American Journal of Medical Sciences and Medicine
ISSN (Print): 2327-6681 ISSN (Online): 2327-6657 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Medical Sciences and Medicine. 2014, 2(2), 29-36
DOI: 10.12691/ajmsm-2-2-1
Open AccessCase Study

Addressing the Challenges and Cost of Health Care for At-Risk Children in Roanoke, Virginia, USA

Robin Haldiman1, Kerry J. Redican2, , Kathy Hosig2 and Kirby Deater-Deckard3

1CEO – Child Health Investment Partnership, 1201 Third Street SW, Roanoke, Virginia

2Department of Population Health Sciences, Virginia Tech, Blacksburg, Virginia

3Department of Psychology, Virginia Tech, Blacksburg, Virginia

Pub. Date: March 06, 2014

Cite this paper:
Robin Haldiman, Kerry J. Redican, Kathy Hosig and Kirby Deater-Deckard. Addressing the Challenges and Cost of Health Care for At-Risk Children in Roanoke, Virginia, USA. American Journal of Medical Sciences and Medicine. 2014; 2(2):29-36. doi: 10.12691/ajmsm-2-2-1


The Child Health Investment Partnership of the Roanoke Valley (CHIP-RV), Virginia, USA, has been helping at risk children and families for the past 24 years. CHIP-RV began as a grassroots effort involving local pediatricians, social service agencies, and the public health department. Working together these professionals have developed and implemented a comprehensive program that provides for health care coordination, family strengthening services, and mental health services all directed at the mission of promoting health of medically under-served children within the greater Roanoke Valley. CHIP services are directed at low-income pregnant women and children from birth to kindergarten entry. Services include home visits with an RN, medical records reviews, in-home comprehensive assessments, health education, preparation for kindergarten, support for management of difficult behaviors, skill development, home and child safety, dental varnish application, and transportation to health and social services. Evaluations of the CHIP-RV model has shown CHIP-RV to be successful at meeting selected health and social needs of at-risk children and families. It is a model that should successfully interface with the Affordable Care Act as well as private/public efforts to reduce the cost of health care, help families to utilize the health care system and keep children well.

Child Health Medicaid CHIP at-risk children

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Kaiser Family Foundation: State Health Facts. Virginia: Health Insurance Coverage of the Total Population, States (2010-2011) Published 2013. Accessed on April 10, 2013.
[2]  Gomby DS. Building an Evidence-Based Home Visiting Program: A Plan for CHIP of the Roanoke Valley. Sunnyvale, CA: Denna Gomby Consulting: 2009.