Addressing Adverse Childhood Experiences in Primary Care: Challenges and Considerations.
Addressing Adverse Childhood Experiences in Primary Care: Challenges and Considerations.
复制标题
DOI：
10.1542/peds.2021-052641
复制
发表时间：
2022-04-01
期刊：
影响因子：
8
通讯作者：
Davis, Neal
中科院分区：
文献类型：
--
作者：
Dubowitz, Howard;Finkelhor, David;Zolotor, Adam;Kleven, Jennifer;Davis, Neal
本文提请注意重叠的文献对健康和不良的童年经历的社会决定因素，并在解决这些问题，以促进儿童和父母的健康和福祉越来越多的临床兴趣。我们解决重要的考虑因素，并建议解决方案的领导者和从业者在初级保健，以解决健康/不良的童年经历的社会决定因素。优先事项包括：开始时，先从几个有帮助资源的普遍情况开始;重点关注当前或最近的情况，以及父母可能更倾向于参与服务的情况;考虑到6岁以下儿童的就诊频率以及这一时期初级保健专业人员与父母之间特别密切的关系，最初重点关注有6岁以下儿童的家庭;确保初级保健专业人员和工作人员的培训，以帮助他们胜任和舒适地发挥这一作用;并有良好的转诊程序，以促进额外的评估或帮助。
This article draws attention to the overlapping literature on social determinants of health and adverse childhood experiences, and the growing clinical interest in addressing them to promote children’s and parents’ health and well-being. We address important considerations and suggest solutions for leaders and practitioners in primary care to address social determinants of health/adverse childhood experiences. Priorities include: begin with a few prevalent conditions for which there are helpful resources; focus on conditions that are current or recent and where parents may be more apt to engage in services; focus initially on families with children aged <6 given the frequency of well-child visits and the especially strong relationships between primary care professionals and parents during this period; ensure training of primary care professionals and staff to help them play this role competently and comfortably; and have good referral processes to facilitate additional evaluation or help.
登录
查看更多内容
影响因子：
2.7
作者：
Carlson M;Kamimura A;Al-Obaydi S;Trinh HN;Franchek-Roa K
通讯作者：
Franchek-Roa K
影响因子：
8
作者：
Dubowitz, Howard;Feigelman, Susan;Kim, Jeongeun
通讯作者：
Kim, Jeongeun
影响因子：
--
作者：
Danese, Andrea;Moffitt, Terrie E.;Harrington, HonaLee;Milne, Barry J.;Polanczyk, Guilherme;Pariante, Carmine M.;Poulton, Richie;Caspi, Avshalom
通讯作者：
Caspi, Avshalom
影响因子：
3.1
作者：
Bethell, Christina D.;Solloway, Michele R.;Simpson, Lisa A.
通讯作者：
Simpson, Lisa A.
影响因子：
8
作者：
Dube, SR;Felitti, VJ;Anda, RF
通讯作者：
Anda, RF