A Chronic Stress and Wellbeing Screening Implementation Initiative in Pediatric Primary Care

Clinical Practice in Pediatric Psychology, Journal Year: 2025, Volume and Issue: unknown

Published: April 28, 2025

Chronic childhood stress – adverse experiences (ACEs), social drivers of health (SDOH), and trauma is associated with negative outcomes across the lifespan. Early identification supports whole-child wellbeing enables families to connect resources. Pediatric primary care represents an ideal avenue for these efforts given its wide reach trusting relationships providers form families. This paper reports on chronic portion a quality improvement initiative implement comprehensive screening tool children ages 0-5 at well-child checks (WCCs) in rural academic medical center. Between June 2023 April 2024, caregivers 1,754 unique patients (89.0% White; 49.7% female) completed screener 2,787 3,470 total WCCs (80%). Overall, 14% reported their child’s experience early adversity (14%), unmet SDOH needs (20%), potential (14% 3-5). Parents only skipped 0.4-5.8% adversity, SDOH, questions. were significantly weakly correlated, suggesting that constructs capture related yet variance describing stress. After implementation, average monthly pediatric resource team referrals did not change, but percentage young increased. The first year data initiatives identify material needs, improve equity, increase access community

Language: Английский

Pediatrics leading the way: co-enrollment as the next step in health-related social needs screening and referral

Current Opinion in Pediatrics, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 13, 2024

To contextualize how pediatrics led the field in developing and implementing tools to screen for social determinants of health clinical care as well creating innovative interventions mitigate them, summarize where evidence points next frontier.

Language: Английский