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Family Psychosocial Screening also assesses a number of other risk factors for developmental and behavior problems. These include frequent household moves, single parenting, three or more children in the home, less than a high school education, and unemployment. Four or more such risk factors including mental health problems and an authoritarian parenting style (observed when parents use commands excessively or are negative and less than responsive to child initiated interests) is associated with a substantial drop in children's intelligence and subsequent school achievement . In such cases, children should also be referred for early stimulation programs such as Head Start or a quality day care or preschool program. 

PCMH Standard 2, Element C: Comprehensive Health Assessment, Factor 2: Practice conducts and documents a health assessment including family, social, cultural characteristics.

Appointment for first visit should be scheduled within 8 weeks of gestation. The first appointment is scheduled with perinatal nurse.

 

Clinicial guidelines dealing with children and lead exposure.  Special emphasis on working with migrant children. 

Use the link below to access MCN's Rapid Assessment Tool to help adolescent farmworkers identify agricultural tasks they perform in agriculture and facilitate clinician understanding about the health risks associated with it.  Youth worker images are adapted and reproduced with permission from the National Children Center for Rural and Agricultural Health and Safety. Images copyrighted through Marshfield Clinic, Marshfield, Wisconsin.

If computers and internet access are unavailable where patient care is provided, the worker assessment sheet and clinician information grid are available in PDF.

http://www.neefusa.org/health/asthma/asthmaguidelines.htm

These guidelines are aimed at integrating environmental management of asthma into pediatric health care. Offers clinical competencies in environmental health relevant to pediatric asthma and outlines the environmental interventions to communicate to patients.

The Toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health.

To provide initial prenatal education (prior to referral for pregnancy management) for patients with pregnancy diagnosed at the Lake Superior Community Health Center.

Book published jointly by MCN and the American Academy of Pediatrics to highlight special considerations for farmworker children.