Identifying, treating, and referring traumatized children: The role
of pediatric providers.
Identifying, treating, and referring traumatized children: the role
of pediatric providers.
Providing quality pediatric care for young children involves matching the needs and expectations of families with the organizational structure and clinical practices
of pediatric providers.
The majority
of pediatric providers did not identify a need for education about several high - prevalence disorders that they do not frequently diagnose or treat, including conduct disorder and substance abuse.
Please call Women & Infants» Physician Referral Health Line at 1-800-921-9299 if you have any questions or for the name
of a pediatric provider.
The study did not find significant differences in perceptions related to time in practice or gender
of the pediatric provider.
Not exact matches
As a member
of the International Chiropractic
Pediatric Association, I suggest searching for a
provider with
pediatric experience in your area by visiting icpa4kids.
Allow plenty
of time for this process — that way, if there is an issue your child can continue seeing the
pediatric specialist until you find an adult
provider who is a better fit.
Save Babies Through Screening Foundation educates parents,
pediatric healthcare
providers, and policy makers about available comprehensive newborn screening, the importance
of obtaining positive or other test results requiring follow - up actions within 5 days
of birth, and the importance
of prompt confirmatory testing and treatment / management when needed.
There seems to be a great ignorance among our
pediatric providers regarding the management
of jaundice.
Since some parents may have chosen a pediatrician who does not routinely provide newborn care at our hospital, and still others may not have been able to select a
pediatric provider before their baby is born, we offer the services
of the Cochran Newborn Service during your baby's hospital stay.
At 2 weeks, your baby will enter
pediatric care with the
provider of your choice.
When resources for emergency cesarean delivery are not available, ACOG recommends that obstetricians or other obstetric care
providers and patients considering TOLAC discuss the hospital's resources and availability
of obstetric,
pediatric, anesthesiology, and operating room staffs.
First, fathers» interactive play during toddlerhood has been longitudinally associated with attachment security in later childhood and adolescence.17 Second, fathers» speech and language interactions with infants have been positively associated with language development, and paternal depression has been shown to adversely impact this process.18, — , 20 Third, discipline practices, such as corporal punishment, have been longitudinally associated with increased child aggressive behavior.21 In addition, paternal depressive symptoms have been longitudinally associated with harsh paternal discipline practices in older children and subsequent child and adolescent maladjustment.11 Finally, as an indicator
of fathers» interactions with
pediatric providers, we also examined the proportion
of depressed fathers that reported talking with their children's doctor within the previous year.
Close communication between the obstetric care
provider and
pediatric team before delivery is necessary for optimal management
of the neonate.
Health care
providers can monitor bone health
of pediatric patients by ensuring that they maintain a healthy body weight, are engaging in weight bearing exercise and have adequate nutritional intake
of calcium and vitamin D. Routine imaging with DXA scans is not recommended at this time, she noted.
«Our research shows there are significant associations between ACE exposures and having an ADHD diagnosis, and we encourage
pediatric providers to more frequently evaluate for ACEs as part
of ADHD assessments,» said Dr. Brown.
A division
of Rhode Island Hospital, Hasbro Children's Hospital is the region's premiere
provider of pediatric clinical care.
PediPRN is an innovative model
of consultation and collaboration between
pediatric primary care and child psychiatry
providers.
A key element in curbing this growing problem is a better understanding
of how medical
providers can help treat and manage
pediatric obesity as p...
As a division
of Rhode Island Hospital, Hasbro Children's Hospital is the region's premiere
provider of pediatric clinical care.
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.
You're particularly vulnerable in the emergency room (ER) and intensive care unit (ICU), where odds are you're already seriously ill and require multiple procedures from time - stressed
providers, explains Janet Corrigan, PhD,
of the National Quality Forum in Washington, D.C. «You're also at risk on the hospital's
pediatric floors because
of the challenges
of caring for children.»
The goal
of my holistic
pediatric practice is to inform, support and empower parents to become the primary health care
providers for their children.
Patients with classic CAH should have a team
of health care
providers, including specialists in
pediatric endocrinology,
pediatric urologic surgery, mental health care
provider, and genetics.
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.»
«As one
of the largest
pediatric clinical care
providers in the country, we service over 800,000 patient visits every year.
With 3 hospitals, 27 neighborhood locations and a total
of 622 beds, Children & rsquo; s is the largest healthcare
provider for children in Georgia and one
of the largest
pediatric clinical care
providers in the country.
Washington, DC About Blog Children's National Health System is the premier
provider of pediatric care in the Washington, DC, metropolitan area and is the only freestanding children's hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta.
The center focuses on developing and evaluating treatment protocols; improving understanding
of psychological and biological factors in
pediatric OCD, anxiety, and tic disorders; and training
providers in the community to deliver evidence - based treatment.
Minkovitz et al concluded that «Increased
provider training for recognizing maternal depressive symptoms in office settings, more effective systems
of referral, and development
of partnerships between adult and
pediatric providers could contribute to enhanced receipt
of care among young children.»
A collaborative care management model in
pediatric practice (DOCC) enhanced access to and completion
of behavioral health services, child and parental outcomes, consumer satisfaction, and
provider practices, relative to EUC.
The future
of pediatric care is working in multidisciplinary teams with the shared goal
of delivering the right care at the right time and in the right place with the right
providers.
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).
As trusted authorities in child health and development,
pediatric providers must now complement the early identification
of developmental concerns with a greater focus on those interventions and community investments that reduce external threats to healthy brain growth.
In 1975, the term «new morbidity» was introduced to describe those noninfectious entities that appeared to be most prevalent.2 This important conceptualization underscored a growing realization that significant societal changes (eg, increasing numbers
of single parents and families with 2 working parents) were challenging
pediatric health care
providers to address complex concerns that were not strictly medical in nature.
Because so many
of the origins and consequences
of childhood toxic stress lie beyond the boundaries
of the clinical setting,
pediatric providers are often called on to work collaboratively with parents, social workers, teachers, coaches, civic leaders, policy makers, and other invested stakeholders to influence services that fall outside the traditional realm
of clinical practice.72 In many cases, these efforts extend even further afield, moving into the realm
of ecologically based, public health initiatives that address the precipitants
of toxic stress at the community, state, and national levels.
Because pediatricians have nearly universal, relatively frequent and recurring contact with young children and their families, they are uniquely well positioned to have an impact on developmental outcomes through anticipatory guidance at well - child visits, early developmental screening, practice - based developmental interventions, community linkage and referral programs, and advocacy for broader social change to support child development.40 — 44 This study reinforces the potential benefits
of practice - based programs that support parenting and the home learning environment, such as «Reach Out and Read» and «Healthy Steps for Young Children,» 16,45,46 as well as community - based programs that help guide families through systems
of care for developmental support, like Help Me Grow.47 Efforts to connect
pediatric practices with home visitor and early care and education
providers may provide referral opportunities for promoting early brain development.48 — 52
Promising school - based interventions (Gross et al., 2003; Reid, Webster - Stratton, & Hammond, 2003) may not be useful if ODD symptoms occur primarily at home, and interventions and referrals originating in
pediatric primary care offer certain advantages: (a) other than teachers, physicians have the most professional contact with the families
of preschoolers; (b) pediatricians report that research on the role
of the primary care
provider in treating mental health problems is important to them (Chien et al., 2006); and (c) parents tend to trust physicians» opinions, and pediatricians» recommendations are the best predictor
of help - seeking for preschoolers» behavior problems (Lavigne et al., 1993).
Given the brevity
of pediatric visits,
providers can target behaviors like reading, talking, singing, cuddling, and bonding that are important.
Screening and assessment allow health care
providers to triage
pediatric patients and families to the appropriate and needed level
of psychosocial care.
As a
pediatric health care
provider, how often do you explain to parents / caregivers the importance
of taking care
of themselves?
Among the projects ETTN will do to improve access to services and raise the standard
of care for traumatized very young children are: creating educational and training materials for parents, childcare
providers, service
providers for families in the military,
pediatric providers, child welfare professionals, judges, and foster care
providers; and collaborating with the Network and NCTSN centers in cross-site evaluation, training, and dissemination.
PediPRN is an innovative model
of consultation and collaboration between
pediatric primary care and child psychiatry
providers.
By integrating an understanding
of traumatic stress in their routine interactions with children and families (i.e., providing «trauma - informed»
pediatric care),
providers can change how children and families respond to and cope with emotional reactions to illness and injury.
Parent — child dyads were recruited from those scheduled for a well - child visit with a
pediatric primary care
provider at 1
of 20 clinics in the greater Minneapolis - St.