加强跨专业跨机构合作,帮助少数民族和低收入慢性病儿童。

School psychology (Washington, D.C.) Pub Date : 2024-07-01 Epub Date: 2024-06-13 DOI:10.1037/spq0000632
Karen C Stoiber, Christie A Ruehl, Kyle K Landry, Alex A Smith, Cheryl L Brosig
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摘要

患有慢性疾病的儿童在健康、社会心理和学习方面都面临着独特的挑战。由于其需求的复杂性,这些儿童及其家庭在获得教育服务和医疗保健管理时往往会遇到多层次的障碍。医疗-家庭-学校跨专业跨机构合作(IIC)是促进跨机构信息共享、护理伙伴间治疗协调以及公平、高质量的校本服务提供所必需的。本文介绍了一种新颖的以医院为基础的学校咨询联络服务--教育成就合作计划(EAPP),该计划与慢性病患儿的家庭、学校、医院和社区医疗合作伙伴开展机构间合作。我们探讨了低收入儿童和少数种族/族裔儿童在 IIC 服务中的比例失调问题,并研究了提高 IIC 服务获取率和利用率的方法。结果表明,针对与家庭进行面对面交流的系统性变革大大提高了少数族裔和低收入儿童对 EAPP 的参与度。尽管如此,在 EAPP 服务提供的各个阶段,少数民族儿童和白人儿童的利用率仍存在差异。这些结果凸显了持续开展综合儿童规划服务评估以检查实施内容有效性的重要性。我们讨论了以学校心理学家为主导的医疗联络咨询方法开展类似的医疗-家庭-学校综合儿童方案的意义,并强调了这种方案的机遇。我们的结论是,通过在沟通模式、研究生培训、实践和研究方面的创新,可以更好地促进 IIC 的发展。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
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Enhancing interprofessional interagency collaboration for minoritized and low-income children with chronic illnesses.

Children with chronic illnesses present unique health, psychosocial, and learning challenges. Due to the complexities surrounding their needs, these children and their families often encounter multilayered barriers when accessing educational services and health care management. Medical-family-school interprofessional interagency collaborations (IIC) are needed to facilitate information sharing across institutions, treatment alignment among care partners, and equitable and high-quality school-based service delivery. This article presents a novel hospital-based school consultative liaison service, the Educational Achievement Partnership Program (EAPP), which conducts IIC with the families, schools, hospitals, and community care partners of children with chronic illnesses. We explore disproportionalities in IIC services among low-income and racially/ethnically minoritized children and examine ways to increase IIC service access and utilization. Results demonstrate that systematic changes targeting in-person communication with families significantly increased minoritized and low-income children's EAPP participation. Despite this increase, differences occurred between minoritized and White children's utilization through all stages of EAPP service delivery. These results underscore the importance of ongoing IIC service evaluation to examine the effectiveness of implementation components. We discuss implications and highlight opportunities for similar medical-family-school IIC under a school psychologist-led medical liaison consultative approach. We conclude that IIC is best fostered through innovations in communication models, graduate training, practice, and research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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