Children in Immigrant Families
Aug 20, 2019 12:09:07 GMT -5
Tanya Munroe and angietruesdale like this
Post by Marena Burnett on Aug 20, 2019 12:09:07 GMT -5
In a new policy statement released August 2019, the AAP provided guidance for pediatricians and local organizations to improve care for immigrant children and their families through practice-level changes and advocacy efforts. pediatrics.aappublications.org/content/early/2019/08/15/peds.2019-2077
The article and guidance from the AAP is powerful. Below is one section that felt important to share within our Centering community:
"With ever-increasing levels of migration worldwide, the population of CIF (children in immigrant families) residing in the United States grows. The following practice- and policy-level recommendations offer guidance for pediatricians caring for CIF. Although it is aspirational to fully implement all recommendations in all situations, most are achievable by intentionally enacting practice- and systems-based changes over time.
Practice-Level Recommendations
All pediatricians are encouraged to recognize their inherent biases and work to improve their skills in cultural humility and effective communication through professional development.
CIF benefit from comprehensive, coordinated, continuous, and culturally and linguistically effective care in a quality medical home with an identified primary care provider.
Co-located or integrated mental health, social work, patient navigation, and legal services are recommended to improve access and minimize barriers.
Trained medical interpreters, via phone or tablet or in-person, are recommended to facilitate mutual understanding and a high quality of communication. Family members, friends, and especially children are not recommended for interpretation. Materials may be translated into the patient’s preferred language by qualified translators whenever possible. Consideration should be given for the extended time needed for interpretation during medical encounters.
It is recommended that pediatricians and staff receive training on working effectively with language services and that bilingual providers and staff demonstrate dual-language competency before interacting with patients and families without medical interpreters.
Pediatricians and pediatric trainees are encouraged to engage in professional development activities that include specific competencies (including immigrant health; global health, including the global burden of disease; integrative medicine; and travel medicine) and to incorporate these competencies into the evaluation and care of CIF.
Pediatricians caring for CIF are urged to apply a trauma-informed lens, with sensitivity to and screening for multigenerational trauma. Mental health professionals adept at treating immigrants can be integrated into the medical home or identified in the community.
Screening for social determinants of health, including risks and protective factors, is recommended.
Assessment of development, learning, and behavior is warranted for all immigrant children, regardless of age. Pediatricians can support dual language as an asset and as part of cultural pride reinforcement."
pediatrics.aappublications.org/content/early/2019/08/15/peds.2019-2077
The article and guidance from the AAP is powerful. Below is one section that felt important to share within our Centering community:
"With ever-increasing levels of migration worldwide, the population of CIF (children in immigrant families) residing in the United States grows. The following practice- and policy-level recommendations offer guidance for pediatricians caring for CIF. Although it is aspirational to fully implement all recommendations in all situations, most are achievable by intentionally enacting practice- and systems-based changes over time.
Practice-Level Recommendations
All pediatricians are encouraged to recognize their inherent biases and work to improve their skills in cultural humility and effective communication through professional development.
CIF benefit from comprehensive, coordinated, continuous, and culturally and linguistically effective care in a quality medical home with an identified primary care provider.
Co-located or integrated mental health, social work, patient navigation, and legal services are recommended to improve access and minimize barriers.
Trained medical interpreters, via phone or tablet or in-person, are recommended to facilitate mutual understanding and a high quality of communication. Family members, friends, and especially children are not recommended for interpretation. Materials may be translated into the patient’s preferred language by qualified translators whenever possible. Consideration should be given for the extended time needed for interpretation during medical encounters.
It is recommended that pediatricians and staff receive training on working effectively with language services and that bilingual providers and staff demonstrate dual-language competency before interacting with patients and families without medical interpreters.
Pediatricians and pediatric trainees are encouraged to engage in professional development activities that include specific competencies (including immigrant health; global health, including the global burden of disease; integrative medicine; and travel medicine) and to incorporate these competencies into the evaluation and care of CIF.
Pediatricians caring for CIF are urged to apply a trauma-informed lens, with sensitivity to and screening for multigenerational trauma. Mental health professionals adept at treating immigrants can be integrated into the medical home or identified in the community.
Screening for social determinants of health, including risks and protective factors, is recommended.
Assessment of development, learning, and behavior is warranted for all immigrant children, regardless of age. Pediatricians can support dual language as an asset and as part of cultural pride reinforcement."
pediatrics.aappublications.org/content/early/2019/08/15/peds.2019-2077