Abstract
Introduction
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.
Methods
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.
Results
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.
Conclusion
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.
Key Words
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Biography
Stephanie Zielinski, Pediatric Nurse Practitioner, University of Rochester Medical Center and School of Nursing, Rochester, NY.
Biography
Heather A. Paradis, Medical Director of Community Services at Children's Hospital of Wisconsin, Milwaukee, WI.
Biography
Pamela Herendeen, Professor of Clinical Nursing, Senior Pediatric Nurse Practitioner, University of Rochester Medical Center, NY.
Biography
Paula Barbel, Assistant Professor of Nursing, The College at Brockport, State University of New York, Brockport, NY.
Article info
Publication history
Published online: February 08, 2017
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2017 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
