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Community Pediatrics
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Community Pediatrics Overview

Mission Statement:

Community Pediatrics is dedicated to and promotes the health of all children by supporting pediatricians participating in community health initiatives.

Community Pediatrics works to strengthen the discipline of community pediatrics, both nationally and internationally, and ensure a medical home for all children by providing support to pediatricians involved in community programs that improve access to health care for children and their families. Community Pediatrics activities are designed to promote the concepts encompassing community pediatrics and the activities of community-based initiatives to expand health care services for all children, including children with special needs. Through community health services and community-based initiatives, the AAP strives to expand health care services for all children, with emphasis on Medical Home, and extensive work being done in the area of children with special needs.

"Pediatricians can play an important role in meeting the Healthy People 2010 Goal to increase the quality, availability, and effectiveness of educational and community-based programs designed to prevent disease and improve health and quality of life."

Brief History of the Community Pediatrics at the AAP

Community pediatrics is described as a "concern for all children in a population, those who remain well but need preventive services, those who have symptoms but do not receive effective care, and those who do seek medical care either in a physician's office or in a hospital." Community pediatrics recognizes that children are best understood, and their needs attended to, within the interlocking contexts of biology, family, and community.

Since 1970, the Academy has been promoting community pediatrics in a variety of ways, including policy statements about community pediatrics and the medical home, and through activities like the Healthy Tomorrows Partnership for Children Program (HTPCP), the Community Access To Child Health (CATCH) Program, and the AAP Council on Community Pediatrics (COCP). In 1994, the Academy formalized its commitment to community pediatrics by instituting the Department of Community Pediatrics (DOCP) to provide support to pediatricians involved in the development and implementation of community programs that improve access to quality health care for children and their families.

Over the years, Community Pediatrics activities have documented the success of hundreds of pediatricians making positive contributions to the health of their communities, finding that "with information, support, and tools, pediatricians can be agents of change.” Through the years programs related to immunizations, breastfeeding, Native American Child Health, and Child Care have evolved and become part of the practice of community pediatrics.

In 2005, the AAP initiated changes to make Community Pediatrics part of the fabric of all AAP activities by infusing the concepts of community pediatrics throughout the Academy. The former DOCP divisions and programs have now been strategically aligned with activities related to chapter and state affairs, advocacy, policy, and education.

The Division of Children with Special Needs

The Division of Children with Special Needs was initiated in July 1999. The mission of the division is to work in cooperation with federal agencies, particularly the federal Maternal and Child Health Bureau, to ensure that children with special health care needs (CSHCN) in the United States have access to a medical home. Through this grant-funded division, pediatricians, parents, administrators, and others who provide care to children with special needs will have access to educational and advocacy materials that address barriers to medical homes for CSHCN. The work done includes recommendations that benefit CSHCN at the national, state, and local levels; guidelines for care of CSHCN; evaluation tools that assess outcomes of providing a medical home to CSHCN; and a national contact network of experts in care for CSHCN. The division is also home to the Council on Children With Disabilities ( a merger of the Section and Committees on Children With Disabilities.

Programs include:

  • Medical Home Initiatives for Children with Special Needs
    (www.medicalhomeinfo.org/)
    Supports efforts to ensure children with special needs are linked to a medical home by developing educational and advocacy materials, conducting pilot projects, and providing technical assistance.
  • Medical Home Training Program
    (www.medicalhomeinfo.org/training/index.html)
    Educates professionals and families who care for children with special needs about how to provide medical homes in a changing health care environment.
  • Screening Initiatives
    (www.medicalhomeinfo.org/screening/index.html)
    Supports efforts to improve the integration of screening and surveillance in the medical home. Specific initiatives include: newborn metabolic/genetic screening, universal newborn hearing screening, preschool vision screening, and developmental screening.
  • Council on Children With Disabilities
    (www.medicalhomeinfo.org/about/CSOCWD.html)
    The Council on Children with Disabilities, representing a merger of Committee and Section on Children with Disabilities, is composed of pediatricians and other health care providers dedicated to the optimal care and development of children with disabilities and related special health care needs and to the support of their families. The Council has a membership of over 400 AAP members and provides those members interested in the care of children with disabilities with a forum for education, communication, and advocacy.

    Its mission specifically includes:

    • Policy development related to children with disabilities;
    • Development of a forum to enhance education of pediatricians caring for children with disabilities;
    • Increasing the visibility of issues related to children with disabilities within the AAP;
    • Collaboration with local and national organizations in advocacy for and their families, and;
    • Providing opportunities for members of the Council on Children with Disabilities to engage in all the above.

The Division of Community-based Initiatives

The Division of Community-based Initiatives promotes and supports pediatrician involvement in community-based child health initiatives. The division staff manage three national programs including the Community Access To Child Health (CATCH) Program, the Healthy Tomorrows Partnership for Children Program, and the Community Pediatrics Training Initiative. The division also houses the Council on Community Pediatrics. Division staff provide technical assistance on developing and sustaining community-based child health projects.

Programs include:

  • Community Access to Child Health (CATCH)
    (www.aap.org/catch/)
    Supports pediatricians who work with communities to ensure that children have increased access to medical homes and to any other needed health care services through training, technical assistance, peer support, networking, and funding opportunities.
  • Council on Community Pediatrics
    (www.aap.org/sections/socp/default.cfm)
    The mission of the Council on Community Pediatrics is to support and promote the community dimension of pediatric practice among pediatricians and all pediatric health care providers through leadership within the American Academy of Pediatrics and in the broader health care community. Council efforts include the development and dissemination of policies, innovative implementation programs, educational programs, and technical assistance opportunities. One of the Council's priorities is to identify and implement the strategies to promote child health equity. The Council has special interest groups that focus on: Indian health, prevention and public health, community pediatrics education and training, and rural health.
  • Healthy Tomorrows Partnership for Children Program
    (www.aap.org/commpeds/htpcp/)
    Aims to improve the health status of mothers, infants, children, and adolescents by increasing their access to a medical home. Healthy Tomorrows projects address four key areas: access to a medical home, community based health care, preventative health care, and service coordination. All projects target low-income populations.
  • Community Pediatrics Training Initiative
    (http://www.aap.org/commpeds/CPTI/default.htm)
    The goal of the program is to advance the field of community pediatrics through promotion and support of residency training activities that empower future pediatricians to become leaders in improving the health of all children in their communities. All pediatric resident graduates should have the knowledge and skills to engage in interdisciplinary collaborations, community partnerships, and the practice of evidence-based community health care to advance child health in their communities.

Other Community Pediatrics Initiatives

  • Breastfeeding Promotion in Physicians’ Office Practices
    (www.aap.org/advocacy/bf/brpromo.htm)
    Strives to educate providers of pediatric and obstetric care about breastfeeding promotion and management in racially and ethnically diverse populations by providing technical assistance and resource materials, to enable them to be the most knowledgeable, effective medical home they can be.
  • Childhood Immunization Support Program
    (www.cispimmunize.org/)
    The Childhood Immunization Support Program (CISP) seeks to improve immunization delivery practices in community-and office-based primary care settings, to enable providers to communicate effectively with parents about vaccines, and to establish a network of immunization providers who are promoting uniform implementation of best immunization practices within a medical home. The CISP also provides technical assistance and immunization resources.
  • Bright Futures
    (brightfutures.aap.org)
    Bright Futures is a philosophy and approach to prevention and health promotion for infants, children, adolescents, and their families. Bright Futures materials provide comprehensive health supervision guidelines, including recommendations on immunizations, routine health screening, and anticipatory guidance. Strategies are being developed to assist providers with the implementation of preventive services.
  • Healthy Child Care America
    (www.healthychildcare.org/)
    Supports efforts to ensure that children have access to high-quality, nurturing child care programs and are linked to a medical home. Activities focus on providing education, advocacy information, and technical assistance to health care professionals, early childhood educators, and child care providers.
  • Native American Child Health
    (www.aap.org/nach/)
    Raises awareness of the major health problems Native American children face, and encourages Tribes and the Indian Health Service to enable the provision of a medical home for American Indian/Alaska Native children.
  • Pediatrics Collaborative Care Program: Oral and Mental Health Initiatives
    (www.aap.org/commpeds/dochs/)
    Seeks to provide guidance to pediatricians on the delivery of oral health, mental health care, and community-based collaborative care within the context of the medical home.
  • Culturally Effective Pediatric Care
    (www.aap.org/commpeds/cepc)
    This Web page on culturally effective pediatric care provides background on changes in child demographics and the need for culturally effective pediatric care, links to related AAP Policy Statements, and links to general resources.
  • International Community Pediatrics
    (www.aap.org/commpeds/international/)
    The AAP's vision of community pediatrics programs and activities is to broaden the network of community pediatricians worldwide and to help share information gained in the US about the practice of community pediatrics. This page will provide information on community pediatrics initiatives around the world.
 
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