During the initial outreach contact, his mother explained that she had recently emigrated from Mexico with her five children, none of whom had received medical treatment. They were living with an older sibling who had been supporting herself, her child, and these five siblings on her fast food restaurant salary. The mother was concerned that the children didn't always have food and that she had been unable to buy clothing for the winter weather. The KGC Coordinator helped the family apply for insurance and referred her to local food and clothing bank programs to meet the children's basic needs. All the kids were seen for Well Child Checks and dental screenings.

KGC staff worked to get the child medical coupons and get him in for dental care. In the second meeting with the family, the mother expressed concern about her son's aggressive behavior at home and in school. An appointment was set up with the doctor, and the child was referred to Eastside's behavioral health program. Calls to the child's teacher revealed concerns about the child's behavior, and a plan was created between the school and medical clinic to monitor the child's progress. The teacher and school psychologist have continued to work with the child at school and recently sent the child in to receive a medical evaluation to determine if the child has a developmental delay or ADHD. The KGC Coordinator worked to ensure that the family was able to attend all follow-up appointments.

The Kids Get Care Coordinators at the Kent medical and Kent dental clinics worked together to get health coverage for all members of the family. All of the children came in for their Well Child Checks and got dental check-ups. The family has established the Kent Community Health and Dental Centers as their medical and dental home and is very happy that we were able to help them.

The KGC Case Manager discovered that none of the family's three children were receiving routine medical care. With guidance and education from the case manager, well child checks were scheduled and successfully initiated for all three children.

During the well child exam the family's five-year-old, who entered kindergarten this fall, was found to be at high risk for Attention Deficit Hyperactivity Disorder (ADHD). Further evaluation and treatment was initiated with case management support through KGC. Parental support and education combined with comprehensive care has been provided to aid this child and his family in managing new health concerns during transition to school.

Despite efforts to work with the family through interpreters, five of the eight children had not been seen for well child care and were not known to have another medical home. This summer, by working through the older siblings, the KGC Case Manager was able to facilitate clinic visits for both the teens and their younger brothers and sisters. Upon exam, the family teens were found to be experiencing significant social stress and medical problems, including obesity and high cholesterol. To date, a medical home has been established for all the children in the family at the KGC hub site. The KGC Case Manager continues to work with the family, physicians, public health nurses, and an Asian resource center to develop a culturally appropriate plan to address the various health and social needs of this family.

In conversations the KGC Case Manager, the mother expressed her frustration that despite understanding the importance of bringing her children to the clinic for their exams she had no means of transportation and some difficult life situations that were taking up most of her time.

The case manager was able offer support to the mother during this particularly stressful time and access community resources that provided her transportation to the clinic. To date, all the children have had well child checks and are current on their immunizations. The KGC Case Manager will continue to check in with this family to facilitate with appropriate continuity of care for the children.

After the family failed to show up for the appointment, the KGC Case Manager called the shelter to find out what happened. Staff at the shelter informed the Case Manager that the mother had been extremely depressed and hard to motivate that day. The Case Manager was able to talk directly with the mother over the telephone and offered to escort the mother and child to the clinic. With this reassurance and assistance in navigating in a new city, the baby was able to get the important medical services he needed.

After the success of the initial visit, the Case Manager was able to schedule a well child exam for the baby. In addition, upon further conversations with the family, she discovered that mom and dad also needed dental and medical services and was able to assist them with accessing these services.

The young boy was found to have severe decay of his two upper front teeth. As the dentist gathered the boy's medical history, the father revealed that his son experienced severe nosebleeds three times a day. When asked if the boy had been seen by his medical provider the father said they didn't have a provider because he was currently unemployed and could not afford medical insurance. The dentist told the father that he could get the boy into see a doctor that same day and that an eligibility specialist could help the family get signed up for public health insurance.

The dentist was able to take care of the child's oral health needs, then he was seen at the adjacent medical clinic. The boy's four-year-old brother was also seen for a medical examination. Additional dental appointments were made for the two-year-old to repair his teeth and a referral to a specialist was made for further evaluation of the boy's nosebleeds.