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A Two-Generation, Early Childhood Advanced Primary Care Model.

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The 3-2-1 IMPACT model integrates services in pediatric primary care to address child and family needs, aiming to reduce health disparities. This approach supports long-term child health and development by tackling social and mental health challenges.

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Area of Science:

  • Child Health
  • Public Health
  • Healthcare Delivery Systems

Background:

  • Early childhood experiences significantly impact long-term health, but disparities linked to poverty and racism hinder potential.
  • Existing pediatric primary care (PPC) models are often isolated, lacking scalability and sustainability to address comprehensive needs.
  • A large public healthcare system presents an opportunity to integrate services for early childhood development.

Purpose of the Study:

  • To describe the 3-2-1 IMPACT (Integrated Model for Parents and Children Together) initiative.
  • To transform pediatric primary care (PPC) delivery within New York City Health + Hospitals.
  • To address the full spectrum of child and family needs in early childhood.

Main Methods:

  • Leveraging frequent PPC contact and linking with prenatal services.
  • Assessing family mental, social, and physical health needs.
  • Providing evidence-based parenting support and integrated mental health services.

Main Results:

  • The model integrates multiple interventions into PPC and prenatal care.
  • Coalition building and advocacy were crucial for launching and sustaining the model.
  • Progress made on advanced payment models for long-term sustainability.

Conclusions:

  • Integrating interventions within a large public healthcare system can synergize effects.
  • The IMPACT model aims to improve child and maternal health outcomes.
  • This integrated approach has the potential to positively impact health disparities.