What Is Touchpoints?

Summary

The video script discusses the evolution of pediatrics, highlighting the impact of managed health care on doctor-patient relationships. It introduces 'Touchpoints,' a program created by Dr. Brazelton that fosters a collaborative approach between healthcare providers, parents, and children. The program emphasizes forming relationships, supporting child development, and using a positive model to view parent-child interactions. Touchpoints is shown to be effective not only in clinical settings but also in childcare environments and communities, aiming to improve child health and development through a unified approach involving healthcare professionals, parents, and community members.

Takeaways

• 🚀 The world of pediatrics has evolved significantly, with Managed Health Care leading to tight schedules and less personal doctor-patient relationships.
• 👩‍⚕️ The 'Touchpoints' program aims to reconnect children, parents, and healthcare professionals, emphasizing a more personal approach to pediatric care.
• 🌟 Dr. Brazelton's map of development is a core component of Touchpoints, focusing on understanding child development and supporting parents during vulnerable periods.
• 👨‍⚕️ The program is designed for all healthcare professionals, not just doctors, to foster a team approach that includes everyone from the receptionist to the physician.
• 🌐 Touchpoints is spreading globally, with communities like Harlem recognizing the need for such a program to support the health and development of children.
• 🤝 The philosophy behind Touchpoints encourages healthcare providers to work collaboratively with parents, viewing them as experts on their own children.
• 🏥 The program seeks to change the traditional deficit model of Western medicine to a more positive model that celebrates the strengths and contributions of parents.
• 👶 The approach is particularly beneficial for children and families who are underserved or navigating complex healthcare systems without insurance.
• 🌱 Touchpoints can be applied beyond the clinic to child care environments and community settings, promoting a collective effort for child well-being.
• 🌟 The ultimate goal of Touchpoints is to create a paradigm shift in how healthcare professionals, parents, and communities interact and support child development.

Q & A

What is the main issue discussed in the script related to pediatric healthcare?

The script discusses the issue of managed health care leading to tight schedules and a lack of continuity in healthcare professionals, resulting in children rarely seeing the same doctor twice.

What is the 'Touchpoints' program mentioned in the script?

The 'Touchpoints' program is an initiative created by Dr. Brazelton that aims to bring children, parents, and healthcare professionals together in a new way, focusing on forming relationships around the child's welfare and supporting their development.

How does the 'Touchpoints' program address the healthcare challenges faced by children in Harlem?

The program is introduced to the children of Harlem to provide them with a structured approach to healthcare that includes forming relationships with healthcare providers and supporting their emotional, behavioral, and developmental needs.

What are the two parts of the 'Touchpoints' approach as described in the script?

The two parts of the 'Touchpoints' approach are Dr. Brazelton's map of development, which identifies periods of regression and progress in children, and the establishment of a supportive relationship between healthcare providers and parents.

How does the 'Touchpoints' program change the way healthcare professionals interact with families?

The program encourages a team approach where healthcare professionals work side by side with parents, viewing them as experts on their children, and focusing on a positive model that emphasizes the good things parents are doing.

What is the significance of the 'Touchpoints' program for healthcare providers like Dr. Dan Miner?

For healthcare providers like Dr. Miner, 'Touchpoints' allows them to form deeper relationships with families, interpret child behavior, and support child development in a more effective and meaningful way.

How does the 'Touchpoints' philosophy view the role of parents in their child's healthcare?

The 'Touchpoints' philosophy views parents as experts on their child and emphasizes partnering with them to support the child's health and development, rather than seeing them as part of a deficit model.

What is the goal of the 'Touchpoints' program in terms of community impact?

The goal of the 'Touchpoints' program is to create a positive change in the community by fostering better relationships between healthcare providers, parents, and children, and by serving as a model for how communities can come together with children as their central concern.

How does the 'Touchpoints' program aim to improve the healthcare experience for Spanish-speaking patients?

The program works with the clinic staff, many of whom are Spanish-speaking, to partner with families at every step of the way, ensuring that they are understood and supported throughout the healthcare process.

What is the potential long-term impact of the 'Touchpoints' program on children's development and self-esteem?

The 'Touchpoints' program has the potential to improve children's development by providing a supportive healthcare environment and to boost their self-esteem by fostering positive relationships and recognizing their strengths and progress.

Outlines

00:00

👨‍⚕️ Introduction to Touchpoints in Pediatrics

The paragraph introduces the challenges faced in the field of pediatrics due to managed health care, which has led to tight schedules and a lack of continuity in healthcare providers. The speaker then introduces a program they created called 'Touchpoints,' which aims to reconnect children, parents, and healthcare professionals. The program is based on the philosophy of forming relationships around the child's welfare, supporting their health and development. The speaker shares their enthusiasm for the program, which is being adopted across the country and world. The concept of 'Touchpoints' is further explained as an approach that allows healthcare providers to work with parents to support the child's development, using Dr. Brazelton's map of development as a guide. The program emphasizes the importance of understanding the child's regression periods as opportunities for progress and fostering a welcoming environment in clinics.

05:01

🌟 Paradigm Shift in Parent-Child Healthcare

This paragraph discusses the shift from a deficit model in western medicine, which focuses on what's wrong with a family, to a positive model that emphasizes the good things parents are doing, as seen through the child's development. The speaker highlights the potential of Touchpoints to change medical practice by fostering a partnership between healthcare providers and parents. The program is not limited to doctors but includes all healthcare professionals, aiming to establish rapport and a common language between them. The paragraph also touches on the importance of community involvement in child care and the potential for Touchpoints to extend beyond the clinic to the community, ultimately benefiting child development and creating a supportive environment for children to grow up in.

Keywords

💡Pediatrics

Pediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. In the context of the video, it emphasizes the importance of consistent and personalized healthcare for children, which has been challenged by the advent of Managed Health Care and its impact on doctor-patient relationships.

💡Managed Health Care

Managed Health Care refers to a system where healthcare services are coordinated and provided through a network of providers under contract with a managed care organization. The video discusses how this system has led to tight schedules and a lack of continuity in care, as children may not see the same doctor more than once.

💡Touch Points

Touch Points is a program introduced in the video that aims to reconnect children, parents, and healthcare professionals. It is based on the philosophy of forming strong relationships to support a child's health and development. The program is described as a new approach that is being adopted across the country and world.

💡Developmental Map

The term 'Developmental Map' in the video refers to Dr. Brazelton's approach to understanding child development. It highlights the periods when children may regress before making significant developmental progress, which provides opportunities for healthcare providers to engage with families and explain the importance of these regressions.

💡Healthcare Professionals

Healthcare Professionals in the video include doctors, nurses, and other medical staff who interact with patients. The script emphasizes the importance of these professionals forming relationships with parents to better support the child's health, emotional, and behavioral development.

💡Relationship Building

Relationship Building is a core concept in the video, where it is stressed that healthcare professionals should work to establish rapport with families to better understand and support the child's needs. This is seen as crucial for effective healthcare delivery and is a key component of the Touch Points program.

💡Emotional and Behavioral Development

Emotional and Behavioral Development refers to the growth and changes in a child's emotional responses and behaviors over time. The video underscores the importance of healthcare professionals understanding and supporting this aspect of a child's well-being, which is integral to the Touch Points program.

💡Community

Community in the video represents the broader social environment in which children grow up. It is highlighted as a critical component in the overall health and development of children, with the Touch Points program aiming to extend its impact beyond the clinic to involve the community in supporting child development.

💡Paradigm Shift

Paradigm Shift in the video refers to a change in the fundamental approach or way of thinking about healthcare and child development. It suggests moving from a deficit model, which focuses on what is wrong, to a positive model that emphasizes the strengths and good practices of parents and caregivers.

💡Self-Esteem

Self-Esteem is discussed in the video as an important outcome of the Touch Points program. It is suggested that by fostering positive relationships and support, healthcare professionals can help培养孩子们的自尊心, which in turn can lead to children who care about others and contribute positively to their communities.

Highlights

The world of Pediatrics has changed significantly over the last 10 years due to Managed Health Care.

Children often don't see the same doctor twice, leading to a lack of continuity in care.

A new program called 'touch points' aims to bring children, parents, and professionals together.

Touch points is spreading across the country and the world, offering a new approach to pediatric care.

The program is particularly beneficial for communities like Harlem, where children need this support.

Dr. Dan Miner explains that touch points allows providers to form relationships with parents around the child's welfare.

Touch points includes Dr. Brazelton's map of development, which identifies periods of regression and progress in children.

The program emphasizes the importance of making families feel welcomed and like part of the clinic's family.

Touch points is not only for doctors but for all healthcare professionals, including those who first interact with patients.

The program focuses on a team approach, where everyone, including staff, plays a crucial role in patient care.

In touch points, the parent is seen as the expert on their child, fostering a partnership with healthcare providers.

The program aims to change the paradigm from a deficit model to a positive model, focusing on the good things parents are doing.

Touch points can work in childcare environments, enhancing relationships between parents and professionals.

The program gives parents and caregivers a common language to form a partnership around the child's well-being.

Touch points has the potential to reach beyond the clinic to the community, impacting how children grow and develop.

The program trains providers and community members to work together for the benefit of children's health and development.

Touch points can help create a positive community where children are the central concern, leading to better outcomes.

The program can instill self-esteem in children, encouraging them to care about others and contribute positively to society.

Transcripts

[Music]

the world of Pediatrics has changed

incredibly over the last 10 years

Managed Health Care has meant tight

schedules and a revolving door of Health

Care Professionals some kids will go

through their whole lives without ever

seeing the same doctor twice

it's a development for Pediatrics that I

don't like but we're beginning to do

something about it I'm going to

introduce you to a program I created

that brings children parents and

professionals back together in a whole

new way it's a program that's spreading

all across the country and the world I

call it touch

points when I began to learn about touch

points and embrace it

I felt like I had found my way home I

love the touch points philosophy because

it just makes so much sense then we met

Dr Bradon and he introduced us to touch

points and we thought boy do the

children of Harlem the infants of Harlem

need this program touch points I can do

everything that I've been striving to do

in 20 years of Pediatrics and bring it

to a level well beyond what I've ever

expected to be able to

do Dr Dan Miner is in private practice

on Long Island touch points is an

approach which allows providers to form

a relationship with the parents around

the welfare of the child to support that

child's health and emotional behavioral

development I can use the language of

their child and help interpret what the

behavior is but it takes us working

together to find out what's going on

well hello how are you there are two

parts to touch points the first part is

Dr brazelton's map of

development I love the way he reaches

over and grabs you for security just

before each big spurt in development

there's a period when the child falls

apart parents fall apart with them and

it makes a vulnerable opportunity for a

provider or a child care person or

anybody that's trying to interact with

the parents to get into that system

explain that regression is a powerful

force for progress and then when the

progress occurs the parent says oh I

know what I'm doing the moment a family

walks into to a clinic I want them to

feel welcomed like we're almost a member

of their family touch points isn't only

for doctors but for all Health Care

Professionals I think a team approaches

everything including the person who

answers the phone and makes the first

contact with someone so I think staff

are almost even more important than the

physician um in preparing that family to

have relationship with

you tou points has incredible potential

it can change the way we practice

medicine what is unique about doing this

work using the touch points

philosophy is you're right there with

the family you're not

separate in our Clinic because most of

our patients are mostly Spanish speaking

up to 70% come in uninsured no health

insurance have never negotiated the

healthare system that already exists

with lots of services available our

whole Clinic works together to partner

with families around every step of the

way in Western medicine the model is a

deficit model what's wrong with this

family how am I going to help them how

am I going to fix this and in touch

points I'm still a medical expert but

that parent is the expert on that child

and so I walk in the room we're already

working side by side together

[Music]

how are you today my work is to partner

with them and problem solve with them

it's really

different and is GNA speak for me

families are a lot more ready to hear

information once they know you and trust

you a little bit when touch points we

work really hard and really fast to get

in there and establish that Rapport you

use what is is the most important

impress for that parent right there you

use the the behavior of the child and

the magic of that child's behavior and

all the incredible things that they can

do and use their story to connect

because that's what unites you right

there the first time it happened she

fell straight on her face so and now

it's every time she just barely touches

herself like she'll hit something it

comes right back you can even feel the

little bump you want the barriers out of

the way so that you can get on to the

business at hand which is keeping their

child healthy and growing and helping

that parent grow with their child what

we're trying to do is to introduce a

whole change in the way we look at

parents and children I call it changing

the Paradigm because we're all taught so

well in medical school and in social

work school and psychology school to

look at the failures she's beautiful

it's me yeah she looks like both of you

what we're trying to do is change it to

a positive model in which we look at all

the good things the parent is doing and

of course the most powerful uh way of

looking for good things is through the

child touch points can work for child

care environments as well it's natural

for passionate adults to be in

competition with each other they both

care about the same child the biggest

change that we've seen is the

enhancement of that relationship with

the parents and the feeling of the

professional understanding their role

better and enabling them to partner with

a parents touch points can give parents

and caregiver a Common

Language it gives them a chance to

really come together and form a

partnership around the well-being of

that child and helping that child in

that family move

forward touch points can reach far

beyond the doctor's office or Clinic to

the community

itself and that in the end is what we

all are after the wonderful thing about

touch points is that it's not only going

to teach us sort of these key areas and

developmentally in children's lives

which which we know sometimes parents

really don't understand and don't know

how uh to really use them to the

advantage of the child but it's also

going to help us train the providers

folks who work with children and see

parents but also Community people who

come in contact with these parents all

the time so it's literally going to put

a framework in place that says what

should the health professionals do what

should parents be doing what should

those of us who work with children be

doing and what should Community people

be doing to really make sure that all of

our children in this area are growing up

with the best possible odds of success

yes look my light goes up all the way up

we are increasingly becoming a country

we Community is becoming more and more

obscure people think that you could move

to a nice Community instead of creating

a nice community and that's a problem

and everybody began to say well where

can I go so that my kids can grow up in

a nice community and they think you can

just sort of plop kids down and go off

about your business nice Community comes

from the interaction of young people

with the adults in that environment we

think we can make a difference in this

community and in doing that really serve

as a model of how communities have to

come back together with children as

their Central uh concern and Central

Care in most towns these days you go to

to a store and the people work there

won't be there next week people don't

know each other anymore we do have to

understand what we've lost and how we're

going to meet our needs just sleeping if

the professional feels this change in

themselves and feels good about

themselves all over again and feels like

this is what I went into it for then

they give that same feeling of success

to parents and parents begin to give it

to their children so maybe we're raising

a bunch of kids with self-esteem

with enough self-esteem to care about

other people wouldn't that be

[Music]

exciting