World Health Organization defines health as "a state of complete physical, mental and social well being, and not merely the absence of disease or infirmity". In keeping with the WHO perspective, this presentation will show how public health can view health and health seeking behavior in a broader ecological context that encompasses not only illness, but also includes psychological, social and cultural influences. The public health issue of youth with special health care needs will be addressed, from the perspective of "health ecology". Implications for public health assessment, policy development and assurance will be identified.

More specifically, the following questions will be addressed, using the ecological public health approach. What are the issues and barriers youth with special health care needs face in accessing and utilizing quality health care in the US. What legislation impacts the health of this population and what can be learned from recent policy initiatives? What are the strengths and limitations of current methods for quantifying the assets as well as the needs of youth; and for measuring their Health Related Quality of Life (HRQOL)? What are the implications for the training of public health professionals?

Session participants will gain an understanding and appreciation of an ecological approach to carrying on core public health functions in relation to the population of youth with special health care needs.