Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.48
Cam Phan, John Davis, Michael Napkori
Background: The American Academy of Pediatrics as well as the Department of Health and Human Services for Medicare and Medicaid call for pediatricians to screen for maternal depression at newborn exams and well child checks following the initial visit. Postpartum depression is something that has been studied for years in medicine, more so its effects on mothers as opposed to fathers. The overall goal of this study is to show other providers that there is a simple yet effective way to …
{"title":"Identifying Maternal and Paternal Postpartum Depression in the Primary Care Setting with Appropriate Intervention and Follow-Up","authors":"Cam Phan, John Davis, Michael Napkori","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.48","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.48","url":null,"abstract":"Background: The American Academy of Pediatrics as well as the Department of Health and Human Services for Medicare and Medicaid call for pediatricians to screen for maternal depression at newborn exams and well child checks following the initial visit. Postpartum depression is something that has been studied for years in medicine, more so its effects on mothers as opposed to fathers. The overall goal of this study is to show other providers that there is a simple yet effective way to …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121017719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.59-A
T. Gayle, Olanrewaju O. Falusi, Iana Clarence, K. Donnelly
BACKGROUND: Food insecurity (FI) affects 1 in 9 Americans. While pediatric residency programs begun including FI training, many are didactic-based. Engagement with FI requires community-based training in partnership with need-based organizations. METHODS: In the curriculum, PL1s visit a food bank. Experiential learning is utilized as a conceptual framework, through which knowledge is gained. The day begins with service learning in the urban garden and a discussion …
{"title":"The Power Of One: Combining a Community Partnership With a Dynamic Advocacy Curriculum","authors":"T. Gayle, Olanrewaju O. Falusi, Iana Clarence, K. Donnelly","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.59-A","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.59-A","url":null,"abstract":"BACKGROUND: Food insecurity (FI) affects 1 in 9 Americans. While pediatric residency programs begun including FI training, many are didactic-based. Engagement with FI requires community-based training in partnership with need-based organizations. METHODS: In the curriculum, PL1s visit a food bank. Experiential learning is utilized as a conceptual framework, through which knowledge is gained. The day begins with service learning in the urban garden and a discussion …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129871594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.53
Jeffrey D. Shahidullah, S. Forman, Adam J. Lekwa
{"title":"Prescribing Psychotropic Medications in Primary Care: Pediatric Resident Perspectives on Training and Practice","authors":"Jeffrey D. Shahidullah, S. Forman, Adam J. Lekwa","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.53","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.53","url":null,"abstract":"","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129320329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.46
M. Boutry, S. Ronis, Marie Masotya, G. Birkby, S. Lo
Background: We implemented a pilot group well child care (GWCC) program as an alternative to individual well child care (IWCC) in a large, urban, pediatric practice caring for children insured by Medicaid, with the overarching goals of increasing parent empowerment and social support Our GWCC model was conceived as an extension of existing CenteringPregnancy group perinatal care programs, enrolling groups of approximately 6-8 parents and their newborns. GWCC follows Bright Futures guidelines for well-visit schedule from birth to age 2. A clinician facilitates the …
{"title":"Group Well Child Care as a Strategy to Support Parents","authors":"M. Boutry, S. Ronis, Marie Masotya, G. Birkby, S. Lo","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.46","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.46","url":null,"abstract":"Background: We implemented a pilot group well child care (GWCC) program as an alternative to individual well child care (IWCC) in a large, urban, pediatric practice caring for children insured by Medicaid, with the overarching goals of increasing parent empowerment and social support Our GWCC model was conceived as an extension of existing CenteringPregnancy group perinatal care programs, enrolling groups of approximately 6-8 parents and their newborns. GWCC follows Bright Futures guidelines for well-visit schedule from birth to age 2. A clinician facilitates the …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124604198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.47
Wendy L M Hunter, P. Hartigan, Mary J. Baker-Ericzén, Vianey Perez-Maldonado
Background: Social determinants have a powerful effect on child health and are linked to parenting practices, with lower income minority families displaying lower parent-child interactions. Pediatricians have an opportunity to promote child health. Yet, low access and time constraints within pediatric visits make it challenging to teach and model parenting behaviors towards child health. Health Stars is a new model of care that brings pediatricians into the communities of high-risk families to increase child health education with parent-child interactive …
{"title":"“Health Stars” Model to Increase Diverse Parents’ Child Health Education","authors":"Wendy L M Hunter, P. Hartigan, Mary J. Baker-Ericzén, Vianey Perez-Maldonado","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.47","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.47","url":null,"abstract":"Background: Social determinants have a powerful effect on child health and are linked to parenting practices, with lower income minority families displaying lower parent-child interactions. Pediatricians have an opportunity to promote child health. Yet, low access and time constraints within pediatric visits make it challenging to teach and model parenting behaviors towards child health. Health Stars is a new model of care that brings pediatricians into the communities of high-risk families to increase child health education with parent-child interactive …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114863181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.60
A. Shapiro, B. Hackley, L. Hargarten, Monica Kavanaugh, Fadhylla Saballos Tercero, D. Herszenson, Scott Ikeda, J. Kopa
The COVID-19 pandemic has caused a significant loss of life and dramatically upended the livelihood of communities across the world. However, as with other health crises, the pandemic has hit low-income communities particularly hard. Epidemiological data have shown that individuals in poorer communities are not only at a higher risk for severe COVID-19 illness and fatality, but are also at a heightened risk of suffering long-term economic and social consequences as indirect effects of the pandemic, highlighting the need for community-wide interventions. As community-based institutions, whose primary role is to …
{"title":"The Role of a Federally Qualified Health Center During a Pandemic","authors":"A. Shapiro, B. Hackley, L. Hargarten, Monica Kavanaugh, Fadhylla Saballos Tercero, D. Herszenson, Scott Ikeda, J. Kopa","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.60","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.60","url":null,"abstract":"The COVID-19 pandemic has caused a significant loss of life and dramatically upended the livelihood of communities across the world. However, as with other health crises, the pandemic has hit low-income communities particularly hard. Epidemiological data have shown that individuals in poorer communities are not only at a higher risk for severe COVID-19 illness and fatality, but are also at a heightened risk of suffering long-term economic and social consequences as indirect effects of the pandemic, highlighting the need for community-wide interventions. As community-based institutions, whose primary role is to …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125998509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.52
R. Whitmire, B. Rezet, Kaitlyn Petruccelli, A. Gula, Noreena Lewis
Background: Over 700,000 children experience abuse in the US annually Reported and substantiated cases ofchild abuse increase in the months following disasters The COVID-19 pandemic has increased known riskfactors for child abuse, including financial hardship, unemployment, increased anxiety, increased caregiverresponsibilities, and decreased access to behavioral health services and community resources Children andfamilies already facing homelessness prior to the pandemic may be at especially heightened risk of childmaltreatment The Homeless Health Initiative (HHI) was developed by pediatrics residents and is now amultifaceted advocacy network supporting local, urban homeless shelters that is funded and staffed by ourinstitution PriCARE is a positive parenting program also funded and staffed by our institution Both HHI andPriCARE had to suspend in-person services due to the COVID-19 pandemic at a time when families may mostneed additional support Online parenting support programs have demonstrated significant reductions innegative parent-child interactions, problematic child behaviors, negative disciplinary methods, parent stressand depression, and child anxiety Therefore, the multidisciplinary team members that serve families throughHHI and PriCARE sought to develop a virtual platform to provide their support Methodology: The goal of thisinitiative is to establish a multidisciplinary virtual program for families experiencing homelessness thatprovides trauma-informed, positive parenting support, promotion of healthy parent-child relationships,relevant illness and injury prevention tips, and anticipatory guidance for families coping during a pandemic We completed a needs assessment through ongoing communication with families and workers at the shelters Various stakeholders, including experts in child abuse prevention, intimate partner violence, and positiveparenting, worked together to develop supportive materials for families related to the above topics Weconducted virtual sessions including members of each participating stakeholder in an open-ended formatguided by participants' concerns, both previously submitted and in real-time, to provide support and developfamily-centered programming Our platform was compatible with phones distributed to shelter residents bythe city during the pandemic to facilitate open access To supplement virtual content, we also distributedaccompanying resources for reinforcement Further development of this initiative is ongoing with iterativeplan/do/study/act (PDSA) cycles Anonymous feedback from shelter residents and session leader debriefs areintegral in guiding our modifications Discussion: The delivery of our material via video conferencing andwritten handouts is practical, feasible, and respectful of physical distancing recommendations We arecontinuing to improve this initiative in response to feedback In addition, we plan to integrate thisinterdisciplinary model focusing on positive parenting into our in-person se
{"title":"Parenting in a Pandemic: An Innovative Virtual Support Forum for Families Living in Homeless Shelters","authors":"R. Whitmire, B. Rezet, Kaitlyn Petruccelli, A. Gula, Noreena Lewis","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.52","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.52","url":null,"abstract":"Background: Over 700,000 children experience abuse in the US annually Reported and substantiated cases ofchild abuse increase in the months following disasters The COVID-19 pandemic has increased known riskfactors for child abuse, including financial hardship, unemployment, increased anxiety, increased caregiverresponsibilities, and decreased access to behavioral health services and community resources Children andfamilies already facing homelessness prior to the pandemic may be at especially heightened risk of childmaltreatment The Homeless Health Initiative (HHI) was developed by pediatrics residents and is now amultifaceted advocacy network supporting local, urban homeless shelters that is funded and staffed by ourinstitution PriCARE is a positive parenting program also funded and staffed by our institution Both HHI andPriCARE had to suspend in-person services due to the COVID-19 pandemic at a time when families may mostneed additional support Online parenting support programs have demonstrated significant reductions innegative parent-child interactions, problematic child behaviors, negative disciplinary methods, parent stressand depression, and child anxiety Therefore, the multidisciplinary team members that serve families throughHHI and PriCARE sought to develop a virtual platform to provide their support Methodology: The goal of thisinitiative is to establish a multidisciplinary virtual program for families experiencing homelessness thatprovides trauma-informed, positive parenting support, promotion of healthy parent-child relationships,relevant illness and injury prevention tips, and anticipatory guidance for families coping during a pandemic We completed a needs assessment through ongoing communication with families and workers at the shelters Various stakeholders, including experts in child abuse prevention, intimate partner violence, and positiveparenting, worked together to develop supportive materials for families related to the above topics Weconducted virtual sessions including members of each participating stakeholder in an open-ended formatguided by participants' concerns, both previously submitted and in real-time, to provide support and developfamily-centered programming Our platform was compatible with phones distributed to shelter residents bythe city during the pandemic to facilitate open access To supplement virtual content, we also distributedaccompanying resources for reinforcement Further development of this initiative is ongoing with iterativeplan/do/study/act (PDSA) cycles Anonymous feedback from shelter residents and session leader debriefs areintegral in guiding our modifications Discussion: The delivery of our material via video conferencing andwritten handouts is practical, feasible, and respectful of physical distancing recommendations We arecontinuing to improve this initiative in response to feedback In addition, we plan to integrate thisinterdisciplinary model focusing on positive parenting into our in-person se","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127084391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.50
A. Fyfe-Johnson, E. Marcuse, P. Tandon, M. Hazlehurst, Gregory N. Bratman, Rick Thomas, S. Perrins, K. Garrett
Background: Daily outdoor play for children has been encouraged by the American Academy of Pediatrics, which has long recognized the importance of play for promoting children’s health and social-emotional development. The COVID-19 related school closures and activity restrictions have highlighted potential inequities in opportunities for children to play outdoors. There is increasing evidence, of varying quality, that outdoor environments containing elements of nature may offer benefits for children’s health that come specifically from the nature contact experienced. However, one barrier to increasing support for nature contact from the health …
背景:美国儿科学会(American Academy of Pediatrics)一直鼓励儿童每天在户外玩耍,该学会很早就认识到玩耍对促进儿童健康和社会情感发展的重要性。与COVID-19相关的学校停课和活动限制凸显了儿童在户外玩耍机会方面可能存在的不平等。越来越多的证据表明,虽然质量不同,但含有自然元素的户外环境可能对儿童的健康有益,特别是来自与自然的接触。然而,增加对自然接触的支持的一个障碍来自卫生…
{"title":"Nature Contact and Children's Health: A Systematic Review","authors":"A. Fyfe-Johnson, E. Marcuse, P. Tandon, M. Hazlehurst, Gregory N. Bratman, Rick Thomas, S. Perrins, K. Garrett","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.50","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.50","url":null,"abstract":"Background: Daily outdoor play for children has been encouraged by the American Academy of Pediatrics, which has long recognized the importance of play for promoting children’s health and social-emotional development. The COVID-19 related school closures and activity restrictions have highlighted potential inequities in opportunities for children to play outdoors. There is increasing evidence, of varying quality, that outdoor environments containing elements of nature may offer benefits for children’s health that come specifically from the nature contact experienced. However, one barrier to increasing support for nature contact from the health …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125306048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.33
Deshna Majmudar, S. Gahagan, R. Burrows, S. Martinez, P. East, E. Blanco
Background: Stress can affect appetite via disruptions in appetite hormones and adipokines. Stress triggered by an adverse home environment might also relate to appetite. Objective: To determine whether adverse home environments in childhood and adolescence relate to disruptions in appetite hormones in adolescence, or specifically, lower levels of adiponectin and ghrelin and higher levels of leptin and orexin. Methods: Home environments were measured for forms/types of adversity (i.e., depression, family stress, …
{"title":"Associations Between Adverse Home Environments and Appetite Hormones, Adipokines, and Adiposity in Adolescence: A Longitudinal Study of a Chilean Birth Cohort","authors":"Deshna Majmudar, S. Gahagan, R. Burrows, S. Martinez, P. East, E. Blanco","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.33","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.33","url":null,"abstract":"Background: Stress can affect appetite via disruptions in appetite hormones and adipokines. Stress triggered by an adverse home environment might also relate to appetite. Objective: To determine whether adverse home environments in childhood and adolescence relate to disruptions in appetite hormones in adolescence, or specifically, lower levels of adiponectin and ghrelin and higher levels of leptin and orexin. Methods: Home environments were measured for forms/types of adversity (i.e., depression, family stress, …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125986547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.39
Danielle Cullen, Douglas Strane, J. Fein
Background: 21.5 million low-income children rely on free or reduced-price meals during the school year. The USDA Summer Food Service Program (SFSP) provides meals to children during summer months, but due to lack of awareness fewer than 1 in 8 eligible children participate. The medical center is one of the few institutions that children access during the summer months, and as such may be a prime location for these programs. We evaluate the effectiveness of situating a …
{"title":"Complete Eats: A Hybrid Type I Effectiveness and Implementation Study of a Clinically Based Summer Food Service Program","authors":"Danielle Cullen, Douglas Strane, J. Fein","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.39","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.39","url":null,"abstract":"Background: 21.5 million low-income children rely on free or reduced-price meals during the school year. The USDA Summer Food Service Program (SFSP) provides meals to children during summer months, but due to lack of awareness fewer than 1 in 8 eligible children participate. The medical center is one of the few institutions that children access during the summer months, and as such may be a prime location for these programs. We evaluate the effectiveness of situating a …","PeriodicalId":299575,"journal":{"name":"Council on Community Pediatrics Program","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122136422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}