Pediatrics for Underserved Populations

Perri Klass, MD, FAAP, is Professor of Journalism and Pediatrics at New York University, where she directs the Minor in Medical Humanities, and practices pediatrics at Bellevue Hospital. She is the National Medical Director of Reach Out and Read. Her books include The Best Medicine: How Science and Public Health Gave Children a Future, Quirky Kids: Understanding and Supporting Your Child with Developmental Differences, coauthored with Dr. Eileen Costello, Every Mother is a Daughter: the Neverending Quest for Success, Inner Peace, and a Really Clean Kitchen, coauthored with her mother, and Treatment Kind and Fair: Letters to a Young Doctor. She lives in New York City.Eileen Costello, MD, FAAP, is a clinical professor of pediatrics at Boston University School of Medicine and the former chief of ambulatory pediatrics at Boston Medical Center, where she directed the primary care clinic and the SOFAR (Supporting Our Families through Addiction and Recovery) program. She is currently the medical director at Massachusetts Department of Children and Families, where she oversees the medical care of children in the child welfare system. She lives in Jamaica Plain, MA.Terri McFadden, MD, MPH, FAAP is a Professor of Pediatrics at Emory University School of Medicine and Director of Clinical Initiatives for PARTNERS for Equity in Child and Adolescent Health. She is a former medical director for the primary care service at Children's Healthcare of Atlanta at Hughes Spalding and serves as the current medical director of Reach Out and Read Georgia. She lives in Atlanta, GA.

• DedicationContributor ListIntroductionI.FRAME AND CONTEXT1. Poverty and Child Development: The Scope of the Problem and How Pediatric Practices Can HelpBenard P. Dreyer, MD; Arthur H. Fierman, MD; Suzy Tomopoulos, MD; and Chanelle Coble, MD 2. Childhood Experiences: Adversity, Resilience, and the Foundational Importance of Early Relational HealthStan Sonu, MD, MPH; and Laura Jane Miller, MD4. Environmental Effects3. Racism and Children's Health and Development: Addressing the ImpactJacqueline Dougé, MD, MPH, FAAP4. Abby Nerlinger, MD, MPH, FAAP5. Caring for Parents: Supporting the Home from the Medical HomeTerri McFadden, MD, MPH, FAAPII. EXAM ROOM TOPICSFEEDING AND EATING6. Food Allergies: Caring for Children Living in Underserved SettingsRia Jindal, BS; Samantha Sansweet, MPH; Waheeda Samady, MD, MSCI; and Ruchi Gupta, MD, MPH7. Addressing Faltering Growth in Pediatrics: A Primary Care ApproachPriscilla Gonzalez, MD, and Margot Tang, MD, MPH8. Addressing Childhood Obesity: Impact of the Social Drivers of Health and ResourcesStephanie Walsh, MD, MS, FAAP, DABOMSLEEPING9. The A to Zzzs of Sleep in Underserved Populations: A PrimerJudith Anne Owens, MD, MPH, FAAP and Monica Roosa Ordway, PhD, APRN, PPCNP-BC, FAANBREATHING10. Asthma: Challenges and Advances in ManagementRachel S. Sagor, MD and Robyn T. Cohen, MD, MPHDEVELOPMENT11. Underserved Children: A Developmental PerspectiveMaggie Dade, DO; Zvart Abaryan, MD, MS; and Douglas Vanderbilt, MD, MS, MBA12. Autism Spectrum Disorder: Supporting Families Through Evaluation, Diagnosis, and BeyondKaren M. Hopkins, MD13. ADHD: Neurodevelopmental Disorder or Evolutionary Mismatch?Adiaha Spinks-Franklin, MD MPH FAAP, Demvihin Ihyembe, M.D, Trevena Moore-Briscoe, MDMENTAL HEALTH14. Anxiety in Underserved Populations: Identification, Assessment, and Treatment in Primary CareMoshe Bitterman, MD; John Parkhurst, PhD; and Andrea Spencer, MD15. Depression in Underserved Populations: Primary Care-Based Strategies for Identifying, Assessing, and Treating Depression in YouthGerman Velez, MD; Eric A Peist, PhD; and Tareq Yaqub, MDSAFETY16. Child Protection and Foster Care: Working with Families Involved with Child ProtectionLori Legano, MD, FAAP17. Injury and Violence Prevention for High-Risk Populations: Centering Injury EquityKellie Snooks, DO, MPH, and James Dodington, MDCOMPLEX MEDICAL NEEDS18. Caring for Children with Complex Medical Needs: Promoting Improved Developmental OutcomesSalathiel Kendrick-Allwood, MD, FAAP and Cierra Moss, MD, FAAP19. Sickle Cell Disease: Implications for Underserved PopulationsAmy Sobota, MD, MPH and Jeffrey Edwards, MD, MPHSUBSTANCE USE20. Caring for Children of Parents with Substance Use Disorders: Guidance for Pediatric Primary CareEileen Costello, MD and Sara Stulac, MD, MPH21. Adolescent Substance Use: Considerations for PediatriciansJessica B. Calihan, MD, MS and Sarah M. Bagley, MD, MScIII. FOCUS ON STRATEGIES AND SOLUTIONS22. Language, Culture, and Pediatrics: Working with Immigrant FamiliesMariana Glusman, MD, FAAP23. Spotlight on Solutions: Economic SupportPerri Klass, MD, FAAP24. Best Starts: Breastfeeding and BeyondJessica Nash MD, IBCLC, FAAP; Katrina Hammond-Jack MD, MS, FAAP; and Sahira Long MD, IBCLC, FAAP, FABM25. Oral Health: Integration in PediatricsPeter Catapano, DDS, FAAPD and Sheena Nandi, DDS, MPH26. Spotlight on Solutions: ObesityMary Jo Messito, MD, FAAP27. Supporting Early Relational Health in Pediatric Practices: Evidence-Based Preventive InterventionsAlan L. Mendelsohn, MD, FAAP28. Literacy Promotion in Primary Care: Positive Parenting, Language-Rich Interactions, and Educational TrajectoriesPerri Klass, MD, FAAP29. Screens and Digital Media: Supporting Families from Infancy Through AdulthoodJenny Radesky, MD, FAAP30. Transgender and Gender-Diverse Youth: Care and ConsiderationsErika Choi, DO; Pranav Gupta, MD; Jennifer Besse, NP; and J. Sonya Haw, MD31. Reaching Adolescents and Young Adults in Urban, Underserved Communities:Developmentally Informed, Patient Centered, Integrated Primary CareMelissa Nass, MD, MPH, and Katelin Blackburn, MD, MPH32. Spotlight on Solutions: MentoringPerri Klass, MD, FAAP33. Education Access: Supporting Families of Children with Special Educational Needs in Primary CareConor Ross, BA; Soukaina Adolphe, MD; Ivys Fernández-Pastrana, JD; and Hilana Scott, MSN, CPNP-PC34. Education as a Pathway Out of Poverty: The Pediatrician's RoleVeda Johnson, MD FAAP35. Advocacy and Advocacy Training: Going Beyond the Clinic Walls for Patients and FamiliesKaren Sheehan, MD, MPHConclusion