Creating links to community resources for childhood aggression is one component of office-based violence prevention. Evidence is lacking regarding the effect of training clinicians to make these referrals and families’ responses to them. Clinicians who received training (n=47) and parents (1093) were queried on the provision of referrals immediately after the visit. Fewer than half of clinicians (45%) reported making a community referral. A third of providers (37%) noted difficulty in identifying local resources. Training clinicians to utilize community resources for childhood aggression does not often result in creating community links for this purpose.
References
1.
Report of the Surgeon General. Youth Violence: A Report of the Surgeon General. National Library of Medicine, Bethesda, MD; 2001.
2.
National Longitudinal Survey of Children and Youth. Accessed August 26, 2005. www.11.hrdc-drhc.gc.ca.
3.
American Academy of Pediatrics Task Force on Violence. The role of the pediatrician in youth violence prevention in clinical practice and at the community level. Pediatrics. 1999; 103(1): 173-181.
4.
U.S. Department of Health and Human Services. Healthy People 2000. Washington, DC: US Department of Health and Human Services; 1990.
5.
The Maternal and Child Health Bureau. Bright Futures. National Center for Education in Maternal and Child Health, Georgetown University, Rockville, MD; 1990.
6.
Trowbridge M, Olson L, O'Cannon K, et al.Pediatrician Interest in Violence Prevention: Results from 1998 and 2003 AAP Periodic Surveys. Abstract presented at the Pediatric Academic Societies Annual Meeting, San Francisco, CA; May 2004.
7.
Barkin S, Duan N, Fink A, et al.The smoking gun: do clinicians follow guidelines on firearm safety counseling?Arch Pediatr Adolesc Med. 1998; 152(8): 749-756.
8.
Rivara FP, Farrington DP.Prevention of violence. Role of the pediatrician. Arch Pediatr Adolesc Med. 1995; 149(4): 421-429.
9.
Yoshikawa H.Prevention as cumulative protection: effects of early family support and education on chronic delinquency and its risks. Psychol Bull. 1994; 115(1): 28-54.
10.
Kempe A, Luberti AA, Hertz AR, et al.Delivery of pediatric after-hours care by call centers: a multicenter study of parental perceptions and compliance. Pediatrics. 2001; 108(6): E111-E111.
11.
El-Mohandes AA, Katz KS, El-Khorazaty MN, et al.The effect of a parenting education program on the use of preventive pediatric health care services among low-income, minority mothers: a randomized, controlled study. Pediatrics. 2003; 111(6 Pt 1): 1324-1332.
12.
Margolis PA, Lannon CM, Stevens R, et al.Linking clinical and public health approaches to improve access to health care for socially disadvantaged mothers and children. A feasibility study. Arch Pediatr Adolesc Med. 1996; 150(8): 815-821.
13.
Zuckerman B, Parker S, Kaplan-Sanoff M, et al.Healthy Steps: a case study of innovation in pediatric practice. Pediatrics. 2004; 114(3): 820-826.
14.
Elster A.The American Medical Association Guidelines for Adolescent Preventive Services. Arch Pediatr Adolesc Med.1997; 151(9): 958-959.
15.
Barkin S, Ryan G, Gelberg L.What pediatricians can do to further youth violence prevention—a qualitative study. Inj Prev.1999; 5(1): 53-58.
