Child abuse and neglect is a common, yet under recognized public health problem that affects millions of American children each year. Children under the age of 3 account for nearly 30 % of victims. The general pediatrician is in a prime position to play a much-expanded role in the primary and secondary prevention of child abuse and neglect. Anticipatory guidance is a regular part of pediatric care providing the context for teaching child abuse and neglect/violence prevention, parenting skills and identifying and supporting vulnerable families. Practicing Safety a project sponsored by the American Academy of Pediatrics and funded by the Doris Duke Charitable Foundation works to decrease child abuse and neglect by expanding anticipatory guidance and increasing screening for possible child abuse and neglect by pediatric practices to parents of children ages 0-3.
There are two phases to the Practicing Safety project. Phase I worked with nine practices in New Jersey and Pennsylvania to implement a toolkit of 7 modules. Phase II worked with 14 practices as part of the AAP Quality Improvement Innovation Network (QuIIN) to implement a toolkit of 3 bundles.
Click on the links above to find out more about the project, the tools used and the changes in practices made.