在 COVID-19 大流行期间促进妊娠和儿童早期的韧性:HUGS/Abrazos 项目的设计和实施。

Fostering Resilience in Pregnancy and Early Childhood During the COVID-19 Pandemic: The HUGS/Abrazos Program Design and Implementation.

机构信息

Division of General Pediatrics, Department of Pediatrics, Massachusetts General Hospital for Children, Boston, MA, United States.

Harvard Medical School, Boston, MA, United States.

出版信息

Front Public Health. 2021 Apr 28;9:633285. doi: 10.3389/fpubh.2021.633285. eCollection 2021.

Abstract

Pregnancy and early childhood pose unique sensitivity to stressors such as economic instability, poor mental health, and social inequities all of which have been magnified by the COVID-19 pandemic. In absence of protective buffers, prolonged exposure to excessive, early adversity can lead to poor health outcomes with significant impact lasting beyond the childhood years. Helping Us Grow Stronger (HUGS/Abrazos) is a community-based program, designed and launched at the time of the COVID-19 surge in the Spring of 2020, that combines emergency relief, patient navigation, and direct behavioral health support to foster family resilience and mitigate the negative impacts of COVID-related toxic stress on pregnant women and families with children under age 6. Through a targeted referral process, community health workers provide resource navigation for social needs, and a social worker provides behavioral health support. The use of innovative tools such as a centralized resource repository, community health workers with specialized knowledge in this age range, and a direct referral system seeks to assist in streamlining communication and ensuring delivery of quality care. We aim to serve over 300 families within the 1st year. The HUGS/Abrazos program aims to fill an important void by providing the necessary tools and interventions to support pregnant women and young families impacted by adversity exacerbated by the COVID-19 pandemic.

摘要

妊娠和幼儿期对压力源特别敏感,如经济不稳定、心理健康状况不佳和社会不平等,所有这些都因 COVID-19 大流行而加剧。如果没有保护缓冲,长期接触过多的早期逆境可能会导致健康状况不佳,其影响会持续到儿童期之后。“帮助我们变得更强壮”(HUGS/Abrazos)是一个基于社区的项目,在 2020 年春季 COVID-19 激增期间设计并推出,该项目将紧急救济、患者导航和直接的行为健康支持相结合,以培养家庭的适应力,并减轻与 COVID 相关的毒性压力对孕妇和 6 岁以下儿童家庭的负面影响。通过有针对性的转介过程,社区卫生工作者为社会需求提供资源导航,社会工作者提供行为健康支持。使用集中资源库、在这一年龄段具有专门知识的社区卫生工作者以及直接转介系统等创新工具,旨在帮助简化沟通并确保提供高质量的护理。我们的目标是在第一年服务 300 多个家庭。HUGS/Abrazos 项目旨在通过提供必要的工具和干预措施,为受 COVID-19 大流行加剧的逆境影响的孕妇和年轻家庭提供支持,从而填补这一重要空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc41/8113397/599bf71dab60/fpubh-09-633285-g0001.jpg

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