Children's Hospitals Today - Summer 2022 - 11

EVERYDAY HERO / ROUNDS
include: the birth experience, anxiety management,
sleep hygiene, reflective listening, cognitive-behavioral
techniques, and collaborative solution building.
The nurse providing the sessions is perinatal mental
health certified (PMH-C) and skilled in NICU infant
conditions, bedside care and communication with
NICU parents. The nurse's goal is to bridge the information
gap with the medical team and help engage
the parent at the bedside with infant care. All mothers
sign paperwork explaining that the program is not a
replacement for mental health therapy.
After the session, the nurse performs a second EPDS
screening to measure the program's effectiveness and
provides group sessions to continue building on the
coping skills developed during the one-on-one sessions.
All NICU parents are welcome to attend this
support group, facilitated through Zoom.
Program results
The team kicked off the program during the NICU's
first annual Mental Health Awareness Week, which
incorporated events for parents focused on mental
health education and resources. During the week, providers
screened 10 NICU mothers using the EPDS, with
eight of them qualifying for the one-on-one sessions
with the therapeutic listening nurse. Five mothers
with the highest scores were referred to the listening
visits, and three were placed on a wait list and given
other supportive service resources. All mothers were
invited to participate in the support group " Managing
Stress in the NICU. "
Over three months, 30 mothers received screenings.
Nineteen (67%) met the EPDS threshold for mild-tomoderate
postpartum depression/anxiety. Fourteen
of them completed the therapeutic listening program
and took the EPDS assessment after the program and
before discharge. All 14 showed a decrease in scores.
Twelve mothers (86%)were considered non-symptomatic
after the listening sessions. Half of the mothers
screened continued to attend the " Managing Stress in
the NICU " group sessions facilitated by the therapeutic
listening nurse until the infant's discharge.
Christina Banialis, PMH-C, B.S.N, RNC-NIC, is a
NICU nurse at Advocate Children's Hospital in
Oak Lawn, Illinois.
Tell your hospital's story. Email magazine@childrenshospitals.org.
MORE THAN 618,000 victims
of child abuse were reported
across the U.S. in 2020-that is
8.4 victims per 1,000 children in
the population. At the Bernard &
Millie Duker Children's Hospital
at Albany Med in Albany, NY,
Rebecca Butterfield, M.D., section
chief of Child Abuse Pediatrics,
works to provide resources to
support patients and families.
Butterfield shares some of
her insights.
HIDDEN EPIDEMIC: " Even with
education and awareness efforts
in most communities, it is a
constant challenge to identify
and prevent cases of child
abuse and reach everyone who
needs support. Many victims
are not identified, and this
problem has been exacerbated
by the pandemic. For example,
the number of documented
cases of child abuse and
neglect decreased in 2020, but
contributing factors skewed the
numbers, such as children not
being in school. "
Hidden epidemic
This doctor helps find and support
neglected children.
SUPPORTING VICTIMS AND
FAMILIES: " Across our hospital,
staff members use universal
screening tools for child
maltreatment and provide
24/7 support. In the Massry
Family Children's Emergency
Center, nurses provide forensic
examinations when appropriate
and coordinate care for the
families who need it, which
requires a multidisciplinary
approach. This can include Child
Protective Services, parenting
resources, mental health
resources through the county,
and more. "
ASSESSING RISK FACTORS:
" Screening for intimate partner
violence in all health care settings
can help reduce cases of child
maltreatment. Research shows
child maltreatment in as high
as 30% to 60% of families where
spousal abuse occurs. When
a patient tells their primary
care physician about violence
committed against them by their
partner, it presents an opportunity
for the physician to talk about
prevention and safety, which can
be a key asset. "
COMMUNITY PARTNERS:
" Outside the hospital setting,
partners in the community play
a key role in identifying cases of
abuse or maltreatment. Teachers
and school officials are most often
the ones who identify potential
cases and refer them for further
examination. Early recognition
plays an important role in getting
assistance to a child in need. "
Nominate an Everyday Hero. Email magazine@childrenshospitals.org.
CHILDREN'S HOSPITALS TODAY Summer 2022
11

Children's Hospitals Today - Summer 2022

Table of Contents for the Digital Edition of Children's Hospitals Today - Summer 2022

Contents
Children's Hospitals Today - Summer 2022 - Cover1
Children's Hospitals Today - Summer 2022 - Cover2
Children's Hospitals Today - Summer 2022 - Contents
Children's Hospitals Today - Summer 2022 - 2
Children's Hospitals Today - Summer 2022 - 3
Children's Hospitals Today - Summer 2022 - 4
Children's Hospitals Today - Summer 2022 - 5
Children's Hospitals Today - Summer 2022 - 6
Children's Hospitals Today - Summer 2022 - 7
Children's Hospitals Today - Summer 2022 - 8
Children's Hospitals Today - Summer 2022 - 9
Children's Hospitals Today - Summer 2022 - 10
Children's Hospitals Today - Summer 2022 - 11
Children's Hospitals Today - Summer 2022 - 12
Children's Hospitals Today - Summer 2022 - 13
Children's Hospitals Today - Summer 2022 - 14
Children's Hospitals Today - Summer 2022 - 15
Children's Hospitals Today - Summer 2022 - 16
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Children's Hospitals Today - Summer 2022 - 19
Children's Hospitals Today - Summer 2022 - 20
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Children's Hospitals Today - Summer 2022 - 25
Children's Hospitals Today - Summer 2022 - 26
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Children's Hospitals Today - Summer 2022 - 28
Children's Hospitals Today - Summer 2022 - Cover3
Children's Hospitals Today - Summer 2022 - Cover4
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