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Clinical Pediatrics, Vol. 45, No. 8, 750-756 (2006)
DOI: 10.1177/0009922806292812

Clinician Practice Patterns: Linking to Community Resources for Childhood Aggression

Shari Barkin, MD, MSHS

Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC

Edward H. Ip, PhD

Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC

Stacia Finch, MA

Pediatric Research in Office Settings (PROS), Department of Research, Center for Child Health Research, American Academy of Pediatrics, Elk Grove Village, IL

Kathleen Martin

Wake Forest University School of Medicine, Winston-Salem, NC

Jennifer Steffes, MSW

Pediatric Research in Office Settings (PROS), Department of Research, Center for Child Health Research, American Academy of Pediatrics, Elk Grove Village, IL

Richard "Mort" Wasserman, MD, MPH

Pediatric Research in Office Settings (PROS), Department of Research, Center for Child Health Research, American Academy of Pediatrics, Elk Grove Village, IL, Department of Pediatrics, University of Vermont, Burlington, VT

Creating links to community resources for childhood aggression is one component of office-based violence prevention. Evidence is lacking regarding the effect of training clinicians to make these referrals and families’ responses to them. Clinicians who received training (n=47) and parents (1093) were queried on the provision of referrals immediately after the visit. Fewer than half of clinicians (45%) reported making a community referral. A third of providers (37%) noted difficulty in identifying local resources. Training clinicians to utilize community resources for childhood aggression does not often result in creating community links for this purpose.


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S. L. Barkin, S. A. Finch, E. H. Ip, B. Scheindlin, J. A. Craig, J. Steffes, V. Weiley, E. Slora, D. Altman, and R. C. Wasserman
Is Office-Based Counseling About Media Use, Timeouts, and Firearm Storage Effective? Results From a Cluster-Randomized, Controlled Trial
Pediatrics, July 1, 2008; 122(1): e15 - e25.
[Abstract] [Full Text] [PDF]