Not exact matches
Provides health - care professionals — including
pediatricians, family
practice providers, hospital nurses, school nurses, urgent care clinicians, and other health - care professionals — with an overview of the field of child welfare and suggests ways that health - care professionals and child welfare workers can work together to promote better outcomes for children and families involved with child welfare, including children in foster care.
The ways
pediatricians can protect, promote, and support breastfeeding in their individual
practices, hospitals, medical schools, and communities are delineated, and the central role of the
pediatrician in coordinating breastfeeding management and
providing a medical home for the child is emphasized.3 These recommendations are consistent with the goals and objectives of Healthy People 2010,4 the Department of Health and Human Services» HHS Blueprint for Action on Breastfeeding, 5 and the United States Breastfeeding Committee's Breastfeeding in the United States: A National Agenda.6
The design of the study also
provides a model for implementing such a change in the
practice of
pediatricians.
Primary Care Physician (Personal Care Provider)(PCP) is a medical professional (family
practice physicians, general internal medicine physicians,
pediatricians, and sometimes obstetrician / gynecologists) who
provides a range of health care services to insured individuals, manages the health care of HMO patients and makes referrals to other specialists when required.
The majority of
pediatricians agree that screening for perinatal depression is in the scope of pediatric
practice.34 In a survey by Olson et al, 35 few of the
pediatricians felt that they were responsible for diagnosis and management, but the majority reported that they had
provided brief interventions.
An enhanced medical home
providing integrated care for families in poverty is informed by the understanding that emotional care of the family, including recognizing maternal depression, is within the scope of
practice for community
pediatricians and that the effects of toxic stress on children can be ameliorated by supportive, secure relational health during early childhood.
The policy statement «The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care» outlined the skills
pediatricians need in the area of mental health.37 The AAP Task Force on Mental Health has developed materials to help
pediatricians assess their current
practice and readiness to change and to code accurately for mental health screening and services.38, 39 The AAP also developed a Web site
providing resources and materials free of charge (http://www2.aap.org/commpeds/dochs/mentalhealth/KeyResources.html) 40 as well as «Addressing Mental Health Concerns in Primary Care: A Clinician's Toolkit,» 41 which is available for a fee.
More intervention families received anticipatory guidance that matched their preferences (54.9 % vs 49.2 %; P <.01; OR: 1.33; 95 % CI: 1.13 — 1.56), agreed that the
pediatrician or nurse practitioner
provided support (82.0 % vs 79.0 %; P =.04; OR: 1.25; 95 % CI: 1.02 — 1.53), and ultimately remained at the HS
practice (65.1 % vs 61.4 %; P =.04; OR: 1.19; 95 % CI: 1.01 — 1.39).
Intervention families also reported increased odds of someone in the
practice going out of the way for them (OR, 2.06 [95 % CI, 1.64 to 2.58] and OR, 2.11 [95 % CI, 1.72 to 2.59]-RRB- and reduced odds of dissatisfaction (eg, disagree that
pediatrician / nurse practitioner
provided support)(OR, 0.44 [95 % Ci, 0.31 to 0.63] and OR, 0.32 [95 % CI, 0.24 to 0.43]-RRB-.
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