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Promoting Equity and Resilience: Wellness Navigators' Role in Addressing Adverse Childhood Experiences

Miya L Barnett1, Maryam Kia-Keating1, Andria Ruth2

  • 1University of California, Santa Barbara, Department of Counseling, Clinical, & School Psychology.

Clinical Practice in Pediatric Psychology
|July 1, 2021
PubMed

Insights

Wellness navigators effectively screened predominantly Latinx families for adverse childhood experiences (ACEs) and connected them to community resources. WNs supported caregivers in initiating services, improving health equity in pediatric settings.

Area of Science:

  • Pediatric Health
  • Health Equity
  • Behavioral Health Integration

Background:

  • Adverse childhood experiences (ACEs) disproportionately affect minority children, contributing to health disparities.
  • Pediatric settings are crucial for addressing ACEs, promoting resilience, and linking families to resources.
  • Wellness navigators (WNs) can bridge cultural and linguistic gaps to improve care for vulnerable populations.

Purpose of the Study:

  • To evaluate the role of bilingual, bicultural WNs in ACEs screening and response among Latinx families in a pediatric setting.
  • To understand how WNs facilitate connections to community resources for families experiencing ACEs.
  • To explore the impact of WNs on trauma-responsive care and integrated behavioral health services.

Main Methods:

  • Analysis of quantitative referral data from WNs.
  • Qualitative interviews with medical providers and caregivers.
  • Examination of WN interventions for social determinants of health.

Main Results:

  • WNs made referrals to community resources for over half of families screening positive for ACEs.
  • Insurance, childcare, and housing were the most common referral needs.
  • WNs successfully supported caregivers in initiating services for 94% of referrals made.

Conclusions:

  • WNs play a vital role in pediatric ACEs screening and resource linkage for diverse populations.
  • Integrating WNs into behavioral health teams can enhance trauma-responsive care and mitigate health disparities.
  • The study highlights the effectiveness of culturally congruent support in addressing ACEs and promoting family well-being.
Abstract

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