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Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border

University of California Health (UCH) provided a system-wide, rapid response to the humanitarian crisis of unaccompanied children crossing the southern U.S. border in the midst of the COVID-19 pandemic in 2021. In collaboration with multiple federal, state, and local agencies, UCH mobilized a multid...

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Autores principales: Devaskar, Sherin U., Cunningham, Coleen K., Steinhorn, Robin H., Haq, Cynthia, Spisso, Johnese, Dunne, William, Gutierrez, Juan Raul, Kivlahan, Coleen, Bholat, Michelle, Barakat, Suzanne, de Leon Siantz, Mary Lou, Romero, Stephanie, Lefteris, Chad T., Gaffney, Samantha, Deville, Jaime, Lerner, Carlos, Liu, Jasen, Kuelbs, Cynthia L., Kukreja, Sudeep, Golden, Charles, Nelson, Zoanne, Elton, Kristie, Byington, Carrie L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944367/
https://www.ncbi.nlm.nih.gov/pubmed/36512839
http://dx.doi.org/10.1097/ACM.0000000000005097
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author Devaskar, Sherin U.
Cunningham, Coleen K.
Steinhorn, Robin H.
Haq, Cynthia
Spisso, Johnese
Dunne, William
Gutierrez, Juan Raul
Kivlahan, Coleen
Bholat, Michelle
Barakat, Suzanne
de Leon Siantz, Mary Lou
Romero, Stephanie
Lefteris, Chad T.
Gaffney, Samantha
Deville, Jaime
Lerner, Carlos
Liu, Jasen
Kuelbs, Cynthia L.
Kukreja, Sudeep
Golden, Charles
Nelson, Zoanne
Elton, Kristie
Byington, Carrie L.
author_facet Devaskar, Sherin U.
Cunningham, Coleen K.
Steinhorn, Robin H.
Haq, Cynthia
Spisso, Johnese
Dunne, William
Gutierrez, Juan Raul
Kivlahan, Coleen
Bholat, Michelle
Barakat, Suzanne
de Leon Siantz, Mary Lou
Romero, Stephanie
Lefteris, Chad T.
Gaffney, Samantha
Deville, Jaime
Lerner, Carlos
Liu, Jasen
Kuelbs, Cynthia L.
Kukreja, Sudeep
Golden, Charles
Nelson, Zoanne
Elton, Kristie
Byington, Carrie L.
author_sort Devaskar, Sherin U.
collection PubMed
description University of California Health (UCH) provided a system-wide, rapid response to the humanitarian crisis of unaccompanied children crossing the southern U.S. border in the midst of the COVID-19 pandemic in 2021. In collaboration with multiple federal, state, and local agencies, UCH mobilized a multidisciplinary team to deliver acute general and specialty pediatric care to unaccompanied children at 2 Californian emergency intake sites (EISs). The response, which did not disrupt normal UCH operations, mobilized the capacities of the system and resulted in a safe and developmentally appropriate environment that supported the physical and mental health of migrant children during this traumatic period. The capacities of UCH’s 6 academic health centers ensured access to trauma-informed medical care and culturally sensitive psychological and social support. Child life professionals provided access to exercise, play, and entertainment. Overall, 260 physicians, 42 residents and fellows, 4 nurse practitioners participated as treating clinicians and were supported by hundreds of staff across the 2 EISs. Over 5 months and across both EISs, a total of 4,911 children aged 3 to 17 years were cared for. A total of 782 children had COVID-19, most infected before arrival. Most children (3,931) were reunified with family or sponsors. Continuity of care after reunification or placement in a long-term shelter was enhanced by use of an electronic health record. The effort provided an educational experience for residents and fellows with instruction in immigrant health and trauma-informed care. The effort benefitted from UCH’s recent experience of providing a system-wide response to the COVID-19 pandemic. Lessons learned are reported to encourage the alignment and integration of academic health centers’ capacities with federal, state, and local plans to better prepare for and respond to the accelerating need to care for those in the wake of disasters and humanitarian crises.
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spelling pubmed-99443672023-02-23 Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border Devaskar, Sherin U. Cunningham, Coleen K. Steinhorn, Robin H. Haq, Cynthia Spisso, Johnese Dunne, William Gutierrez, Juan Raul Kivlahan, Coleen Bholat, Michelle Barakat, Suzanne de Leon Siantz, Mary Lou Romero, Stephanie Lefteris, Chad T. Gaffney, Samantha Deville, Jaime Lerner, Carlos Liu, Jasen Kuelbs, Cynthia L. Kukreja, Sudeep Golden, Charles Nelson, Zoanne Elton, Kristie Byington, Carrie L. Acad Med Articles University of California Health (UCH) provided a system-wide, rapid response to the humanitarian crisis of unaccompanied children crossing the southern U.S. border in the midst of the COVID-19 pandemic in 2021. In collaboration with multiple federal, state, and local agencies, UCH mobilized a multidisciplinary team to deliver acute general and specialty pediatric care to unaccompanied children at 2 Californian emergency intake sites (EISs). The response, which did not disrupt normal UCH operations, mobilized the capacities of the system and resulted in a safe and developmentally appropriate environment that supported the physical and mental health of migrant children during this traumatic period. The capacities of UCH’s 6 academic health centers ensured access to trauma-informed medical care and culturally sensitive psychological and social support. Child life professionals provided access to exercise, play, and entertainment. Overall, 260 physicians, 42 residents and fellows, 4 nurse practitioners participated as treating clinicians and were supported by hundreds of staff across the 2 EISs. Over 5 months and across both EISs, a total of 4,911 children aged 3 to 17 years were cared for. A total of 782 children had COVID-19, most infected before arrival. Most children (3,931) were reunified with family or sponsors. Continuity of care after reunification or placement in a long-term shelter was enhanced by use of an electronic health record. The effort provided an educational experience for residents and fellows with instruction in immigrant health and trauma-informed care. The effort benefitted from UCH’s recent experience of providing a system-wide response to the COVID-19 pandemic. Lessons learned are reported to encourage the alignment and integration of academic health centers’ capacities with federal, state, and local plans to better prepare for and respond to the accelerating need to care for those in the wake of disasters and humanitarian crises. Lippincott Williams & Wilkins 2023-02-17 2023-03 /pmc/articles/PMC9944367/ /pubmed/36512839 http://dx.doi.org/10.1097/ACM.0000000000005097 Text en Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of American Medical Colleges. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Articles
Devaskar, Sherin U.
Cunningham, Coleen K.
Steinhorn, Robin H.
Haq, Cynthia
Spisso, Johnese
Dunne, William
Gutierrez, Juan Raul
Kivlahan, Coleen
Bholat, Michelle
Barakat, Suzanne
de Leon Siantz, Mary Lou
Romero, Stephanie
Lefteris, Chad T.
Gaffney, Samantha
Deville, Jaime
Lerner, Carlos
Liu, Jasen
Kuelbs, Cynthia L.
Kukreja, Sudeep
Golden, Charles
Nelson, Zoanne
Elton, Kristie
Byington, Carrie L.
Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title_full Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title_fullStr Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title_full_unstemmed Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title_short Academic Health Centers and Humanitarian Crises: One Health System’s Response to Unaccompanied Children at the Border
title_sort academic health centers and humanitarian crises: one health system’s response to unaccompanied children at the border
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9944367/
https://www.ncbi.nlm.nih.gov/pubmed/36512839
http://dx.doi.org/10.1097/ACM.0000000000005097
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