Firearm legislation is a contentious issue in this country. But researchers at Boston Children’s Hospital hope their new study may help shed some light on the topic. The narrative review, published in the November 14 issue of JAMA Internal Medicine found that stronger firearm laws are associated with reductions in firearm homicide rates.
On a recent unexceptional night, a five-year-old girl hears gunshots from her bedroom. She freezes. It may be the first time she has heard that sound, or maybe the second. She starts to avoid her bedroom and fear bedtime. The girl’s mother reports to the pediatrician that her daughter is throwing tantrums and can’t sleep through the night.
“The reality is that young children are profoundly psychologically affected by issues such as violence in the community and at home, housing insecurity and homelessness – especially when those issues affect their parents in particular,” says Emily Fischer, LICSW, director of Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health) at Boston Children’s Primary Care at Martha Eliot.
On a cool morning in September, a shuttle bus full of first year pediatric medical residents pulls up alongside a curb in Dorchester, one of the poorest areas of Boston. The doctors disembark and disperse in groups of twos and threes. They’re not making house calls or working in an area clinic. They have an appointment with housing court.
The residents are starting their “Keystone Quarter,” an innovative twelve week program launched by the Boston Combined Residency Program (BCRP) in July 2013. Keystone combines three previously distinct rotations—adolescent medicine, developmental/behavioral pediatrics and advocacy—into a single three-month block. Content from each discipline is broken up and spread out longitudinally; instead of spending four weeks each on advocacy, behavioral health and adolescent medicine, residents experience segments of all three curricula every week for twelve weeks. …Read More