Considerations for Children with Chronic Conditions

When children with chronic health conditions attend OST programs and/or camps, there are several opportunities to support their safety, well-being, and participation. 

Medical Considerations for Children With Chronic Conditions

• Health History & Emergency Plan – Requiring parents and families to provide a detailed medical history and action plan for managing their child’s condition, including symptoms, medications, and emergency procedures (e.g. asthma action plan).
• Medication Management – Providing training to program staff to administer medications on time and as needed, including emergency medications like inhalers or epinephrine.
• Access to Medical Care – Having a plan in place to get children to medical professionals in case of an urgent need (e.g., nearest immediate care, hospital, etc.).
• Allergy & Dietary Needs – Ensuring safe meal preparation and allergy protocols are being followed.
• Environmental Triggers – Considering environmental factors that could worsen a condition (e.g., air quality, extreme heat/cold, pollen).
• Hygiene and Handwashing Practices – Encouraging good hygiene and handwashing practices amongst children and staff.

Program & Activity Adaptations

• Physical Activity Modification – Flexible participation in physical activities and providing rest breaks when needed. Children with conditions like chronic fatigue or autoimmune disorders may need extra rest periods.
• Accessible Facilities – Accessible buildings, trails, and bathrooms if mobility is a concern.
• Hydration & Nutrition – Adequate hydration and snacks, particularly for children who have conditions that require blood sugar regulation (e.g., diabetes).

Staff Training & Awareness

• Staff Training on Health Conditions – Providing training to program staff on how to recognize and respond to symptoms or emergencies related to health conditions.
• Confidentiality & Participation – Supporting full participation so that children are not singled out due to their medical needs.
• Communication with Caregivers – Having a system/protocol in place for communicating with caregivers, especially if concerns/complications arise.

Social & Emotional Well-being

• Peer Support & Awareness – Foster an environment that helps children feel comfortable and supported.
• Emotional Preparedness – Some children may experience feelings of anxiety about being away from home with their condition. Training program staff to provide reassurance and coping strategies will help provide the child further support.

This resource was supported through funding from the Centers for Disease Control and Prevention (CDC) 6 NU38PW000050-01-01. The contents of this resource do not necessarily represent the policies of AAP, CDC or HHS and should not be considered an endorsement by the Federal Government.