Family-Centered Primary Care for Teen Parents and Their Children

SmithBattle, Lee; Loman, Deborah G.; Cibulka, Nancy J.

doi:10.1016/j.pedhc.2019.09.010

Cited by 9 publications

(12 citation statements)

References 84 publications

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“…Qualitative research reveals what may be hidden, misunderstood, or distorted by cultural, professional, and scientific biases. This is especially the case for vulnerable populations like teen mothers whose experiences and social contexts are largely unfamiliar to clinicians and policy makers (SmithBattle et al, 2019a). Professionals inhabit social worlds that are far removed from the experiential realities that predispose disadvantaged youth to engage in unprotected sex and become a teen parent; they may also be unaware of the transformative possibilities that are often imperiled by structural inequalities (see Wagner, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Understanding the paradox of teen mothering is indispensable for designing clinical services that are youth friendly, person-centered, strength based, and trauma informed (MacVicar et al, 2015; SmithBattle et al, 2019a). Bolstering the transformative power of mothering requires educating students and clinicians to engage teen mothers as experts on their own lives and not as passive recipients of professional expertise.…”

Section: Discussionmentioning

confidence: 99%

“…Providing referrals for parenting guidance, assistance with nutrition and lactation support, schooling, housing, mental health, and legal resources may reduce the impediments that undermine transformation. Improving clinical care along these lines is contingent on dismantling stereotypes and creating health care settings committed to equitable and teen-friendly care (Healthy Teen Network, 2007; Quosdorf et al, 2020; SmithBattle, 2020; SmithBattle et al, 2019a).…”

Section: Discussionmentioning

confidence: 99%

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An Umbrella Review of Qualitative Research on Teen Mothering

2020

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The sheer volume of qualitative research on teen mothering over three decades has generated numerous scientific reviews. This umbrella review synthesizes the findings of these reviews and describes the utility of this evidence for improving clinical practice and policy. A comprehensive search of six electronic databases performed through October 2019 yielded 17 articles from 15 independent reviews. Data were extracted and key findings were synthesized to yield the following paradox: mothering has the potential for transforming and redirecting teens’ lives in positive ways because of, and despite, difficult childhoods, constricted pathways to adulthood, fragile partner relationships, social inequities, and stigma. By bringing visibility to the paradox that teen mothering simultaneously transforms and imperils, this review extends the science on teen mothering and enhances the generalizability and utility of small-scale qualitative studies for reframing practice, policy, and behavioral interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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An Umbrella Review of Qualitative Research on Teen Mothering

2020

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“…At a systems level, most communities with publicly funded health care systems report insufficient specialized mental health services to meet the needs of pregnant and postpartum youth [16] . This leaves many young mothers to seek out mental health support from primary care providers [17] , who report varied levels of knowledge, skills, or confidence to treat the potentially complex mental health needs of this population [14 , 18] . Additional barriers to access include limited resources for transportation and childcare, and a reported lack of time related to balancing the competing demands of self-care with parenting and education or employment [14 , 15 , 19] .…”

Section: Introductionmentioning

confidence: 99%

Young mothers’ use of and experiences with mental health care services in Ontario, Canada: a qualitative descriptive study

et al. 2022

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Background Despite the high prevalence of mental health issues among young mothers, their subsequent needs for mental health care support does not correlate with their access and use of services. The purpose of this study, grounded in the experiences of young mothers living in Ontario, Canada, was to describe their experiences of using mental health services during the perinatal period, and to identify the attributes of services and professionals that influenced their decision to engage with mental health services. Methods As the qualitative component of a sequential explanatory mixed methods study, the principles of qualitative description informed sampling, data collection, and analysis decisions. In-depth, semi-structured interviews were conducted with a purposeful sample of 29 young mothers (≤ 21 years) who met diagnostic criteria for at least one psychiatric disorder, and who were ≥ 2 months postpartum. Interview data were triangulated with data from ecomaps and a sub-set of demographic data for this purposeful sample from the survey conducted in the quantitative study component. Qualitative data were analyzed using both conventional content analysis and reflexive thematic analysis; the subset of survey data extracted for these 29 participants were analyzed using descriptive statistics. Results Young mothers identified the need to have at least one individual, either an informal social support or formal service provider who they could talk to about their mental health. Among participants deciding to seek professional mental health support, their hesitancy to access services was grounded in past negative experiences or fears of being judged, being medicated, not being seen as an active partner in care decisions or experiencing increased child protection involvement. Participants identified organizational and provider attributes of those delivering mental health care that they perceived influenced their use of or engagement with services. Conclusion Organizations or health/social care professionals providing mental health services to young pregnant or parenting mothers are recommended to implement trauma-and violence-informed care. This approach prioritizes the emotional and physical safety of individuals within the care environment. Applying this lens in service delivery also aligns with the needs of young mothers, including that they are actively listened to, treated with respect, and genuinely engaged as active partners in making decisions about their care and treatment.

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“…Fortunately, strong partnerships between adolescent mothers and their pediatricians can mitigate many of these risks and facilitate positive long-term outcomes for both adolescent parents and their infants 16,17 . Organizations such as the American Academy of Pediatrics (AAP) and the Canadian Paediatric Society recommend that pediatricians continue serving as adolescents’ primary care providers even—and especially—after adolescents’ have begun parenting a child of their own 7,14 .…”

mentioning

confidence: 99%

A Survey of Louisiana Pediatricians’ Approach to Parenting Teens and Adolescent Reproductive Health

Dumas

Khorsandi

2023

Southern Medical Journal

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Pediatric professional organizations recommend that pediatricians provide a medical home to adolescent parents. The authors conducted a survey among Louisiana pediatricians to ascertain pediatrician compliance with this recommendation, as well as their comfort and experience with other adolescent reproductive health services. They found that although the majority of Louisiana pediatricians who responded do continue to provide care to their adolescent parents, approximately 20% do not. The available comments describing the reasons for not caring for these patients often reflected provider misconceptions about adolescent physiology and reproductive health.

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Family-Centered Primary Care for Teen Parents and Their Children

Cited by 9 publications

References 84 publications

An Umbrella Review of Qualitative Research on Teen Mothering

An Umbrella Review of Qualitative Research on Teen Mothering

Young mothers’ use of and experiences with mental health care services in Ontario, Canada: a qualitative descriptive study

A Survey of Louisiana Pediatricians’ Approach to Parenting Teens and Adolescent Reproductive Health

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