SAFE Children Study
|Principal Investigator: Katherine MacDonald|
|Keywords: Toxic Stress , Depression , Substance Abuse , Domestic Violence , Teen pregnancy , Poverty||Department: Pediatrics|
|IRB Number: 00057206||Co Investigator:|
|Specialty: Pediatrics, General|
1) Increase pediatric residents' ability to identify families with psychosocial problems by using a survey to determine the needs of families who face socioecomonic determinants of health including poverty; food insecurity; low educational achievement; unemployment; tobacco, alcohol and substance use; mental illness; intimate partner violence; homelessness; and immigration problems.
2) Contribute to the establishment of a medical home by identifying families' socioeconomic needs, providing comprehensive care in a coodinated fashion by providing community services specific to the families' needs, and engaging in performance measurement and improvement by assessing the families' utilization of the resources needed and the barriers to utilizing those resources.
3) Evaluate if the psychosocial survey is feasible to use in this patient population and if resident interaction impacts the families' use of available resources when compared to standard care.
1) Parents: Mothers or female primary caretakers (14 years and older) of children (2 months of age or older) who present for a Well Child Check (WCC) or an urgent care appointment with an enrolled resident provider at the South Main Public Health Clinic and are English or Spanish speaking.
2) Residents: Any first and second year resident who has their continuity clinic at the South Main or Teen Mother and Child Program Clinic are eligible to participate.
1) Parents: Caregivers are excluded if they are not the child's legal guardian, are a foster parent, do not speak English or Spanish, were previously enrolled in the study, lack a working telephone or are seeing a resident who is not enrolled in the study.
2) Residents: Residents are excluded if they do not have have their continuity clinic at the South Main or Teen Mother and Child Program Clinic.