Prescriptions (Rx) for Prevention: Clinical Tools for Integrating Environmental Health into Pediatric Clinical Care.
Christopher Bland1, Lauren Zajac, Joseph Wilson
1Department of Environmental Medicine and Public Health (Mr Bland, Dr Zajac, Ms Guel, Dr Pendley, Dr Galvez, Dr Sheffield), Icahn School of Medicine at Mount Sinai, New York, New York; Harvard Kenneth C. Griffin Graduate School of Arts and Sciences (Mr Wilson), Boston, Massachusetts; Environmental Research and Translation for Health (EaRTH) Center (Ms Charlesworth), University of California, San Francisco, California; Community Engagement Core, Environmental Health Sciences Center at Department of Environmental Medicine (Dr Korfmacher), University of Rochester Medical Center, Rochester, New York; Pediatric Environmental Health and Cincinnati Children's Hospital Medical Center (Dr Newman), Cincinnati, Ohio; Philadelphia Regional Center for Children's Environmental Health, Center of Excellence in Environmental Toxicology, Perelman School of Medicine (Dr Howarth), University of Pennsylvania, Philadelphia, Pennsylvania; and Division of Academic General Pediatrics, Children's Hospital at Montefiore (Dr Balk), Albert Einstein College of Medicine, Bronx, New York.
Environmental health (EH) integration in pediatrics is advancing with "Prescriptions (Rxs) for Prevention" tools. These resources educate clinicians and connect families to interventions, reducing harmful exposures for children.
Area of Science:
- Pediatric Environmental Health (EH)
- Clinical Integration of Public Health
- Risk Communication Frameworks
Background:
- Environmental health (EH) integration into pediatric clinical care is nascent.
- Clinicians need tools to address environmental exposures like pollution, lead, and climate change impacts.
- Families require connection to evidence-based interventions for environmental health (EH) concerns.
Purpose of the Study:
- To describe the development and dissemination of a clinical tool, Prescriptions (Rxs) for Prevention.
- To address the need for simultaneous clinician education and family resource connection in pediatric EH.
- To facilitate the integration of environmental health (EH) into routine pediatric care.
Main Methods:
- Development and refinement of the Prescriptions (Rxs) for Prevention tool over decades.
- Utilizing a risk communication framework for screening, counseling, and referral.
- Dissemination of the tool to multiple clinical sites across the U.S.
Main Results:
- Prescriptions (Rxs) for Prevention are implemented at over a dozen sites nationwide.
- The tools support clinicians in addressing pediatric environmental health (EH) concerns.
- Implementation reduces barriers by educating clinicians and linking families to community resources.
Conclusions:
- Prescriptions (Rxs) for Prevention effectively bridges the gap between clinical care and community resources for pediatric environmental health (EH).
- The tools strengthen clinic-community partnerships, promoting healthier environments for children.
- Ongoing evaluation is crucial for advancing the widespread integration of EH into pediatric practice.
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