57. Relational Health: Building Family Resilience in Primary Care

Dr. Sarah Stelzner is an academic pediatrician, and the focus of her career has been developing programs in Community Pediatrics and promoting team-based care in the medical home model.

She is currently the lead faculty in the Our Kids Our Community Advanced Training which was established in 2017 to improve health outcomes of children and youth served by Eskenazi Medical Group (EMG) and now other Pediatric Urban Teaching Clinicians through partnership with their medical groups.

Dr. Stelzner is the Physician Lead for the Addressing Social Health and Early Childhood Wellness (ASHEW) program for the Indiana Chapter of the American Academy of Pediatrics.  She cares for patients and families and teaches medical students and residents in the International Marketplace neighborhood in a Federally Qualified Health Center (Eskenazi W. 38th st).   Finally, she served as co-president of the Indiana Chapter of the American Academy of Pediatrics and is currently INAAP Legislative Chairperson.

 

[00:01] Dr. Sarah Stelzner Shares Her Story With Us

  • I introduce and welcome Dr. Sarah Stelzner
  • The mentors who’ve helped Sarah in her career

[05:03] Early Childhood Wellness

  • Sarah talks about the project, “Addressing Social Health and Early Childhood Wellness” (ASHEW)
  • Mitigating the harmful impacts of toxic stress and nurturing human relationships
  • How promising is the ASHEW Initiative and what is its potential to contribute in relational health?

[16:38] Survey of Well-being of Young Children

  • What you should know about the Survey of Well-being of Young Children (SWYC)
  • The features of SWYC that families and patients need to know
  • Does SWYC have any limitations?
  • What to do when positive screens appear
  • Sarah talks about the Help Me Grow National Center

[26:44] Mobilizing Family Leaders

  • What families should know about Aunt Bertha
  • How we can integrate community health worker models in our approach
  • The power of mobilizing family leaders
  • Sarah gives us a few tips to improve the language we used with patients

[36:14] Building Relationships and Identifying Strengths of Family and Community

  • How pediatricians can join these advocacy groups
  • Don’t miss Sarah’s message for her resident self
  • Pediatricians need healing too
  • Sarah explains
  • There have been promising improvements in the relational health space
  • Listen to our exchange

 [42:27] Closing Segment

  • Final takeaways:
  • Relational health as a strengths-based model
  • Sarah’s body of work and its connection with the 2021 AAP Policy Statement on Relational Health
  • Learning collaborative models
  • Engaging family at the beginning of a treatment
  • Screening tools available right now
  • How to sustain our work
  • Explore resources in your state
  • The EBCD resources
  • Mobilizing family and community leaders
  • Closed loop referrals
  • How to ensure that the support provided is what the patient wants
  • The ASHEW Initiative
  • Keep looking or finding and rejoicing in the magic moments that we have with children and families

Key Quotes:

“…if we can help kids have those positive childhood events, it mitigates what they might be experiencing in terms of social drivers that have negative impacts.” – Dr. Sarah Stelzner

“Step back from trying to fix things and focus on building relationships and understanding the family and community strengths.” – Dr. Sarah Stelzner

Email [email protected] to reach out to Sarah or check out https://www.iu.edu/index.html to know more about her work.

Resources Mentioned:

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Dr Lia Gaggino

Dr Lia Gaggino Host of the Pediatric Meltdown Podcast

Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

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Dr. Lia Gaggino has worked as a pediatrician for over 30 years on the west side of Michigan. During her career as a primary care physician, she has been privileged to care for children and adolescents, and know that their success is closely tied to mental wellness.

Recent Episodes

  • All Post
  • ADHD
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  • Aggression and Disruptive Behaviors
  • Anxiety
  • Autism
  • Depression
  • Genetics
  • healthcare disparities and inequalities
  • LGBTQIA+
  • Mental Health
  • Other
  • Pain
  • Parent/child
  • Physician Well-Being
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  • Social Media
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  • Suicide Prevention
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