Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 6 uppsatser.

Thesis (M.P.H.M.)--Mahidol University, 1988.

nÃo hà / A morte constitui parte do ciclo de vida de cada ser humano, embora nem sempre este se encontre preparado para enfrentar; e quando se trata da morte de um filho, os pais necessitam da ajuda de profissionais que os acolham para a elaboraÃÃo do luto. O estudo teve como objetivos realizar acolhimento e acompanhamento do casal em luto pela perda de um filho; analisar os efeitos deste acompanhamento; elaborar, com as famÃlias participantes, tecnologia de acolhimento na elaboraÃÃo do luto pela perda do filho e verificar qual a decisÃo da mulher/mÃe em relaÃÃo ao destino de sua produÃÃo lÃctea apÃs a morte do filho recÃm-nascido (RN) ou quando a morte ocorreu intraÃtero. Realizou-se uma pesquisa-aÃÃo, pois se acredita que nesta metodologia o pesquisador vai alÃm de diagnÃstico situacional; este se insere no meio pesquisado, tem efetiva participaÃÃo e, consequentemente, existe a possibilidade de compreender a realidade para efetivas transformaÃÃes. Os resultados acontecem durante o caminhar, o que proporciona satisfaÃÃo para o pesquisador e participantes que se educam mutuamente; todos sÃo sujeitos atuantes e dispostos a pensarem juntos. Coordenou-se grupo de apoio/suporte do tipo semiaberto, com acolhimento de 14 casais em luto pela perda do filho. Quanto à frequÃncia das sessÃes grupais, reuniu-se uma vez por semana, aos sÃbados, no LaboratÃrio de PrÃticas Alternativas de SaÃde (LabPas), do Departamento de Enfermagem da Universidade Federal do CearÃ, durante nove meses, totalizando 30 encontros grupais. A duraÃÃo mÃdia de cada encontro foi de 90 minutos, perfazendo 2.700 minutos ou 45 horas de convivÃncia dos participantes da pesquisa, alÃm das visitas domiciliÃrias e contatos telefÃnicos. TrÃs etapas constituÃram o processo grupal - acolhimento, desenvolvimento e avaliaÃÃo. O acolhimento aconteceu por meio de relaxamento e tÃcnica de imaginaÃÃo criativa ancorada por um tema; o desenvolvimento foi conduzido por uma pergunta norteadora e a avaliaÃÃo realizada por meio de uma palavra ou frase. Os encontros foram finalizados por meio de um abraÃo coletivo. O perÃodo de coleta transcorreu entre 7 de janeiro e 29 de setembro de 2012. Os locais da pesquisa foram duas maternidades de grande porte, referÃncias do MunicÃpio de Fortaleza, capital do Estado do CearÃ/Brasil, que forneceram os telefones dos casais que perderam seus filhos RN, as residÃncias onde aconteceram as entrevistas. Avaliaram-se os 30 encontros grupais a partir de um diagrama que se idealizou com base em Loomis (1979). Os resultados foram analisados por meio de triangulaÃÃo dos dados, que permite utilizaÃÃo de diferentes tÃcnicas de coleta como a entrevista, a formaÃÃo de grupos e a observaÃÃo sistemÃtica. Reuniu-se inicialmente o que foi apreendido como aprendizado resultando em conhecimento e depois se apresentou uma proposta de tecnologia em acolhimento Ãs famÃlias que perderam seus filhos, o que certamente poderà servir como modelo de assistÃncia. Acredita-se que a PromoÃÃo da SaÃde deva ser representada pela pirÃmide da competÃncia, que se traduz em conhecimentos acumulados, habilidades e atitudes para uma presenÃa silenciosa, a escuta terapÃutica, o olhar no olho, a palavra oportuna e o abraÃo terapÃutico. Concorda-se com os diversos pensadores quando afirmam que o caminho se faz caminhando. Nesta tese, acolheram-se os casais que perderam seus filhos RNs ou que morreram no ventre de suas mÃes, para ajudÃ-los a acreditar que eles podem ressignificar as suas vidas. Os casais retornaram a se organizar, a cuidar-se e voltaram aos seus trabalhos; e em seus depoimentos percebeu-se que os encontros grupais contribuÃram para que eles acreditassem que um dia esta dor serà substituÃda por uma saudade sem dor, uma recordaÃÃo saudÃvel do filho amado que estarà no coraÃÃo destes pais. Nessa fase de elaboraÃÃo do luto, certamente, eles estarÃo revigorados e mais resistentes a possÃveis dores com as quais a vida surpreende a todos. Das 41 mÃes consultadas sobre qual destino dariam ao leite que produziam apÃs a morte de um filho RNs ou ainda em seu Ãtero, 21(71%), porcentagem significativa, afirmaram que gostariam de ter sido doadoras de leite, caso tivessem tido a oportunidade de escolha. / Death is part of the life cycle of every human being, though not always latter is prepared to face, and when it comes to the death of a child, parents need the help of professionals to the elaboration of mourning. The study aimed to carry out care and supervision of the couple mourning the loss of a child; analyze the effects of this monitoring; draw, with families participating host technology in the preparation of mourning the loss of his son and see what is the decision of this woman / mother about the fate of her milk production after the death of her newborn son (NB) or when intrauterine death occurred. We carried out an action-research, since we believe that in this methodology the researcher goes beyond situational diagnosis, it falls into the studied environment, have effective participation and consequently there is the possibility of understanding reality for effective transformation. The results occur during the process, which provides satisfaction to the researcher and participants to educate each other, everyone is acting subjects and willing to think together. Was coordinated up a support / semi-open type group, with 14 host couples mourning the loss of his son. Regarding the frequency of group sessions, met once a week, on Saturdays, at the Laboratory of Alternative Health Practices (LabPas), Department of Nursing of, Federal University of CearÃ, for nine months, totaling 30 group meetings. The average duration of each session was 90 minutes, totaling 2700 minutes or 45 hours of coexistence of survey participants, in addition to home visits and telephone contacts. Three steps made the group process - hosting, development and evaluation. The host came through relaxation techniques and creative imagination anchored by a theme; development was driven by a guiding question, and evaluated by a word or phrase. The meetings were finalized by a group hug. The collection period elapsed between January 7 and September 29, 2012. The research sites were two large maternity units, references the city of Fortaleza, capital of Cearà / Brazil, which supplied the phones of couples who lost NB children, the households where the interviews took place. We assessed the 30 group meetings from an idealized diagram based on Loomis (1979). The results were analyzed by means of triangulation of data, which allows the use of different data collection techniques such as interviews, group formation and systematic observation. It was gathered up what was initially perceived as learning resulting in knowledge and then proposed a technology for host families who lost their children, which certainly could serve as a model of care. It is believed that health promotion should be represented by the pyramid of power, which translates into accumulated knowledge, skills and attitudes for a silent presence, listening therapy, the look in the eye, and embrace the word timely therapeutic. We agree with the many thinkers when they say that the path is made by walking. In this thesis, were welcomed couples who lost their children or newborns who died in the womb of their mothers, to help them believe they can reframe their lives. The couple returned to organize their lives, to cuddle up and returned to their work, and in their testimonies realized that the group meetings helped them to believe that one day this pain will be replaced by a longing without pain, a reminder of the healthy beloved son who will be at the heart of these parents. In this phase of elaboration of mourning, certainly, they are refreshed and more resistant to possible pains with which life surprises everyone. Of the 41 mothers consulted about which destination would give the milk produced after the death of a child or NB still in her womb, 21 (71%), a significant percentage, said they would have been milk donors, if they had the opportunity to choice.

Breastfeeding is arguably considered the world as the ideal way to feed the baby and is characterized as a predictive factor for this health promotion, providing protection against morbidity and mortality. However, in some very limited situations, the Ministry of Health contraindication to breastfeeding. And in these situations it is believed to be essential to think of the mothers who had contraindicated breastfeeding and negative feelings that can come from this experience. Objective: understand the perception of nurses about the mothers who experience conditions that contraindicate breastfeeding and recognize the experience of caring for mothers who had the breastfeeding contraindicated. Methods: A descriptive and exploratory study with a qualitative approach. Attended nineteen nurses who work in rooming in two referral hospitals in Aracaju, SE. Data were analyzed using content analysis and based on the Theory of Symbolic Interaction. Results: Nurses noticed that mothers who have displayed against breastfeeding require more attention and care. They realized even when these mothers understand that not breastfeeding protects their babies have feelings of consciousness, conformity and acceptance, as well as sadness, frustration, fear, anguish, shame, embarrassment, guilt, and escape when they experience the conviviality of rooming with women who can breastfeed, and due to bandaging the breasts. It was found that the participants considered that it is important to protect the privacy of mothers who had contraindicated breastfeeding, as these are allocated in private environments. The bandaging the breasts remained widely used as a measure associated with pharmacological inhibition of lactation, though no longer recommended by the Ministry of Health. It was found that nurses prioritize orientation actions and they see the importance of the host to these mothers. Conclusion: Nurses demonstrated their perception of mothers contraindicated breastfeeding in rooming. The study demonstrated the need for concern with the provision of more skilled nursing care, and sensitively provide care, support and guidance, seeking to understand the uniqueness that each situation requires. In this context, the researcher's perspective was supported by the Theory of Symbolic Interactionism. / O aleitamento materno é indiscutivelmente considerado no mundo como a forma ideal para alimentar o bebê e caracteriza-se como fator preditivo para promoção da saúde deste, conferindo proteção contra a morbimortalidade. Entretanto, em algumas situações bem restritas, o Ministério da saúde contraindica a amamentação. E nessas situações acredita-se ser indispensável pensar nas mães que tiveram a amamentação contraindicada. Objetivos: compreender a percepção do enfermeiro acerca das mães que vivenciam condições que contraindicam a amamentação e reconhecer a experiência do cuidar de mães que tiveram a amamentação contraindicada. Método: Estudo descritivo, exploratório, com abordagem qualitativa. Participaram dezenove enfermeiras atuantes em alojamento conjunto, em duas maternidades de referência em Aracaju, SE. Os dados foram analisados por meio da análise de conteúdo e fundamentados pela Teoria do Interacionismo Simbólico. Resultados: As enfermeiras perceberam que mães que tem a amamentação contraindicada demandam maior atenção e cuidado. Perceberam ainda que quando essas mães compreendem que a não amamentação protege seus bebês, apresentam sentimentos de consciência, conformismo e aceitação, além de tristeza, frustração, medo, angústia, vergonha, constrangimento, culpa e fuga ao vivenciarem o convívio do alojamento conjunto com mulheres que podem amamentar, e devido ao enfaixamento das mamas. Verificou-se que as participantes consideraram que é importante para resguardar a privacidade das mães que tiveram o aleitamento materno contraindicado, que estas sejam alocadas em ambientes privativos. O enfaixamento das mamas permaneceu amplamente utilizado, como medida associada à inibição farmacológica da lactação, embora já não recomendado pelo Ministério da Saúde. Constatou-se que as enfermeiras priorizam ações de orientação e enxergam a importância do acolhimento a essas mães. Conclusão: Enfermeiros demonstraram a sua percepção acerca das mães contraindicadas a amamentar no alojamento conjunto. O estudo demonstrou a necessidade de preocupação com uma prestação de cuidados de enfermagem mais qualificada, e que com sensibilidade ofereça cuidados, apoio e orientação, buscando entender a singularidade que cada situação exige. Neste contexto, o olhar do pesquisador foi apoiado na Teoria do Interacionismo simbólico.

Orientador: Maria Cecília Marconi Pinheiro Lima / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-24T01:02:26Z (GMT). No. of bitstreams: 1 Lopes_TeresinhaSoaresPereira_D.pdf: 3237893 bytes, checksum: fc386b3eb452979148ab83c1e1d7d23e (MD5) Previous issue date: 2013 / Resumo: Apesar dos claros benefícios do aleitamento materno para a saúde do bebê e da mãe, as taxas de amamentação continuam abaixo das recomendadas por agências nacionais e internacionais. Objetivos: Delinear o perfil da amamentação, os hábitos bucais de sucção e as possíveis implicações que a prática do aleitamento materno pode desencadear nas características morfológicas e funcionais do sistema motor oral em crianças atendidas em um programa odontológico de atenção materno infantil. Método: Trata-se de um estudo observacional, transversal, com 252 crianças entre 30 a 48 meses de idade, de ambos os sexos. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da UFPI (parecer nº CAAE 0039.0.045.000-10). A coleta de dados ocorreu por meio da aplicação de um questionário às mães e exame clínico das crianças. Para verificar associação entre as diferentes variáveis foi utilizado o teste qui-quadrado de Pearson, a odds ratio por meio da Regressão Logística (fatores associados à presença de hábitos de sucção) e razão de prevalência (respiradores orais e alterações oclusais), com seus intervalos de confiança de 95% para medir o efeito das variáveis relacionadas ao tempo de aleitamento materno. O nível de significância estatística estabelecido foi p<0,05. Resultados: Do total da amostra, 48,4% (n=122) das crianças mamaram no peito de forma exclusiva durante seis ou mais meses de idade; 27,4% apresentaram hábitos de sucção não nutritiva; 56,9% (n=143) padrão de respiração nasal e 59,9% (n=151) algum tipo de alteração oclusal, com oclusão normal em 40,1% (n=101). Como fator associado ao aparecimento dos hábitos de sucção não nutritiva, encontrou-se um menor tempo de aleitamento materno. As crianças que mamaram de forma exclusiva de 6 a 12 meses de idade têm 69% menos chances de ter hábitos de sucção deletérios, quando comparadas com as que mamaram até um mês. Houve associação estatisticamente significativa entre o uso da mamadeira (p<0,001) e a prática de hábitos bucais de sucção não nutritiva (p=0,009), com o aumento da prevalência de as crianças exibirem padrão respiratório predominantemente oral. Os tipos de - alterações oclusais observadas foram: sobressaliência 29,8% (n=75); sobremordida 24,6% (n=62); desvio da linha média 17,5% (n=44); mordida aberta anterior 9,5% (n=24); mordida cruzada anterior 3,6% (n=09); mordida cruzada posterior 3,6% (n=09). Não foi verificada diferença estatisticamente significativa (p>0,05) em relação ao tempo e ao tipo de aleitamento materno e desvios oclusais. Conclusões: A taxa de aleitamento exclusivo nas crianças de seis ou mais meses de idade mostrou-se acima da média nacional; a continuação do aleitamento materno após seis meses de idade exerceu influências positivas na diminuição de hábitos de sucção não nutritiva; o padrão respiratório predominantemente oral foi elevado; aleitamento materno exclusivo e aleitamento materno prolongados estão associados ao padrão respiratório nasal das crianças; houve associação estatisticamente significativa entre o uso de mamadeira e os hábitos bucais de sucção não nutritiva; o tempo e o tipo de aleitamento materno não estiveram associados aos diferentes tipos de alterações oclusais nas crianças / Abstract: Despite the clear benefits of breastfeeding for the health of the baby and the mother, breastfeeding rates remain below those recommended by national and international agencies. Objectives: To delineate the profile of breastfeeding, oral suction habits and the possible implications that breastfeeding may trigger on the morphological and functional characteristics of the oral motor system in children assisted in a dental program for maternal and child care. Method: This was an observational, cross-sectional study with 252 children aged between 30-48 months of age, from both sexes. The project was approved by the Ethics Committee of the UFPI (opinion No. CAAE 0039.0.045.000-10). The data were collected through the application of a questionnaire to mothers and clinical examination of children. To verify the association between the different variables, it was performed the Pearson's Chi-Square test, the odds ratio by Logistics Regression (factors associated with the presence of suction habits) and prevalence ratio (oral breathers and occlusal changes), with its confidence interval of 95% to measure the effect of variables related to breastfeeding duration. The level of statistical significance was set at p <0.05. Results: From the total sample, 48.4% (n = 122) of the children were breastfed in an exclusive way for six months or more of age, 27.4% presented non-nutritive sucking habits, 56.9% (n = 143) nasal breathing pattern and 59.9% (n = 151) some kind of occlusal alteration and normal occlusion in 40.1% (n = 101) as a factor associated with the onset of non-nutritive sucking habits, was found a minor duration of breastfeeding. Children who were breastfed in an exclusive way for 6 to 12 months of age are 69% less likely to have deleterious sucking habits when compared with those who were breastfed up to one month. There was a statistically significant association between the use of baby bottle (p <0.001) and the practice of oral habits of non-nutritive sucking (p = 0.009), with increased prevalence of children exhibit predominantly oral breathing pattern. The observed types of occlusal alterations were: overjet 29.8% (n = 75); overbite 24.6% (n = 62); midline deviation 17.5% (n = 44), anterior open bite 9.5 % (n = 24), anterior crossbite 3.6% (n = 09), posterior crossbite 3.6% (n = 09) It was not verified statistically significant difference (p> 0.05) in relation to the time and type of breastfeeding and occlusal deviations. Conclusions: The rate of exclusive breastfeeding in children of six or more months of age was shown itself above the national average; continued breastfeeding after six months of age exerted positive influences on the decrease of non-nutritive sucking habits, the predominantly oral breathing pattern was high exclusive breastfeeding and prolonged total breastfeeding are associated with the nasal breathing pattern of children. There was statistically significant association between baby bottle feeding and oral habits of non-nutritive sucking, time and type of breastfeeding were not associated with different types of occlusal alterations in children / Doutorado / Ciencias Biomedicas / Doutora em Ciências Médicas

Submitted by Renata Lopes (renatasil82@gmail.com) on 2015-12-15T12:30:12Z No. of bitstreams: 1 carolinadecarvalhoduarteguimaraes.pdf: 1454941 bytes, checksum: 024880cdb1f1834a3bb69e457f983878 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2015-12-15T13:04:52Z (GMT) No. of bitstreams: 1 carolinadecarvalhoduarteguimaraes.pdf: 1454941 bytes, checksum: 024880cdb1f1834a3bb69e457f983878 (MD5) / Made available in DSpace on 2015-12-15T13:04:52Z (GMT). No. of bitstreams: 1 carolinadecarvalhoduarteguimaraes.pdf: 1454941 bytes, checksum: 024880cdb1f1834a3bb69e457f983878 (MD5) Previous issue date: 2015-02-23 / CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / A espiritualidade do cuidado é um conceito novo que vem sendo trabalhado de forma ampla em diferentes áreas de saber, dentre elas, Saúde, Ciências Sociais, Filosofia, Ciências da Religião e Teologia. Leonardo Boff favorece uma compreensão de espiritualidade que não se restringe ao campo religioso. Busca entender o que é o espírito e a partir dele, expandir a percepção do que é o humano e sua tradução num corpo que se percebe como vivo. Neste contexto, o cuidado é considerado o fundamento do ser no humano. A presente pesquisa versa sobre como atitudes de cuidado que emergem a partir de uma consciência de espiritualidade cotidiana podem transformar a qualidade da interação entre mães e filhos, desde a fecundação até a primeira infância da criança. Dedica-se especial atenção ao processo do nascimento. Pois, nascer é cruzar o véu que separa duas formas de existir. Do ponto de vista espiritual conceber, gestar e parir um ser humano significa a renovação da vida em sua essência mais primitiva. A possibilidade de vivenciar esse momento a partir de uma conexão com sua parcela de mistério tem sido relatada como experiência potente de transformação individual, familiar e social. Investiga-se também as atitudes de cuidado de profissionais de saúde envolvidos com gestação e parto, bem como em homens e mulheres que se dedicam ao cuidado com bebês. O emocionar que emerge do nascer em plenitude cria valores sociais humanos ligados a uma confiança primordial que contribui para a vivência espiritual ligada ao cotidiano e ao cuidado. / Spirituality of care is a recent concept present in many fields of study, as Healthcare, Social Sciences, Philosophy, Religious Studies and Theology. Leonardo Boff's views offers to us an understanding about spirituality not restricted to its religious aspect. He tries to understand what the spirit is, expanding our perception of humanity and its translation into a body which feels alive. In this sense, care is understood as the human foundation. This work aims to elucidate how postures of care, coming from a daily awareness of spirituality, can transform mother-child interaction, from fertilization to first childhood. We will focus on childbirth process, because to be born is to pass through a veil which separate two ways of existence. From a spiritual point of view, to conceive, to gestate and give birth to a human being means to renovate life in its primal sense. To be able to experience this moment through a connection with its mistery has been described as deeply transformative, in its individual, familiar and social senses. We will also focus on healthcare professionals involved with gestation and childbirth, as well as men and women dedicated to newborn care. The deep emotion derived from attentive birth generates human and social values connected to a fundamental confidence, contributing to a spiritual daily experience of living and care.

More than 85% of American adults do not consume recommended amounts of fruits or vegetables. Preterm birth and hypertensive disorders of pregnancy are common adverse conditions affecting pregnancy and are leading causes of maternal and fetal morbidity and mortality. Preterm birth affects nearly 10% of all births in the United States and is on the rise, as are hypertensive disorders, which have increased by 25% over the last two decades. Pregnancy is a state of controlled inflammation, and dysregulation has been linked to preterm birth and other adverse gestational outcomes. A healthy diet is recommended in pregnancy, but little is known about the effect fruit and vegetable intake on perinatal outcomes. Omega-3 (n-3) fatty acids are essential dietary components and are known to affect inflammatory state, but little is known about how they affect inflammation in pregnancy. As current evidence is lacking, further research is needed to investigate the relationships between maternal nutrition in pregnancy, inflammation and birth outcomes. The purposes of this dissertation were to: 1) to review and evaluate the current evidence on the relationship between n-3 fatty acids and inflammation in pregnancy; 2) to evaluate the current state of the science on the impact of maternal dietary consumption of fruits and vegetables on preterm birth, gestational diabetes, preeclampsia, small for gestational age, gestational weight gain and measures of inflammation or oxidative stress in pregnancy; and 3) to examine relationships between maternal dietary intake of fruits and vegetables, cytokine expression in early and mid-pregnancy, preterm birth and gestational hypertension. A critical review of literature examining the relationship between inflammation and n-3 intake during pregnancy found that multiple inflammatory cytokines in maternal and fetal tissues were lower in women who received n-3 supplements. A second review of literature review supported an inverse relationship between fruit and vegetables and risk of preeclampsia and suboptimal fetal growth. The available evidence was insufficient to establish relationships between fruit and vegetable intake and gestational diabetes, preterm birth or inflammation. A study evaluating the relationships between maternal fruit and vegetable intake, inflammation and birth outcomes was conducted. This study provided evidence supporting a relationship between first and second trimester cytokine expression and maternal dietary intake of fruits and vegetables. Those who met recommended vegetable intake in the first trimester had higher first trimester serum CRP, IL1-α, IL-6 and TNF-α and lower first trimester cervicovaginal IL-6 levels. Those who met recommendations for first trimester fruit intake had 56% lower risk for preterm birth. Those who met second trimester vegetable intake recommendations had more than twice the risk of developing gestational hypertension. The results of this dissertation provide support for the beneficial effects of omega-3 fatty acids and fruit and vegetable intake in pregnancy. Maternal intake of these dietary components may promote optimal immune status during pregnancy. Supplementation of maternal omega-3 fatty acids may help regulate inflammation via the anti-inflammatory effects their bioactive eicosanoids exert. Fruit and vegetables have antioxidant and anti-inflammatory effects that may also help balance the inflammatory state during pregnancy. These dietary components may help promote favorable immune status during pregnancy and reduce risk of adverse perinatal outcomes such as poor fetal growth, hypertensive disorders of pregnancy and preterm birth.

No description available.

Background/Rationale: The American Academy of Pediatrics recommends universal surveillance of social determinants of health in primary care. Addressing these determinants is likely crucial to reducing extant health disparities. Such screening in urban pediatric primary care has been shown to increase access to relevant resources for families when combined with provider training in using a community resource binder (Garg et al., 2007). However, resources in more rural areas are often scarce and helping families navigate a complex resource system often requires a more individualized approach. Additionally, in an increasingly screener heavy pediatric environment, social determinant screeners that are comprehensive but brief are needed to reduce the burden on both patients and providers. Methods/Results: A brief TEAM Care social determinants screener protocol was developed to meet the needs of families presenting to ETSU Pediatrics. Our clinic serves primarily low income families, many of which live in ruralareas. During the first eight months of data collection, 2043 TEAM Care screeners were administered at annual well child checks. The prevalence of caregiver endorsed concerns was as follows: financial concerns impacting ability to pay for food, housing, or utilities (7%), transportation problems (4%), caregiver depression (4%), concerns about caregiver drug/alcohol use (2%), domestic violence (1%), and literacy problems (1%). 13.4% of caregivers endorsed at least one concern on the screener. Caregivers who endorsed a concern were provided individualized resources via a warm handoff or phone call by integrated social work interns. Interns were available on an ongoing basis to check in with families, adjust resource recommendations as needed, and coordinate care with the child’s primary care physician. Our poster will report on an anticipated 3000 TEAM Care screeners collected during the first year of administration. Conclusion: Last year at CFHA, we reported the initiation of the TEAM Care Screener, modeled after the WE CARE Screener (Garg et al., 2007) and designed to screen for social determinants of health in pediatric primary care via six items. Previous preliminary reports of this study included data from approximately 1000 screeners. A one year report of the TEAM Care screener will be completed in September 2017, making it ideal timing to present at CFHA in October 2017. We anticipate reporting prevalence data from 3000 screeners and incorporating results from a provider satisfaction survey of the screener process. The TEAM Care screener process was designed to maximize efficiency for families and providers, and the addition of social work interns ensures that families who endorse needs receive individualized help. A future goal is to more systematically follow up with families to determine how many were connected to recommended resources.

No description available.