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Akron Children’s identifies pediatric health priorities

System looks at recent efforts and care gaps

Staff photo / Ron Selak Jr. Dr. Steven Jewell, director of pediatric psychiatry and psychology for Akron Children’s Hospital, speaks in the art therapy room of the newly renovated building at the system’s Beeghly Campus, which will have a partial hospitalization program for patients who need more intensive outpatient treatment in addition to mental health and psychiatry services. It also will allow ACH to double the number of behavioral health patient visits within the first year.

AKRON — It’s important to improve mental health access, newborn survival rate and respiratory care for children in the Mahoning Valley, and a new study by Akron Children’s Hospital lays out some strategies to do so.

The hospital has completed its fourth community health needs assessment, looking at the issues affecting health of children within its service areas, gauging the impact of recent efforts and identifying gaps in care.

The Mahoning Valley portion of the assessment covered Mahoning, Trumbull and Columbiana counties.

The process has identified three pediatric health priorities to address between 2020-2022:

• Improving access to mental health services and recognizing the impact of adverse childhood experiences.

• High infant mortality rates throughout Akron Children’s service area, particularly in communities of color.

• Identifying children with asthma and making sure they have access to education and treatment to prevent emergency room visits and hospitalizations.

“Based on a careful analysis of this data, we will refine existing strategies and also look for new avenues to address the unmet needs of children within communities we serve,” said Bernett L. Williams, vice president for External Affairs for Akron Children’s. “This process gives us roadmap we will follow to ensure we remain focused, collaborative and outcomes driven.”

The Greater Akron portion of the assessment covered Summit, Stark, Portage, Ashland, Richland, Medina and Wayne counties.

Working with the Center for Community Solutions, Akron Children’s reviewed data from the U.S. Census Bureau, the Ohio Department of Health, Ohio Hospital Association, the Ohio Medicaid Assessment Survey and other sources. In addition, interviews were conducted with community leaders, and parents and caregivers participated in focus group discussions.

While the prioritized health needs of both the Mahoning Valley and Greater Akron assessments are the same, the communities may use different approaches in achieving their goals. Here’s a closer look at the concerns:

MENTAL HEALTH

Parents and caregivers in focus groups repeatedly expressed concern about the trauma experienced by children in their communities as a result of family dynamics, domestic violence, abuse and neglect, parental drug use and parental incarceration. According to the Centers for Disease Control and Prevention, these adverse childhood experiences can impact a child even into adulthood, affecting long-term mental and physical health, school success, employment and relationships.

The assessment found a high level of interest in improving care coordination and access to mental and behavioral health services, including reducing barriers to care and identifying children who may need these services at younger ages.

INFANT MORTALITY

Newborn babies in Ohio die before their first birthday at a rate well above the national average. In half of the counties assessed, outcomes are even worse than Ohio’s already low benchmark.

Twice as many babies in Ohio die during their first 27 days of life as in the post-natal period. Many of these are born too early, too small, or with other life-threatening health complications. And compared to the overall population, black women who are pregnant are more likely than non-Hispanic, white women to receive prenatal care late in their pregnancies or not at all.

Community leaders interviewed for the assessment discussed successful programs and the need for collaboration across many organizations to tackle this issue. Successful strategies in reducing infant mortality include safe sleep and smoking cessation programs, centering groups, father involvement, maternal depression screening and support, crib giveaways, and education focused on empowering pregnant women, birth spacing and birth control.

“There is widespread agreement that addressing the racial disparities in infant mortality is a top concern,” Williams said. “A desire exists among leaders involved in this work to help the wider community understand that infant mortality is a systemic issue tied to poverty and racism and, building from research, should be addressed as such.”

RESPIRATORY CARE

Asthma and respiratory distress are among the most common reasons for visits to the hospital emergency department or urgent care. Symptoms can vary greatly from mild difficulty breathing to life-threatening flare-ups.

Akron is one of the 20 “Asthma Capitals of the United States” and is part of the Ohio Valley Asthma Belt, as identified by the Asthma and Allergy Foundation of America.

Akron Children’s will continue efforts to identify children with asthma, making sure they are connected with primary care and specialists in pediatric pulmonology, have access to medication and are adhering to treatment plans. Proactive measures have been proven to reduce emergency room visits and hospitalizations. Other efforts focus on education and collaborating with community agencies to reduce environmental triggers in the home, such as pet dander, mold, dust mites and cigarette smoke.

To read the complete Community Health Needs Assessments for the Mahoning Valley and Greater Akron, go to: https://www.akronchildrens.org/pages/Community-Health-Needs-Assessment.html.

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