Neglect accounts for over 70% of child maltreatment and carries significant sequelae. Identification of psychosocial determinants of health may allow pediatric providers to ameliorate precursors of child neglect.
Data were collected 1 month before and after implementation of the Well-Child Care Visit, Evaluation, Community Resources, Advocacy, Referral, Education (i.e., WE-CARE) screen at all well-child visits. Social workers recorded number and types of referrals, and providers completed surveys.
Analysis of 602 completed screens (75% capture rate) showed 377 families (63%) with at least one need and 198 (33% overall, 53% of those with positive results) indicating a desire to discuss. Of families requesting assistance, 122 (62%) connected with a social worker, and total referrals increased after implementation. Provider surveys supported an increased frequency of and comfort with assessing families for certain risk factors, and screening was not perceived to interrupt clinic flow.
Standardized screening identifies families at risk for neglect, improves provider comfort, and minimally affects flow. Identification of psychosocial needs should be part of routine preventive care.
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Stephanie Zielinski, Pediatric Nurse Practitioner, University of Rochester Medical Center and School of Nursing, Rochester, NY.
Heather A. Paradis, Medical Director of Community Services at Children's Hospital of Wisconsin, Milwaukee, WI.
Pamela Herendeen, Professor of Clinical Nursing, Senior Pediatric Nurse Practitioner, University of Rochester Medical Center, NY.
Paula Barbel, Assistant Professor of Nursing, The College at Brockport, State University of New York, Brockport, NY.
Published online: February 08, 2017
Conflicts of interest: None to report.
© 2017 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.