In this realistic and compassionate guide, pediatric professionals will find primary care strategies for promoting better health and developmental outcomes in low-resourced, high-density urban environments, where many of the communities face structural and historical inequities. The contributors acknowledge the challenges faced by children and families in these settings, and the ways that social drivers of health affect many different aspects of health and well-being. But, they also describe the innovative programs developed at their own and other institutions, which have long histories of caring for children at high risk for poor long-term health outcomes. The editors draw on the expertise of academic pediatricians who have found ways to address social determinants of health with creative, clinic-based support for families.
The essays, each written by expert contributors, are built into a structure that introduces the topic, provides concrete exam room solutions, and engages pediatric professionals to advocate for long-term solutions to the overarching societal problems that contributor to poor health outcomes for children. Pediatrics for Underserved Populations also includes the last published piece by AAP past president Benard P. Dreyer, M.D., FAAP, to whom the volume is dedicated in honor of his career-long advocacy for children who are at-risk.
Table of Contents:
Dedication
Contributor List
Introduction
I.FRAME AND CONTEXT
1. Poverty and Child Development: The Scope of the Problem and How Pediatric Practices Can Help
Benard P. Dreyer, MD; Arthur H. Fierman, MD; Suzy Tomopoulos, MD; and Chanelle Coble, MD
2. Childhood Experiences: Adversity, Resilience, and the Foundational Importance of Early Relational Health
Stan Sonu, MD, MPH; and Laura Jane Miller, MD4. Environmental Effects
3. Racism and Children's Health and Development: Addressing the Impact
Jacqueline Dougé, MD, MPH, FAAP
4. Abby Nerlinger, MD, MPH, FAAP
5. Caring for Parents: Supporting the Home from the Medical Home
Terri McFadden, MD, MPH, FAAP
II. EXAM ROOM TOPICS
FEEDING AND EATING
6. Food Allergies: Caring for Children Living in Underserved Settings
Ria Jindal, BS; Samantha Sansweet, MPH; Waheeda Samady, MD, MSCI; and Ruchi Gupta, MD, MPH
7. Addressing Faltering Growth in Pediatrics: A Primary Care Approach
Priscilla Gonzalez, MD, and Margot Tang, MD, MPH
8. Addressing Childhood Obesity: Impact of the Social Drivers of Health and Resources
Stephanie Walsh, MD, MS, FAAP, DABOM
SLEEPING
9. The A to Zzzs of Sleep in Underserved Populations: A Primer
Judith Anne Owens, MD, MPH, FAAP and Monica Roosa Ordway, PhD, APRN, PPCNP-BC, FAAN
BREATHING
10. Asthma: Challenges and Advances in Management
Rachel S. Sagor, MD and Robyn T. Cohen, MD, MPH
DEVELOPMENT
11. Underserved Children: A Developmental Perspective
Maggie Dade, DO; Zvart Abaryan, MD, MS; and Douglas Vanderbilt, MD, MS, MBA
12. Autism Spectrum Disorder: Supporting Families Through Evaluation, Diagnosis, and Beyond
Karen M. Hopkins, MD
13. ADHD: Neurodevelopmental Disorder or Evolutionary Mismatch?
Adiaha Spinks-Franklin, MD MPH FAAP, Demvihin Ihyembe, M.D, Trevena Moore-Briscoe, MD
MENTAL HEALTH
14. Anxiety in Underserved Populations: Identification, Assessment, and Treatment in Primary Care
Moshe Bitterman, MD; John Parkhurst, PhD; and Andrea Spencer, MD
15. Depression in Underserved Populations: Primary Care-Based Strategies for Identifying, Assessing, and Treating Depression in Youth
German Velez, MD; Eric A Peist, PhD; and Tareq Yaqub, MD
SAFETY
16. Child Protection and Foster Care: Working with Families Involved with Child Protection
Lori Legano, MD, FAAP
17. Injury and Violence Prevention for High-Risk Populations: Centering Injury Equity
Kellie Snooks, DO, MPH, and James Dodington, MD
COMPLEX MEDICAL NEEDS
18. Caring for Children with Complex Medical Needs: Promoting Improved Developmental Outcomes
Salathiel Kendrick-Allwood, MD, FAAP and Cierra Moss, MD, FAAP
19. Sickle Cell Disease: Implications for Underserved Populations
Amy Sobota, MD, MPH and Jeffrey Edwards, MD, MPHSUBSTANCE USE
20. Caring for Children of Parents with Substance Use Disorders: Guidance for Pediatric Primary Care
Eileen Costello, MD and Sara Stulac, MD, MPH
21. Adolescent Substance Use: Considerations for Pediatricians
Jessica B. Calihan, MD, MS and Sarah M. Bagley, MD, MSc
III. FOCUS ON STRATEGIES AND SOLUTIONS
22. Language, Culture, and Pediatrics: Working with Immigrant Families
Mariana Glusman, MD, FAAP
23. Spotlight on Solutions: Economic Support
Perri Klass, MD, FAAP
24. Best Starts: Breastfeeding and Beyond
Jessica Nash MD, IBCLC, FAAP; Katrina Hammond-Jack MD, MS, FAAP; and Sahira Long MD, IBCLC, FAAP, FABM
25. Oral Health: Integration in Pediatrics
Peter Catapano, DDS, FAAPD and Sheena Nandi, DDS, MPH
26. Spotlight on Solutions: Obesity
Mary Jo Messito, MD, FAAP
27. Supporting Early Relational Health in Pediatric Practices: Evidence-Based Preventive Interventions
Alan L. Mendelsohn, MD, FAAP28. Literacy Promotion in Primary Care: Positive Parenting, Language-Rich Interactions, and Educational Trajectories
Perri Klass, MD, FAAP
29. Screens and Digital Media: Supporting Families from Infancy Through Adulthood
Jenny Radesky, MD, FAAP
30. Transgender and Gender-Diverse Youth: Care and Considerations
Erika Choi, DO; Pranav Gupta, MD; Jennifer Besse, NP; and J. Sonya Haw, MD
31. Reaching Adolescents and Young Adults in Urban, Underserved Communities:
Developmentally Informed, Patient Centered, Integrated Primary Care
Melissa Nass, MD, MPH, and Katelin Blackburn, MD, MPH
32. Spotlight on Solutions: Mentoring
Perri Klass, MD, FAAP
33. Education Access: Supporting Families of Children with Special Educational Needs in Primary Care
Conor Ross, BA; Soukaina Adolphe, MD; Ivys Fernández-Pastrana, JD; and Hilana Scott, MSN, CPNP-PC
34. Education as a Pathway Out of Poverty: The Pediatrician's Role
Veda Johnson, MD FAAP
35. Advocacy and Advocacy Training: Going Beyond the Clinic Walls for Patients and Families
Karen Sheehan, MD, MPH
Conclusion
About the Author :
Perri Klass, MD, FAAP, is Professor of Journalism and Pediatrics at New York University, where she directs the Minor in Medical Humanities, and practices pediatrics at Bellevue Hospital. She is the National Medical Director of Reach Out and Read. Her books include The Best Medicine: How Science and Public Health Gave Children a Future, Quirky Kids: Understanding and Supporting Your Child with Developmental Differences, coauthored with Dr. Eileen Costello, Every Mother is a Daughter: the Neverending Quest for Success, Inner Peace, and a Really Clean Kitchen, coauthored with her mother, and Treatment Kind and Fair: Letters to a Young Doctor. She lives in New York City.
Eileen Costello, MD, FAAP, is a clinical professor of pediatrics at Boston University School of Medicine and the former chief of ambulatory pediatrics at Boston Medical Center, where she directed the primary care clinic and the SOFAR (Supporting Our Families through Addiction and Recovery) program. She is currently the medical director at Massachusetts Department of Children and Families, where she oversees the medical care of children in the child welfare system. She lives in Jamaica Plain, MA.
Terri McFadden, MD, MPH, FAAP is a Professor of Pediatrics at Emory University School of Medicine and Director of Clinical Initiatives for PARTNERS for Equity in Child and Adolescent Health. She is a former medical director for the primary care service at Children's Healthcare of Atlanta at Hughes Spalding and serves as the current medical director of Reach Out and Read Georgia. She lives in Atlanta, GA.
