Das pädiatrische Elterngespräch und Frühe Hilfen

Abstract

In the script of well-child visits, there are no slots that indicate to pediatricians and parents when, which, how and for what purpose psychosocial issues can be discussed and negotiated. For implementing such slots in well-child visits, three steps are necessary: a structured and regular assessment of psychosocial issues, a trained pediatrician in motivational interviewing and a social worker guiding the family in the network of early prevention.

Self-Reported Psychosocial Stress in Parents With Small Children

“…The author herself noted that the prevalence rates of the clinically relevant symptoms (4.5% sleeping difficulties, 2.9% feeding difficulties, 1.4% excessive crying) were significantly lower compared to previous estimates (12,8% sleeping difficulties, 15.9-19.1% feeding difficulties and 9.7-16.3% excessive crying) (9,21,22). Health-related comparative data from the literature are in line with the findings of the KiD 0-3 study.…”

“…Over 99% of parents attend the child development checks (10), reflecting their high level of trust in pediatricians. Therefore, child development checks do not only provide an opportunity to detect biomedical diseases and monitor progress in the child's development, but also to gain a first impression of the overall situation in the family (11)(12)(13)(14). While in the United States an overall concept for pediatricians has already been developed and evaluated which is designed to enable early identification and support of families experiencing psychosocial stress (15), in Germany a pediatric assessment form for the evaluation of psychosocial support needs ("pädiatrischer Anhaltsbogen") is available to be used during the U3 to U6 child development checks…”