Use of Colocated Multidisciplinary Services to Address Family Psychosocial Needs at an Urban Pediatric Primary Care Clinic

Vasan, Aditi; Solomon, Barry S.

doi:10.1177/0009922814541802

Cited by 19 publications

(20 citation statements)

References 21 publications

(23 reference statements)

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“…76 Care coordination, a fundamental service of the medical home model, can link families with community resources and support interagency coordination to address basic concerns such as food and energy insecurity. An example of a robust case management initiative is Health Leads, 77 an enhanced primary care strategy that uses college volunteers as advocates and advanced resource management techniques, which has improved coordination of care and utilization of collocated social services by lowincome families with the intent of reducing the social barriers to good health.…”

Section: Family and Parenting Support In The Medical Homementioning

confidence: 99%

Poverty and Child Health in the United States

Gitterman¹,

Flanagan²,

Cotton³

et al. 2016

Pediatrics

465

171

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Almost half of young children in the United States live in poverty or near poverty. The American Academy of Pediatrics is committed to reducing and ultimately eliminating child poverty in the United States. Poverty and related social determinants of health can lead to adverse health outcomes in childhood and across the life course, negatively affecting physical health, socioemotional development, and educational achievement. The American Academy of Pediatrics advocates for programs and policies that have been shown to improve the quality of life and health outcomes for children and families living in poverty. With an awareness and understanding of the effects of poverty on children, pediatricians and other pediatric health practitioners in a family-centered medical home can assess the financial stability of families, link families to resources, and coordinate care with community partners. Further research, advocacy, and continuing education will improve the ability of pediatricians to address the social determinants of health when caring for children who live in poverty. Accompanying this policy statement is a technical report that describes current knowledge on child poverty and the mechanisms by which poverty influences the health and well-being of children.

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Section: Family and Parenting Support In The Medical Homementioning

confidence: 99%

Poverty and Child Health in the United States

Gitterman¹,

Flanagan²,

Cotton³

et al. 2016

Pediatrics

465

171

View full text Add to dashboard Cite

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“…(10)On the basis of strong research evidence, several effective interventions have been established that pediatricians may adopt in their practices to address poverty and poverty-related social determinants of health. (8)(10)(12)(16)On the basis of consensus due to lack of relevant clinical studies, pediatricians are encouraged to advocate for government policies and programs aimed at eliminating poverty and poverty-related social determinants of health on children and families.…”

Section: Resultsmentioning

confidence: 99%

“…Studies have shown that Health Leads has been successful in ensuring that families’ social needs are met. (8)(12) In addition, community health workers, who are trusted members of the community, can serve as integral members of a clinic team because they are able to overcome cultural and economic barriers to address social determinants of health that limit patients’ access to health care. The integration of community health workers into health-care settings has been shown to directly lead to cost-savings, decreased emergency department visits, and improvement in quality of life.…”

Section: Interventionsmentioning

confidence: 99%

Screening for Poverty and Poverty-Related Social Determinants of Health

Berman

Patel

Belamarich

et al. 2018

Pediatrics in Review

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“…MH professionals can help equip primary care workers with tools addressing family environmental factors. Such initiatives addressing psychosocial factors in YMH have shown promising results (Vasan & Solomon, ). Research has also documented interventions aiming at transforming family environment and helping families which put emphasis on engaging families and family strengthening (Kumpfer & Alvarado, ).…”

Section: Discussionmentioning

confidence: 99%

Collaborative youth mental health service users, immigration, poverty, and family environment

Nadeau

Lecompte

Johnson‐Lafleur

et al. 2016

Child Adoles Ment Health

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BackgroundThis article examines the association between immigration, poverty and family environment, and the emotional and behavioral problems reported by youth and their family receiving mental health (MH) services within a collaborative care model in a multiethnic neighborhood.MethodParticipants in this study were 140 parent–child dyads that are part of an ongoing longitudinal project looking at the association between individual, familial, social and organizational factors, and outcomes of youth receiving MH services in local health and social service organizations in the Montreal area. Measures included in this study were collected at the initial phase of the longitudinal project (Time 0). Parents completed a sociodemographic questionnaire and the Family Environment Scale (FES), and both parents and children completed the Strength and Difficulties questionnaire (SDQ).ResultsResults suggest that the family environment, especially family conflicts, has a significant role in the MH problems of children seeking help in collaborative MH services. In this specific population, results also show a trend, but not a statistically significant association, between poverty or immigration and emotional and behavioral problems. They suggest as well that boys show more MH problems, although this could be a contamination effect (parents’ perspective).ConclusionsThe results support the importance of interventions that not only target the child symptomatology but also address family dynamics, especially conflicts. Collaborative care models may be particularly well suited to allow for a coherent consideration of family environmental factors in youth mental health and to support primary care settings in addressing these issues.

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Use of Colocated Multidisciplinary Services to Address Family Psychosocial Needs at an Urban Pediatric Primary Care Clinic

Abstract: On-site service use was associated with improved caregiver satisfaction but decreased well-child visit adherence. Caregivers using support services may face barriers to accessing preventive care.

Cited by 19 publications

References 21 publications

Poverty and Child Health in the United States

Poverty and Child Health in the United States

Screening for Poverty and Poverty-Related Social Determinants of Health

Collaborative youth mental health service users, immigration, poverty, and family environment

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