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Acad Pediatr. 2018 Nov 21. pii: S1876-2859(18)30756-3. doi: 10.1016/j.acap.2018.11.009. [Epub ahead of print]

Community Resource Needs Assessment Among Families Presenting to a Pediatric Emergency Department.

Author information

1
Division of Emergency and Transport Medicine, Children's Hospital Los Angeles; Department of Pediatrics, Keck School of Medicine, University of Southern California. Electronic address: jsemple@chla.usc.edu.
2
Division of Emergency and Transport Medicine, Children's Hospital Los Angeles; Division of Behavioral and Organizational Sciences, Claremont Graduate University of the Claremont Colleges.
3
Department of Preventive Medicine, Keck School of Medicine, University of Southern California.
4
Division of Emergency and Transport Medicine, Children's Hospital Los Angeles; Department of Pediatrics, Keck School of Medicine, University of Southern California.

Abstract

OBJECTIVE:

To identify community resource needs among families presenting to a pediatric emergency department (PED).

METHODS:

A convenience sample of English and Spanish-speaking caregivers residing in Los Angeles County who presented to the PED of a large urban children's hospital were surveyed. The needs assessment survey assessed demographics, food insecurity, and previous and anticipated need for 12 common community resources.

RESULTS:

Of 768 caregivers who completed the survey, 75% identified as Hispanic/Latinx. Across all survey participants, 83% used at least one resource in the past, and 67% anticipated needing at least one resource in the next 12 months. Low cost/free health clinics were the most common resources used in the past and needed for the future. Caregivers with younger children tended to need baby formula/breastfeeding and women's health resources, while caregivers with older children tended to need safe housing, subsidized utilities, and counseling/therapy. Many families who needed resources in the past and for the future resided south of the children's hospital, where median household income was relatively lower than in other areas of the county. A pattern of heightened use emerged among caregivers who primarily spoke Spanish. On average, caregivers reported feeling comfortable approaching hospital staff about community resources.

CONCLUSIONS:

We found significant needs for community resources among families who presented to an urban PED. Needs were particularly salient among Spanish-speaking families and families living in close proximity to the children's hospital. Findings from this study help to inform future work connecting families to community resources.

KEYWORDS:

Community resource needs; Pediatric emergency medicine; Social determinants of health; Social needs screening

PMID:
30471361
DOI:
10.1016/j.acap.2018.11.009

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