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AAP Recommends Pediatricians Screen for Poverty

 

The American Academy of Pediatrics (AAP) released a new policy statement, “Poverty and Child Health in the United States,” on March 9th that recommends pediatricians screen for poverty at all well-child visits. These screenings include asking about basic needs, such as food and housing, and making appropriate referrals when needed. AAP also recommends pediatricians help patients and their families build resilience to the negative effects of poverty by identifying and supporting protective factors within families.

Why is this important to the ACEsConnection community?

Because poverty has been shown to be a strong indicator of childhood trauma and a huge array of adverse experiences. These experiences, as we all know, are linked to a number of health issues that affect individuals, families, and whole communities. 

Screening for poverty allows pediatricians to learn about whether families are in need of food, shelter, financial aid, early education, or other services, and make the appropriate referrals. Assisting these children is not an immediate solution to poverty, but it will help them find systems of support and become more resilient towards trauma. Furthermore, building resilience will help these children succeed later in life and less likely to recreate traumatic environments for the next generation. 

Read the full policy statement here.

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Matt Furlong posted:

I have some issue with this recommendation by the AAP.  Time and money would be better spent on preventative services, quality childcare, info structure of community support, public professionals and officials reengaging in roles of community service.  This article is labeling us vs. them mentality that is typical for professionals who should not be working with vulnerable people, because they do not have a clue on how to help someone who struggles.  The whole family needs to be embraced, uplifted, and encouraged, we should not be judging or labeling people by their economic depravity by doing more to support the whole family's basic foundation.

Hi Matt,

Thank you for your comment.

I don't think this recommendation is contrary to the allocation of time and funds to other services. These screenings are meant to happen during routine well-child visits. If the pediatrician finds that the child or their family is in need, he/she can make the appropriate referral to a useful service/resource (include the ones  you listed).

I recommend you read the policy statement if you have the time. Providers are encouraged to work across professional silos and not just treat within their office. This is a great way to not only a great way to engage the entire family but also the whole community.

I have some issue with this recommendation by the AAP.  Time and money would be better spent on preventative services, quality childcare, info structure of community support, public professionals and officials reengaging in roles of community service.  This article is labeling us vs. them mentality that is typical for professionals who should not be working with vulnerable people, because they do not have a clue on how to help someone who struggles.  The whole family needs to be embraced, uplifted, and encouraged, we should not be judging or labeling people by their economic depravity by doing more to support the whole family's basic foundation.

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