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Child Life Services
Barbara Romito1, Jennifer Jewell2, Meredith Jackson2
1Child Life Program, The Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital, New Brunswick, New Jersey; and Barbara.Romito@rwjbh.org.
Insights
Child life programs support children
Area of Science:
- Pediatric healthcare
- Child psychology
- Hospital administration
Background:
- Hospitalization presents significant psychosocial challenges for children.
- Child life programs are integral to pediatric care, addressing these challenges.
- Child life specialists aim to optimize well-being and promote coping during healthcare experiences.
Purpose of the Study:
- To highlight the role of child life programs in pediatric healthcare.
- To describe the interventions and strategies employed by child life specialists.
- To emphasize the collaborative nature of child life services within the healthcare team.
Main Methods:
- Child life specialists utilize therapeutic play and expressive modalities.
- Psychological preparation is provided for medical events and procedures.
- Developmentally appropriate communication is employed to educate and support patients and families.
Main Results:
- Interventions facilitate coping and normalization for children.
- Child life specialists promote optimal development and well-being.
- Services minimize adverse effects of hospitalization and healthcare encounters.
Conclusions:
- Child life programs are essential for addressing psychosocial needs in pediatric settings.
- Collaboration with healthcare teams and families enhances the patient experience.
- These programs support children's coping mechanisms and overall adjustment to illness and treatment.
Abstract:
Child life programs are an important component of pediatric hospital-based care; they address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care encounters, and/or other potentially stressful experiences. In collaboration with the entire health care team and family, child life specialists provide interventions that include therapeutic play, expressive modalities, and psychological preparation to facilitate coping and normalization at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to (1) promote optimal development, (2) educate children and families about health conditions, (3) prepare children and partner with families for medical events or procedures, (4) plan and rehearse useful coping and pain-management strategies with patients and families, (5) help children work through feelings about past or impending experiences, and (6) partner with families to establish therapeutic relationships between patients, siblings, and caregivers. Child life specialists collaborate with the entire interdisciplinary team to promote coping and enhance the overall health care experience for patients and families.
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