PediPRN is an innovative model of consultation and collaboration
between pediatric primary care and child psychiatry providers.
PediPRN is an innovative model of consultation and collaboration
between pediatric primary care and child psychiatry providers.
Not exact matches
The study team performed two complementary studies in 31
primary care practices in CHOP's
pediatric network in Pennsylvania and New Jersey,
between January 2015 and April 2016.
The prevalence of maternal depressive symptoms reported by screening this large national sample of indigent mothers interviewed
between 1992 and 1993 is similar to the prevalence reported for low - income mothers of young children at a Baltimore
pediatric primary care clinic in 1984 (41 % vs 35 %, respectively).8 In addition, the extent of family poverty in this study has a «dose - response» association with maternal depressive symptoms that is similar to that reported in another (smaller) national sample from the 1990s.15 In both studies, as well as this study, mothers with lower incomes reported higher levels of depressive symptoms.
From an ecological perspective, availability of comprehensive
primary care is strongly associated with improved population health.2, 9 The FCMH was initially conceived in pediatrics in the 1960s and 1970s as a model for providing comprehensive
pediatric care.10 Over the past 3 decades the medical home model has been further refined, defining the medical home as accessible, continuous, comprehensive, family - centered, coordinated, compassionate, and culturally effective.11, 12 The central goal of the FCMH is to facilitate partnerships
between patients, families, clinicians, and community resources to improve children's health, and the joint principles for the FCMH have been widely endorsed.7
Specific home visitation programs, especially with nurses supporting parents prenatally and then after the baby is born, have been carefully evaluated.17 - 19 Parenting programs also offer valuable guidance and can be effective, such as the Triple P intervention.20 Another example is the Safe Environment for Every Kid (SEEK) model of
pediatric primary care.21 Building on the relationship
between pediatrician and family, SEEK identifies and helps address prevalent risk factors such as parental depression.
The Healthy Steps for Young Children Program was designed to meet the needs of families regarding their young children's early development and behavior by enhancing relationships
between parents and their children,
between families and the
pediatric practice, and among practice members.11 - 13 Healthy Steps aims to enhance the capacity and effectiveness of
pediatric primary care by incorporating developmental specialists into
pediatric practice.