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加强对患有慢性病的少数族裔和低收入儿童的跨专业、跨机构合作。

Enhancing interprofessional interagency collaboration for minoritized and low-income children with chronic illnesses.

机构信息

Department of Educational Psychology, University of Wisconsin-Milwaukee.

Herma Heart Institute, Children's Wisconsin.

出版信息

Sch Psychol. 2024 Jul;39(4):395-406. doi: 10.1037/spq0000632. Epub 2024 Jun 13.

Abstract

Children with chronic illnesses present unique health, psychosocial, and learning challenges. Due to the complexities surrounding their needs, these children and their families often encounter multilayered barriers when accessing educational services and health care management. Medical-family-school interprofessional interagency collaborations (IIC) are needed to facilitate information sharing across institutions, treatment alignment among care partners, and equitable and high-quality school-based service delivery. This article presents a novel hospital-based school consultative liaison service, the Educational Achievement Partnership Program (EAPP), which conducts IIC with the families, schools, hospitals, and community care partners of children with chronic illnesses. We explore disproportionalities in IIC services among low-income and racially/ethnically minoritized children and examine ways to increase IIC service access and utilization. Results demonstrate that systematic changes targeting in-person communication with families significantly increased minoritized and low-income children's EAPP participation. Despite this increase, differences occurred between minoritized and White children's utilization through all stages of EAPP service delivery. These results underscore the importance of ongoing IIC service evaluation to examine the effectiveness of implementation components. We discuss implications and highlight opportunities for similar medical-family-school IIC under a school psychologist-led medical liaison consultative approach. We conclude that IIC is best fostered through innovations in communication models, graduate training, practice, and research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

患有慢性病的儿童在健康、心理社会和学习方面都面临着独特的挑战。由于他们的需求复杂,这些儿童及其家庭在获得教育服务和医疗保健管理方面常常会遇到多层次的障碍。需要医疗-家庭-学校多专业多机构间合作(IIC)来促进机构间的信息共享、照顾伙伴之间的治疗协调以及公平和高质量的基于学校的服务提供。本文介绍了一种新颖的基于医院的学校咨询联络服务,即教育成就伙伴计划(EAPP),该服务与患有慢性病的儿童的家庭、学校、医院和社区照顾伙伴进行 IIC。我们探讨了低收入和种族/族裔少数群体儿童在 IIC 服务中存在的不平等现象,并研究了增加 IIC 服务获取和利用的方法。结果表明,针对与家庭进行面对面沟通的系统变革显著增加了少数族裔和低收入儿童参与 EAPP 的机会。尽管有了这种增加,但在 EAPP 服务提供的所有阶段,少数族裔和白人儿童的利用情况仍存在差异。这些结果强调了对 IIC 服务进行持续评估以检查实施组件有效性的重要性。我们讨论了影响,并强调了在学校心理学家领导的医疗联络咨询方法下进行类似医疗-家庭-学校 IIC 的机会。我们得出结论,通过创新的沟通模式、研究生培训、实践和研究,可以最好地促进 IIC。(PsycInfo 数据库记录(c)2024 APA,保留所有权利)。

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