Introduction to Advocacy In Pediatrics. Kelly Burke.
Introduction to Advocacy In Pediatrics
“The reason that advocacy is so much embedded in the work of pediatrics is that children have little political voice of their own and rely on the proxy voice of others including pediatricians to speak out on their behalf. This voice is so important because of the overrepresentation of our children among the poor and underserved.” ~ Charles N. Oberg
The mission of the AAP is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. To accomplish this mission, the AAP shall support the professional needs of its members.
The underpinning principle that runs throughout the history of pediatrics and is conveyed by the AAP is the need to advocate on behalf of the children that we serve.Some pediatricians still feel uncomfortable with the topic…
*Taken from Community Pediatrics website
*Taken from Community Pediatrics website
Bullying and Our Role As Pediatricians
Bullying is a form of aggression in which 1 or more children repeatedly and intentionally intimidate, harass, or physically harm a victim who is perceived as unable to defend herself or himself.
An issue of emerging concern has been the association of bullying behavior, particularly among young school-aged children, with the subsequent development of serious assault and suicidal behaviors.₄
Over the last 2 decades of the 20th century, violence emerged as a major public health problem.
The United States continues to lead the industrialized world in rates of youth homicide and suicide.
Approximately 3% of direct medical expenses in this country for pediatrics are related to interpersonal assault injuries.₄
Phoebe Prince hung herself after sustaining taunting and physical threats by her classmates after having a brief relationship with a senior boy soon after moving to the US from Ireland.
Tyler Clementi was an 18-year-old Rutgers University freshman killed himself in September 2010 after discovering that his roommate had secretly used a webcam to stream his romantic interlude with another man over the Internet.
The potential risks and behavioral consequences associated with early childhood exposure to violence in the community are profound.
Headaches, stomachaches, dizziness, backaches, sleeping difficulties, depression, anxiety, irritability, injuries that require medical care, and suicidal attempts.
More likely to exhibit school absenteeism and poor grades.₅
Physical aggression – hitting, punching, kicking, shoving, etc.
Verbal aggression - teasing, calling names, making fun, taunting, daring somebody to do something dangerous or inappropriate in exchange for acceptance or favors.
Indirect aggression - spreading rumors, ostracizing.₆
Cyberbullying is deliberately using digital media to communicate false, embarrassing, or hostile information about another person.
Current data suggest that online harassment is not as common as offline harassment.
On the other hand, cyberbullying is quite common, can occur to any young person online, and can cause profound psychosocial outcomes including depression, anxiety, severe isolation, and, tragically, suicide.₉
“Sending, receiving, or forwarding sexually explicit messages, photographs, or images via cell phone, computer, or other digital devices.”
Offenders threatened or charged with felony child pornography charges.
Additional consequences include school suspension for perpetrators and emotional distress with accompanying mental health conditions for victims.
In many circumstances, however, it is not found to be distressing at all.₉
Adequate publicly supported community-based behavioral health services.
Protection of children from exposure to firearms.
Bullying awareness by teachers, educational administrators, parents, and children coupled with adoption of evidence-based prevention programs.
Responsible programming that minimizes youth exposure to violent images, messages, and themes.4
Protocol for anticipatory guidance, screening, and counseling of children and families during the course of routine health maintenance.
Appropriate and timely treatment and/or referral for violence-related problems identified.
Maintenance of an accurate database of community-based counseling and treatment resources.4
Formal continuing medical education or professional development programs.
Learning about community resources for children and adolescents.4
Advise parents to talk to their children and adolescents about their online use and the specific issues that today’s online kids face.
Advise parents to work on their own participation gap in their homes by becoming better educated about the many technologies their youngsters are using.4