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

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.