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Chapter 33 Child and Adolescent Health

Working with Families

Preventing mother and infant deaths

Immunizing children

Preventing Childhood injuries

Promoting children’s mental health

Selected Nursing Interventions

Transition from hospital to home

Weaving spirituality into nursing interventions

School-based programs

Illness

Obesity

Home-based programs

Improving Children’s Health: Systems of Care

Core values

Being child centered and family focused

Being community based so that children can live at home

Being culturally competent about racial, ethnic, and cultural differences among families

Providing individualized services that build on the strengths of families

Providing integrated, coordinated, effective, and efficient services

Identifying and treating problems early

Mental Health

Mental health is an important factor in the justice, school, healthcare, welfare, and public housing systems

Most of the children in the justice system have mental health problems

School systems are the largest providers of mental health services for children

Mental health problems increase the cost of care for physical health problems

School clinics

Resources

U.S. Department of Housing and Urban Development (HUD)

Temporary Assistance to Needy Families (TANF)

Affordable Care Act (ACA) of 2010

Contexts for Growth and Development

Poverty

Low birth weight and prematurity

Respiratory illnesses

Maternal stress

Gastroenteritis

Poor education

Children raised in poverty at a disadvantage from the start

Social deprivation

Mental retardation

Childhood injuries

Violence and abuse

Poor environment

Contexts

Environmental hazards

Pollutants

Tobacco smoke or nitrous oxide

Neighborhood contexts

Impoverishment

High childcare burden to adult ratio

High population turnover

Female-headed households

High child abuse and neglect

Contexts (cont.)

Parents’ work context

Childcare context

Public policy context