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Social Pediatrics: A Model to Confront Family Poverty, Adversity, and Housing Instability and Foster Healthy Child and Adolescent Development and Resilience

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Clinical Care for Homeless, Runaway and Refugee Youth

Abstract

Social pediatrics is an approach to child and youth health in the context of their family and the society in which they grow and develop. Social pediatrics takes action on social determinants such as income, housing, education, and social environment, as mediators of child and youth health. Youth in poverty and at risk for homelessness have disproportionate exposure to adverse childhood experiences (ACEs) and intergenerational trauma. Families of some ethnic minority youth are disproportionately impacted by poverty. LGBT youth are disproportionately represented among homeless youth. Youth with developmental, cognitive, and learning disabilities are at disproportionate risk for homelessness. Social pediatric models, including the Circle of the Child (and Youth) with a Medical-Legal Community Partnership, are effective and innovative practices to maintain engagement of youth with their families and community, prevent homelessness, and continue engagement when youth leave home prematurely. Social pediatrics promotes structural factors that foster positive youth development, resiliency and social engagement, continued participation in school, and preparation for employment and constructively addresses interpersonal conflicts.

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Notes

  1. 1.

    Canada Without Poverty > Poverty > Just the Facts, http://www.cwp-csp.ca/.

  2. 2.

    https://www.ourplace-vancouver.ca

  3. 3.

    https://ww2.rch.org.au/emplibrary/ccch/Policy_Brief_23_-_place-based_approaches_final_web.pdf

  4. 4.

    Our Place, Promoting Local Access and Community Empowerment. https://www.ourplace-vancouver.ca/about/place-based-strategies.

  5. 5.

    https://pediatriesociale.fondationdrjulien.org/en/about/quel-est-le-coeur-du-modele/la-cointervention/

References

  1. Tyler I, Lynam J, O’Campo P, Manson H, Lynch M, Dashti B, Turner N, Feller A. It takes a village: a realist synthesis of social pediatrics program. Int J Public Health. 2019;64(5):691–701.

    Article  Google Scholar 

  2. Spencer N, Colomer C, Alperstein G, Bouvier P, Colomer J, Duperrex O, et al. Social paediatrics. J Epidemiol Community Health. 2005;59:106–8.

    Article  Google Scholar 

  3. Wong ST, Lynam JM, Khan KB, Scott L, Loock C. The social paediatrics initiative: a RICHER model of primary health care for at risk children and their families. BMC Pediatr. 2012;12:158.

    Article  Google Scholar 

  4. Shonkoff J, Garner A, et al. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232–45.

    Article  Google Scholar 

  5. Power C, Atherton K, Strachan D, Shepherd P, Fuller E, Davis A, et al. Life-course influences on health in British adults: effects of socioeconomic position in childhood and adulthood. Int J Epidemiol. 2007;36(3):532–9.

    Article  Google Scholar 

  6. Loock C, Suleman S, Lynam J, Scott L, Tyler I. Linking in and linking across using a RICHER model: social pediatrics and inter professional practices at UBC. UBCMJ. 2016:7.2(7–9).

    Google Scholar 

  7. Ford-Jones E, Williams R, Bertrand J. Social paediatrics and early childhood development: part 1. Paediatr Child Health. 2008;13(9):755–8.

    Article  Google Scholar 

  8. Julien G. A different kind of care: the social pediatrics approach. Montreal: McGill-Queens University Press; 2004.

    Google Scholar 

  9. Julien G. A different kind of care: the social pediatrics approach. Montreal: McGill-Queen’s University Press; 2004.

    Google Scholar 

  10. MacIntyre M. The black report and beyond: what are the issues? Soc Sci Med. 1997;44:723–45.

    Article  CAS  Google Scholar 

  11. Lynam MJ, Loock C, Scott L, Khan KB. Culture, health and inequalities: new paradigms, new practice imperatives. J Res Nurs. 2008;13(2):138–48.

    Article  Google Scholar 

  12. WHO. What are the social determinants of health? Geneva: World Health Organization; 2008. www.who.int/social_determinants/sdh_definition/en/.

    Google Scholar 

  13. Trent M, Dooley DG, Dougé J, AAP Section on Adolescent Health, AAP Council on Community Pediatrics, AAP Committee on Adolescence. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765.

    Article  Google Scholar 

  14. The World Health Organization. Social determinants of health. Available at: www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/.

  15. Kershaw P, et al. Towards a social care program of research: a population level study of neighborhood effects on child development. Early Educ Dev. 2007;18:535–60.

    Article  Google Scholar 

  16. Skott-Myhre H, Raby R, Nikolaou J. Towards a delivery system of services for rural homeless youth: a literature review and case study. Child Youth Care Forum. 2008;37(2):87–102.

    Article  Google Scholar 

  17. Bogard K, Murry VM, Alexander C, editors. Perspectives on health equity and social determinants of health. Washington, DC: National Academy of Medicine; 2017.

    Google Scholar 

  18. Lynam MJ, Loock C, Scott L, et al. Social paediatrics: creating organisational processes and practices to foster health care access for children “at risk”. J Res Nurs. 2010;15(4):331–47.

    Article  Google Scholar 

  19. Holtz TH, Holmes S, et al. Health is still social: contemporary examples in the age of the genome. PLoS Med. 2006;3:1663–6.

    Article  Google Scholar 

  20. Gee GC, Walsemann KM, Brondolo E. A life course perspective on how racism may be related to health inequities. Am J Public Health. 2012;102(50):967–74.

    Article  Google Scholar 

  21. Trent M, Dooley DG, Dougé J, AAP Section on Adolescent Health, AAP Council on Community Pediatrics, AAP Committee on Adolescence. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. Jones CP, Truman BI, Elam-Evans LD, et al. Using “socially assigned race” to probe white advantages in health status. Ethn Dis. 2008;18(4):496–504, pmid:19157256.

    Article  Google Scholar 

  22. National Research Council. Measuring racial discrimination. Washington, DC: National Academies Press; 2004. https://www.nap.edu/catalog/10887/measuring-racial-discrimination (cited in AAP Policy Statement. The impact of racism on child and adolescent health).

    Google Scholar 

  23. Bhopal R, Donaldson L. White, European, Western, Caucasian, or what? Inappropriate labeling in research on race, ethnicity, and health. Am J Public Health. 1998;88(9):1303–1307 (cited in AAP Policy Statement. The impact of racism on child and adolescent health).

    Google Scholar 

  24. US Interagency Council on Homelessness. Preventing and ending youth homelessness: a coordinated community response, p. 3. https://www.usich.gov/resources/uploads/asset_library/Youth_Homelessness_Coordinated_Response.pdf. Accessed 14 June 2019.

  25. Streissguth AP, Barr HM, Kogan J, Bookstein FL. Understanding the occurrence of secondary disabilities in clients with fetal alcohol syndrome (FAS) and fetal alcohol effects (FAE). Final report to the Centers for Disease Control and Prevention (CDC), August, 1996, Tech. Rep. No. 96-06. Seattle: University of Washington, Fetal Alcohol & Drug Unit; 1996.

    Google Scholar 

  26. Frankenberger DJ, Clements-Nolle K, Yang W. The association between adverse childhood experiences and alcohol use during pregnancy in a representative sample of adult women. Womens Health Issues. 2015;25(6):688–95. https://doi.org/10.1016/j.whi.2015.06.007.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Rutman D. Becoming FASD informed: strengthening practice and programs working with women with FASD. Subst Abuse. 2016;10(Suppl 1):13–20. https://doi.org/10.4137/SART.S34543.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Kania J, Kramer M. Collective impact. Stanf Soc Innov Rev. Winter 2011;9(1):36–41.

    Google Scholar 

  29. Foster-Fishman PG, Watson ER. The ABLe change framework: a conceptual and methodological tool for promoting systems change. Am J Community Psychol. 2012;49:503–16; Frost PJ, Egri CP. The political process of innovation. In: Staw B, Cummings L, editors. Research in organizational behavior, vol. 13. Greenwich; London: JAI Press; 1986. pp. 229–296.

    Article  Google Scholar 

  30. Foster-Fishman PG, Watson ER. The ABLe change framework: a conceptual and methodological tool for promoting systems change. Am J Community Psychol. 2012;49:509.

    Article  Google Scholar 

  31. Foster-Fishman PG, Nowell B, Yang H. Putting the system back into systems change: a framework for understanding and changing organizational and community systems. Am J Community Psychol. 2007;39(3/4):197–216.

    Article  Google Scholar 

  32. Foster-Fishman PG, Watson ER. The ABLe change framework: a conceptual and methodological tool for promoting systems change. Am J Community Psychol. 2012;49:503–16.

    Article  Google Scholar 

  33. Browne A. Discourses influencing nurses’ perceptions of First Nations patients. Can J Nurs Res. 2005;37:62–87.

    PubMed  Google Scholar 

  34. Young A. The character assassination of black males: some consequences for research in public health. In: Bogard K, Murry VM, Alexander C, editors. Perspectives on health equity and social determinants of health. Washington, DC: National Academy of Medicine; 2017. p. 47–61.

    Google Scholar 

  35. Ginsburg KR. The journey from risk-focused attention to strength-based care. In: Ginsburg KR, Kinsman SB, editors. Reaching teens: strength-based communication strategies to build resilience and support healthy adolescent development. Elk Grove Village: American Academy of Pediatrics; 2014.

    Google Scholar 

  36. US Dept of Health and Human Services, Family and Youth Services Bureau. Positive youth development. https://www.acf.hhs.gov/fysb/positive-youth-development.

  37. American Academy of Pediatrics. Reaching teens. https://www.aap.org/en-us/professional-resources/Reaching-Teens/Pages/New-to-Reaching-Teens.aspx.

  38. Ginsburg KR. The journey from risk-focused attention to strength-based care. In: Ginsburg KR, Kinsman SB, editors. Reaching teens: strength-based communication strategies to build resilience and support healthy adolescent development. Elk Grove Village: American Academy of Pediatrics; 2014. ProQuest eBook Central. https://ebookcentral.proquest.com/lib/ubc/detail.action?docID=3000014.

    Google Scholar 

  39. Bradford N. Place-based public policy: towards a new urban and community agenda for Canada. Ottawa: Canadian Policy Research Networks; 2005.

    Google Scholar 

  40. Blum RW, Li M, Naranjo-Rivera G. Measuring adverse child experiences among young adolescents globally: relationships with depressive symptoms and violence perpetration. J Adolesc Health. 2019;65(1):86–93.

    Article  Google Scholar 

  41. Zuckerman B, Sandel M, Smith L, et al. Why pediatricians need lawyers to keep children healthy. Pediatrics. 2004;114:224–8.

    Article  Google Scholar 

  42. Farmer P. An anthropology of structural violence. Curr Anthropol. 2004;45(3):305–25.

    Article  Google Scholar 

  43. Daneman D, et al. Social paediatrics: from “lip service” to the health and well-being of Canada’s children and youth. Paediatr Child Health. 2013;18(7):351–2.

    PubMed  PubMed Central  Google Scholar 

Resources

  • An excellent example of family-based work with homeless youth is Winlad DN, Gaetz SA, Patton T. Family matters: homeless youth and Eva’s Initiatives Family Reconnect program. Toronto: The Canadian Homelessness Research Network Press; 2011.

    Google Scholar 

  • Dolan C, Friesen A, Gallant A, Hughes K, Merchant J, Vincent D, Whyte C. Literature review and best practices for the housing and supports framework; Housing and supports initiative’ and creating connections: Alberta’s addiction and mental health strategy. 4 May 2012. https://canfasd.ca/wp-content/uploads/sites/35/2016/12/Housing-Literature-Review-FINAL-May-4-12.pdf.

  • Ginsburg KR. The journey from risk-focused attention to strength-based care. In: Ginsburg KR, Kinsman SB, editors. Reaching teens: strength-based communication strategies to build resilience and support healthy adolescent development. Elk Grove Village: American Academy of Pediatrics; 2014. ProQuest eBook Central. https://ebookcentral.proquest.com/lib/ubc/detail.action?docID=3000014.

    Google Scholar 

  • Kann L. Youth risk behavior surveillance – United States, 2017. MMWR Surveill Summ. 2018;67(8):1–114. https://doi.org/10.15585/mmwr.ss6708a1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pittman KJ. The power of engagement. In: Youth today. Washington, DC: The Forum for Youth Engagement; 1999. https://forumfyi.org/. Accessed 22 June 2019.

    Google Scholar 

  • Pope LK. Housing for homeless youth. Youth homelessness series brief no. 3. Washington, DC: National Alliance to End Homelessness; 2010.

    Google Scholar 

  • Roth JL, Brooks-Gunn J, Murray L, Foster W. Promoting healthy adolescents: synthesis of youth development program evaluations. J Res Adolesc. 1998;8:423–59.

    Article  Google Scholar 

  • Shonkoff JP, Garner AS, Siegel BS, Dobbins MI, Earls ME, Garner AS, McGuinn L, Pascoe J, Wood DL, American Academy of Pediatrics. The Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption and Dependent Care, and Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232–46. https://doi.org/10.1542/peds.2011-2663.

    Article  Google Scholar 

  • Trent M, Dooley DG, Dougé J, AAP Section on Adolescent Health, AAP Council on Community Pediatrics, AAP Committee on Adolescence. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765.

    Article  Google Scholar 

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Loock, C., Moore, E., Vo, D., Friesen, R.G., Warf, C., Lynam, J. (2020). Social Pediatrics: A Model to Confront Family Poverty, Adversity, and Housing Instability and Foster Healthy Child and Adolescent Development and Resilience. In: Warf, C., Charles, G. (eds) Clinical Care for Homeless, Runaway and Refugee Youth. Springer, Cham. https://doi.org/10.1007/978-3-030-40675-2_7

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  • DOI: https://doi.org/10.1007/978-3-030-40675-2_7

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