs have a profound impact on families and on the educational system. Parents believe that their employment status is affected and we know that they have difficulty in finding childcare . The impact on the educational system, which has increased over time and is projected to further increase, is driven by three factors. First, the Canadian Charter of Rights and Freedoms ensures that every child with either a mental or physical disability has the right to access educational services . Compliance with the Canadian Charter, the Education Act and regulations in Ontario requires each school to provide all special needs children with a free and appropriate public education in the least restrictive setting. School principals are required to ensure that an Individual Education Plan (IEP) is developed for each child who has been identified as \"exceptional\". Second, children who previously would not have lived are now surviving, and through technology are being cared for in the community . Finally, Canadians want greater choice and input into planned services, and want to be confident that these services are efficient, effective and of high quality .  \nTo meet the needs of the growing number of children, educators must work with individuals from sectors outside of education . Sectors are distinct public service systems such as health and education. Intersectoral policies define the shared responsibilities for the welfare and well-being of a distinct population group. In Ontario, the intersectoral mechanism for children who require health support services is Policy/Program Memorandum Number 81 (PPM 81) . PPM  \n81 outlines the responsibilities of three sectors: Education, Health, and Community and Social Services [Ontario Ministry of Education, 1984 \\#5] . The Ministry of Education is responsible for the administration of oral medication, physical assistance, physio/occupational therapy, and speech and language services. The Ministry of Health and Long Term Car","cbCaifgUBYSq3sbd","https://ap.wps.com/l/cbCaifgUBYSq3sbd","pdf",74056,"English","# Introduction\n# Statement of the problem\n# Intersectoral mechanism and sector responsibilities\n# Local implementation through CCACs and SHSS program","[{\"question\":\"What is the main purpose of the paper?\",\"answer\":\"To stimulate debate on how public responsibility should be defined and enacted for children with complex health care needs and their families, especially how macro policies translate into micro-level practice.\"},{\"question\":\"Why does the paper emphasize intersectoral work beyond education?\",\"answer\":\"Because meeting the needs of a growing number of children requires collaboration with other sectors such as health and community/social services, which define shared responsibilities for welfare and well-being.\"},{\"question\":\"How does the SHSS program support children with health support needs in school?\",\"answer\":\"It enables children to attend school with peers and provides health-related education, teaching, and consultation to school staff and parents, coordinated locally by CCACs through contracts with health care agencies.\"}]","An Intersectoral Response to Children with Complex Health Care Needs | PDF",23]