There is little financial support for caregivers of children with disabilities and a lack of respite care. Two new chapters that highlight mental and environmental health were added to the 2000 profile. Though these statistics do not necessarily indicate a disorder, they clearly identify emotional and behavioural issues as being a priority. Other Canadian statistics are equally sobering. Despite the lack of national data, what we do know about the health issues that face street youth and children with disabilities causes concern.
Street youth have higher rates of attention deficit disorder and other learning difficulties.
Almost all of them have experienced some form of abuse, and they are at higher risk of suicide. Children with disabilities are also more likely to report emotional distress, low self-esteem and abuse. In addition, they are one of the fastest growing segments of the human immunodeficiency virus-positive population. As physicians, we must promote resilience to improve mental health in children. As was previously mentioned, participation in sports, recreation and leisure encourages community involvement, the development of new skills and, hence, self-esteem.