This Issue and Why it Matters This issue of the ZERO TO THREE Journal dives into the burgeoning field of infant and early childhood mental health with a collection of articles that feature: • The approach of a pediatrician who addresses early childhood men - tal health in the context
of pediatric primary care.
The approach of a pediatrician who addresses early childhood mental health in the context
of pediatric primary care.
In this role, she serves as the quantitative methodologist for a large - scale, multisite study
of pediatric primary care toxic stress prevention initiatives.
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.
To determine the effects
of pediatric primary care interventions on parent - child interactions in families with low socioeconomic status.
Objective To determine the effects
of pediatric primary care interventions on parent - child interactions in families with low socioeconomic status.
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.
In our systematic literature review, we found tools and strategies for improving WCC delivery, but few offered a comprehensive model.21 In 1995, Zuckerman and Parker25 proposed a comprehensive, community - based system
of pediatric primary care that included collaboration with early childhood educators to enhance developmental and behavioral services and a 2 - generational approach that included primary care services to parents and children.
Gaps in the availability and impact of specialty mental health care and the increasing public health significance of untreated mental health problems have expanded the service delivery roles
of pediatric primary care providers (PCPs).
Not exact matches
I supervise
pediatric residents as they learn to provide
primary care, to offer guidance to parents as they struggle with all the complexities
of baby and toddler sleep, eating, potty training, discipline and tantrums.
The dentistry issued a statement
of sympathy for Mykel and his parents and said that it would be premature to comment on any specifics until outside medical experts finish their review, but they said they have used general anesthesia more than 1,900 times for
pediatric patients in the last three and a half years without incident, and that they contract with a board - certified anesthesiologist who follows all protocols including pre-operative check and approval by the child's
primary care physician before putting the child under anesthesia.
They also worked together as Clinical Assistant Professors
of Psychology in Pediatrics at New York Presbyterian Hospital / Weill Cornell Medical College to support the integration
of mental health
care into
pediatric primary care.
The American Academy
of Pediatrics is an organization
of 62,000
primary care pediatricians,
pediatric medical subspecialists and
pediatric surgical specialists dedicated to the health, safety and well - being
of infants, children, adolescents and young adults.
The American Academy
of Pediatrics is an organization
of 60,000
primary care pediatricians,
pediatric medical subspecialists and
pediatric surgical specialists dedicated to the health, safety and well being
of infants, children, adolescents and young adults.
For more information you can read the release and the policy statement at the AAP Website: http://www.aap.org/advocacy/releases/feb05breastfeeding.htm (The AAP is an organization
of 60,000
primary care pediatricians and
pediatric specialists.)
The program's focus is the broad range
of behavioral, psychosocial, and developmental issues that present in
primary care pediatric practice.
Based on the published results, Legacy is now being pilot tested in a variety
of community settings, such as the Administration for Children and Families» Early Head Start, Health Resources and Services Administration's Healthy Start, Substance Abuse and Mental Health Administration's Project LAUNCH, the American Academy
of Pediatrics»
pediatric primary care, and Tulsa Educare.
PediPRN is an innovative model
of consultation and collaboration between
pediatric primary care and child psychiatry providers.
«It is ironic that in one
of the richest countries in the world, we still have millions
of children without access to
primary and specialty health
care,» said Kenneth Silver, MD,
pediatric neurologist and associate professor
of pediatrics.
Genetic testing in a
pediatric environment poses unique challenges with respect to age
of disease onset, when to test, patient autonomy, etc., and many
primary care providers can benefit from education about these issues.
The goal
of my holistic
pediatric practice is to inform, support and empower parents to become the
primary health
care providers for their children.
She recently served as a consultant on a Department
of Defense - funded project to create an integrated system
of hospital and
primary care - based
pediatric obesity
care.
Today, she has her own practice, Fairfield Family Health where she works «with a robust team
of 6 other healthcare providers including naturopathic physicians,
primary care consultant,
pediatric nurse practitioner, nutritionist and physical therapist.»
Our approach to achieving this goal focuses on three objectives: (1) to develop a reliable, predictive panel
of biomarkers (including both biological and bio-behavioral measures) that can identify children, youth, and parents showing evidence
of toxic stress, and that can be collected in
pediatric primary care settings; (2) to conduct basic, animal and human research on critical periods in development and individual differences in stress susceptibility, thereby informing the timing and design
of a suite
of new interventions that address the roots
of stress - related diseases early in the life cycle; and (3) to build a strong, community - based infrastructure through which scientists, practitioners, parents, and community leaders can apply new scientific insights and innovative measures to the development
of more effective interventions in the first three postnatal years.
Repayment for up to $ 100,000 over a period
of four years for
primary care,
pediatric care, internal medicine, and family medicine is also made available through the Rural Physician Incentive Program.
The American Academy
of Pediatrics is an organization
of 66,000
primary care pediatricians,
pediatric medical subspecialists and
pediatric surgical specialists dedicated to the health, safety and well - being
of infants, children, adolescents and young adults.
We are seeking a Medical Assistant to become a part
of our team in a
pediatric primary and urgent
care state -
of - the - art office!
They may specialize in a variety
of areas, including
pediatric care, emergency
care, and
primary care.
Business Services Manager — Parkland Health & Hospital System, Dallas, TX 1996 — 2001 Oversaw all clinic operations, business and patient access functions
of multi-specialty ambulatory
primary care clinic including
pediatric, adult, and geriatric medicine, and managed annual operation budget
of $ 5M.
Primary care, assessment, transport, monitoring and evaluation
of neonatal,
pediatric through geriatric patients.
Targeted child psychiatric services: a new model
of pediatric primary clinician — child psychiatry collaborative
care.
Objective To investigate the feasibility and effectiveness
of parent - training groups delivered to parents
of toddlers in
pediatric primary care settings.
Health
care professionals working in
pediatric primary care practices (eg, physicians, nurses, and social workers) and in other health and education programs (eg, home visiting nurses, community case managers, and community health workers) must work on the same team to capitalize on each others» capabilities and expertise, increase efficiencies, and improve the health
of children and families.
PRIMARY CARE is thought to create an atmosphere in which sensitive concerns are more readily raised.1, 2 Studies in both pediatric and adult settings support this view — detection of distress is increased when physicians and patients (or parents) believe they have an ongoing relationship.3 - 5 Guidelines for pediatric primary care, 6 supported by studies in child development, 7 underline the importance of detecting problems with parental mental health, especially in the first years of a child'
PRIMARY CARE is thought to create an atmosphere in which sensitive concerns are more readily raised.1, 2 Studies in both pediatric and adult settings support this view — detection of distress is increased when physicians and patients (or parents) believe they have an ongoing relationship.3 - 5 Guidelines for pediatric primary care, 6 supported by studies in child development, 7 underline the importance of detecting problems with parental mental health, especially in the first years of a child's l
CARE is thought to create an atmosphere in which sensitive concerns are more readily raised.1, 2 Studies in both
pediatric and adult settings support this view — detection
of distress is increased when physicians and patients (or parents) believe they have an ongoing relationship.3 - 5 Guidelines for
pediatric primary care, 6 supported by studies in child development, 7 underline the importance of detecting problems with parental mental health, especially in the first years of a child'
primary care, 6 supported by studies in child development, 7 underline the importance of detecting problems with parental mental health, especially in the first years of a child's l
care, 6 supported by studies in child development, 7 underline the importance
of detecting problems with parental mental health, especially in the first years
of a child's life.
The integration
of behavioral health services in
pediatric primary care: services, science, and suggestions.
This report also (1) reviews the prevalence
of behavioral and emotional disorders, (2) describes factors affecting the emergence
of behavioral and emotional problems, (3) articulates the current state
of detection
of these problems in
pediatric primary care, (4) describes barriers to screening and means to overcome those barriers, and (5) discusses potential changes at a practice and systems level that are needed to facilitate successful behavioral and emotional screening.
North Carolina Linkages for Prevention brought together
primary care practices and local state health departments in Durham to improve the delivery
of preventive
care in
pediatric primary care practices and implement intensive HV to low - income pregnant women and their infants.
In a recent policy statement, «The Future
of Pediatrics: Mental Health Competencies for
Pediatric Primary Care,» the American Academy of Pediatrics (AAP) also recognized the unique advantage of the primary care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatri
Primary Care,» the American Academy of Pediatrics (AAP) also recognized the unique advantage of the primary care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatric c
Care,» the American Academy
of Pediatrics (AAP) also recognized the unique advantage
of the
primary care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatri
primary care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered pediatric c
care clinician for surveillance, screening, and working with families to improve mental health outcomes.29 The AAP Medical Home Initiative30 and the AAP policy statement on the family31 addressed family - centered
pediatric carecare.
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.
Only a limited number
of well - validated screens suitable for use in
primary care for broad screening
of family psychosocial risk and family support and functioning are available, although a few show promise.54 — 56 There are screening measures for specific psychosocial stressors, such as maternal depression, and these have been shown to be feasible in
pediatric settings.57, 58 Family screening for psychosocial risk within
pediatric settings, however, raises a number
of dilemmas, including concerns about liability and payment and who is responsible for an adult's well - being after a problem is detected.59
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
The eastern sample was recruited in the first 2 years
of life from 3
pediatric clinics: 1 for children at high risk for human immunodeficiency virus disease, 1 for children with failure to thrive, and a third providing
pediatric primary care.
• In the
pediatric practice
of San Francisco's Nadine Burke Harris, MD, children are screened for various types
of adverse experiences that increase their risks
of long - term health problems associated with ACEs.15 The treatment model is multidisciplinary in the
primary care setting and includes home visits to support families where they are.
The current study provides evidence from a large national
pediatric primary care sample that the rates
of risk and reliability
of the PSC - 17 found in the current sample were comparable to those reported in the original derivation study collected about 15 years earlier and that the previously identified factor structure fit the current data reasonably well.
This study replicated in a new, large national sample findings from a derivation sample collected about 15 years earlier and therefore supports the continued use
of the PSC - 17 as a measure
of psychosocial functioning in
pediatric primary care and research.
Given the likely lower cost
of targeted
pediatric primary care interventions compared with home - based programs, 34 cost - effectiveness analyses will be needed to better understand implications for public health policy.
Because this study sought to investigate the use
of the PSC - 17 in a US
primary care pediatric population, an additional 11106 patients screened in the specialty practices
of developmental behavioral pediatricians and in 6 practices outside the United States were excluded.
Use
of the
pediatric symptom checklist to screen for psychosocial problems in
pediatric primary care: a national feasibility study.
Within this same context, the health dimension
of early childhood policy has focused largely on the traditional components
of primary pediatric care, such as immunizations, early identification
of sensory impairments and developmental delays, and the prompt diagnosis and treatment
of medical problems.
Screening for Intimate Partner Violence in a
Pediatric Primary Care Clinic Dubowitz, Prescott, Feigelman, Lane, & Kim Pediatrics, 121 (1), 2008 Estimates the prevalence of intimate partner violence among parents at a pediatric primary care clinic and evaluates the effectiveness of a brief screen for intimate partner vi
Primary Care Clinic Dubowitz, Prescott, Feigelman, Lane, & Kim Pediatrics, 121 (1), 2008 Estimates the prevalence of intimate partner violence among parents at a pediatric primary care clinic and evaluates the effectiveness of a brief screen for intimate partner viole
Care Clinic Dubowitz, Prescott, Feigelman, Lane, & Kim Pediatrics, 121 (1), 2008 Estimates the prevalence
of intimate partner violence among parents at a
pediatric primary care clinic and evaluates the effectiveness of a brief screen for intimate partner vi
primary care clinic and evaluates the effectiveness of a brief screen for intimate partner viole
care clinic and evaluates the effectiveness
of a brief screen for intimate partner violence.