Maimonides Pediatric Primary Care
State/Jurisdiction: New York
Setting: Clinical Community
Population: CYSHCN Medical & Public Health Professionals
Topic Area: Safe and Connected Communities Health Screening Mental Health & Substance Use Care Coordination Workforce Development
NPMs: NPM 11: Medical Home
Maimonides Medical Center is a specialty care teaching hospital in Brooklyn that serves the ethnically and socioeconomically diverse communities of the borough, as well as a large immigrant population. Poverty, child abuse and neglect, neighborhood violence, and domestic violence are highly prevalent in many communities in Brooklyn, and are likely to be among the adverse childhood experiences (ACE) experienced by children participating in the BRIC FIT program. The prevalence of exposure to ACE and SDH in Brooklyn children leading to long-term negative health effects, coupled with the fragmented system of care and lack of trained professionals competent to address these problems within primary care settings, highlights the need for the care innovations inherent in the BRIC FIT program. To address the myriad psychosocial risk factors that our families are challenged with, we have sought to provide integrated mental health services in our pediatric primary care clinics, along with linkages to community-based supports that address ACEs and SDH.
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