Advocacy is any attitude or idea, strategy or set of behaviors that has a specific goal to improve the physical, emotional or environmental condition of an individual child or adolescent, their family or their community. The goals of child advocacy include:
The Community Pediatrics and Advocacy Program (CPAP) provides the opportunity for residents to learn to become pediatricians who:
Through this educational process, we integrate an expanded focus on community-based pediatrics and advocacy throughout the Hospital
The advocacy curriculum spans the three years of residency. In the first two years, residents gain exposure to community resources, various advocacy topics and issues and develop core advocacy skills. The lectures, workshops, activities and site visits are related to clinical experiences in developmental pediatrics and adolescent medicine.
Activities include community-based advocacy experiences as well as skill-building sessions that address lobbying, media training, coalition building and advocating for children in a managed care system.
In the third year of residency, trainees apply core advocacy skills to advocacy projects, often initiated in their intern year. Residents present their projects at the senior advocacy poster session, lead journal club discussions and conduct grand rounds advocacy campaigns.
Residents, working with CHOP's Poison Control Center, facilitated a new partnership with the Philadelphia Injury Prevention Center. Families were recruited from the Cobb’s Creek Primary Care Center for a free home safety inspection and installation of a CO detector by the city's Department of Health. City inspectors were also trained to provide CO poisoning prevention education. Surveys collected data on the efficacy of the training for future projects.
The CHOP Refugee Health Clinic opened in March 2011. The clinic project evolved from the work of residents interested in the resettlement of refugee families and access to pediatric care. Refugee children are provided ready access to basic medical care, the required documentation that permits attendance in school and, when necessary, links to specialist care. Residents created order sets and other templates to facilitate rapid and comprehensive screening for infectious and developmental issues, psychosocial and nutritional needs and clinical summaries for future health care providers.
The CHOP-Henry House Collaboration represents the continuation of a resident’s initiated sexual-health curriculum for the women of Henry House, a group of 15 to 20 young women who reside in this Northeast Treatment Center (NET) during their six to 12 months in DHS custody. This year, residents revamped the core curriculum to create a series of more interactive “chalk talks,” an additional lecture on self-esteem, connections with additional community resources, and the acquisition of reproductive health literature and supplies from the Philadelphia Department of Health.
A resident at CHOP’s South Philadelphia Care Network researched various organizations that provided youth exercise programs in South Philadelphia. A list of longstanding, well organized and inexpensive programs were compiled and made part of the electronic medical software used to provide patient information during all primary care visits. After educational sessions by the resident at the clinic, this information became a frequently used resource by the South Philadelphia provider team.
The Homeless Health Initiative (HHI), started initially by residents in the 1980s, provides medical care to children housed in the following shelters:
This project began a two-year process to examine follow-up care by families after visits to CHOP's night shelter. The goal of this project was to understand the ways in which case management, the shelter team and HHI can better support adequate follow-up for the medical recommendations provided to the families.