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High Engagement in Care in a Pediatric Medical Home for Children Impacted By Parental Substance Use
Sara N Stulac1,2, Eileen Costello1,2, Jill Baker2
1Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Insights
This study highlights a pediatric medical home model that effectively engages children impacted by parental substance use. The program shows high patient engagement and timely vaccinations, offering a promising approach for vulnerable families.
Area of Science:
- Pediatrics
- Public Health
- Substance Use Disorders
Background:
- The opioid epidemic significantly impacts child welfare, with thousands of children affected by parental substance use.
- Limited longitudinal support programs exist for children facing parental substance use challenges.
- Urban safety-net hospitals serve a critical role in addressing the needs of vulnerable populations.
Purpose of the Study:
- To describe an innovative pediatric medical home model designed for children impacted by parental substance use.
- To evaluate the program's initial engagement and health outcomes for enrolled children and their families.
- To assess the model's effectiveness in providing comprehensive care, including parental support and recovery resources.
Main Methods:
- Implementation of a team-based pediatric medical home model at an urban safety-net hospital.
- Direct service provision to children, with dedicated resources for parental health and recovery.
- Tracking of patient engagement and adherence to preventive health visit schedules (American Academy of Pediatrics).
- Monitoring of on-time vaccination rates for key childhood immunizations.
Main Results:
- High program engagement: 95% of enrolled children actively participated in care over the first 3 years.
- Excellent adherence to preventive care schedules, meeting American Academy of Pediatrics recommendations.
- High on-time vaccination rates, ranging from 95% (pneumococcal conjugate) to 100% (human papilloma virus).
Conclusions:
- The pediatric medical home model demonstrates significant promise in engaging and retaining vulnerable families affected by parental substance use.
- The program's success in care engagement and preventive health indicates a viable approach for supporting substance-impacted children.
- Future research should focus on broadening engagement to diverse populations and assessing broader health and well-being impacts.
Abstract:
The opioid epidemic has heavily affected adults of childbearing age, leading to thousands of children impacted by parental substance use. Few programs provide longitudinal support to these children. This article describes an innovative pediatric medical home model for substance-impacted children and their families, at an urban safety-net hospital. The team-based program directly serves children, and also devotes significant resources to parental health and recovery. In the program's first 3 years, 95% of enrollees were engaged in care, meeting the American Academy of Pediatrics' recommended periodicity schedule for preventive health visits. On-time receipt of childhood vaccines ranged from 95% (pneumococcal conjugate) to 100% (human papilloma virus). The program's high engagement in care shows promise in engaging vulnerable families over time. Future work should explore how to engage children from more diverse backgrounds, and should examine whether the model impacts other indicators of health and well-being for children impacted by parental substance use.
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