Division of General Pediatrics and Adolescent Medicine, The Floating Hospital for Children at Tufts Medical Center, Boston, MA 02111, USA.
Patient Educ Couns. 2010 May;79(2):251-4. doi: 10.1016/j.pec.2009.10.011. Epub 2009 Dec 4.
Pediatric guidelines emphasize the importance for healthcare providers to view children in the context of family and community, and promote community resources at visits. In 2006, a Family Help Desk (FHD) was established in an urban academic-based clinic in Baltimore, MD to assist healthcare providers in educating families about available community-based resources.
A longitudinal cohort pilot study was conducted during a 6-week period in 2007 to evaluate the impact of the FHD in connecting at-risk families to community resources.
Overall, 6% of parents (n=59) who brought their child for a scheduled clinic visit accessed the FHD. Parents had a mean of 1.7 social needs, including after-school programs and childcare (29%), employment (13%), housing (12%), and food (11%). Most parents who utilized the FHD (64%) contacted a community resource or service within 6 months of their clinic visit. Nineteen parents (32%) who utilized the FHD enrolled in community programs.
A clinic-based multi-disciplinary model can empower families to connect with community-based resources for basic social needs.
The Family Help Desk model has great potential for addressing family psychosocial needs, and educating families about community resources within the context of pediatric primary care.
儿科指南强调医疗保健提供者在就诊时应从家庭和社区的角度看待儿童，并在就诊时推广社区资源。2006 年，马里兰州巴尔的摩市的一家城市学术诊所设立了家庭帮助台（FHD），以帮助医疗保健提供者向家庭传授有关社区资源的知识。
2007 年，进行了为期 6 周的纵向队列试点研究，以评估 FHD 在将高危家庭与社区资源联系起来方面的影响。
总体而言，6%的带孩子进行定期门诊就诊的父母（n=59）使用了 FHD。父母的平均社会需求为 1.7 项，包括课后项目和儿童保育（29%）、就业（13%）、住房（12%）和食品（11%）。大多数使用 FHD 的父母（64%）在就诊后 6 个月内联系了社区资源或服务。19 名使用 FHD 的父母（32%）参加了社区项目。
基于诊所的多学科模式可以使家庭有能力与满足基本社会需求的社区资源建立联系。
FHD 模式具有解决家庭心理社会需求的巨大潜力，并在儿科初级保健的背景下向家庭传授有关社区资源的知识。
