Child & Adolescent Health Community

JACCAH is a conjoint committee that includes representation from the College of Family Physicians of Canada (CFPC) and the Canadian Paediatric Society (CPS). The shared objective of JACCAH is to ensure that children and adolescents receive the highest standard of medical care. To achieve this goal, these organizations have established a Joint Action Committee to initiate priorities for addressing the most urgent health needs of children and adolescents. The purpose of this committee is to provide a unified voice for both organizations.

If you have any questions or comments, please contact us at [email protected].

 

 

Digital media: Promoting healthy screen use in school-aged children and adolescents
Digital media are part of everyday life for children and adolescents. While most Canadian parents are concerned about how much screen time their children get, how screens are used is as important as how much they are used. To promote healthy screen use in children and adolescents, the Canadian Paediatric Society recommends that parents help manage screen use, encourage meaningful screen use, model healthy screen use, and monitor for problematic screen use. Read the newest CPS position statement to find out more.

Relationships matter: How clinicians can support positive parenting in the early years
A secure attachment relationship with at least one healthy adult is critical to a child’s development and coping skills. A new CPS position statement on positive parenting offers guidelines on how to support and nurture those relationships – urging clinicians to view every visit with a family as an opportunity to ask about behaviours, daily routines and everyday family functioning. It provides practical advice and relevant examples, and points to community resources for additional support. Together, we can improve outcomes for families and communities.


The Canadian Institute of Child Health (CICH), in partnership with the Canadian Council on Social Determinants of Health and the Public Health Agency of Canada have developed two bilingual, user-friendly online resources:  one on early childhood development at https://cichprofile.ca/module/8/and one on Indigenous childhood development https://cichprofile.ca/module/7/

Greig Health Record for Young Adults  

The Greig Health Record for Young Adults is an evidence-based health promotion is an evidence-based health promotion guide for clinicians caring for young adults aged 18 to 24 years. The College of Family Physicians of Canada endorses the Greig Health Record for Young Adults.

Health professionals can download the pdf files and reproduce them for office use. Any other use requires permission of the author.

The Greig Health Record for Young Adults

Selected guidelines and resources:
Page 1      Page 2     Page 3       Page 4 

Call to action On Behalf of Maltreated Infants Toddlers and Preschoolers in Canada
Download the Call to Action
Download the Call to Action Executive Summary

Researchers at Sick Kids continue to study childhood insomnia 
New research indicates positive long-term effects of light exercise for youths sustaining concussions

The Canadian Paediatric Society (CPS) released a list of specific tests, treatments and procedures that are commonly ordered but not always necessary as part of Choosing Wisely Canada. The list identifies five targeted, evidence-based recommendations that can support conversations between patients and clinicians about what care is really necessary.

The CPS list makes the following five recommendations:

  • Don't routinely use acid blockers or motility agents for the treatment of gastroesophageal reflux in infants.
  • Don't perform screening panels (IgE tests) for food allergies without previous consideration of the pertinent medical history.
  • Don't administer psychostimulant medications to preschool children with Attention Deficit Disorder (ADD), but offer parent-administered behavioural therapy.
  • Don't routinely do a throat swab when children present with a sore throat if they have a cough, rhinitis, or hoarseness as they almost certainly have viral pharyngitis.
  • Don't recommend the use of cough and cold remedies in children under six years of age.

ParticipAction report card gives low grade to level of activity for Canadian children
Researchers find that children's eyesight declining earlier than previous generations

New Mental Health Resource for Health Care Providers and Caregivers Developed by Experts at The Hospital for Sick Children

Children’s mental health plays an important role in their development, education and overall health. Experts at The Hospital for Sick Children (SickKids) have developed a mental health resource that provides credible, plain language content on children’s mental health for caregivers (see http://www.aboutkidshealth.ca/mentalhealth).

The new mental health resource includes evidence-based information developed by experts at SickKids, while also highlighting valuable resources offered by other leaders in children’s mental health. The resource is a comprehensive educational tool that healthcare providers can share with families to provide additional information and support throughout the mental health journey.

 

Rourke Record App
Parents often wonder about their child’s health, growth and development, leading to the question: "Is my child healthy and growing and developing normally?" The Rourke Baby Record Parent Resource Mobile App is a place where parents can find parent-friendly resources to help answer your questions about your child. This App is meant to supplement the information that you get at your Family Doctor or Primary Care Provider’s office at each of your children’s well child visits.

Components of the App:
You can browse “By Age” of your child, using the links that will bring you to information about “Feeding and Growth”, “Keeping Baby Safe”, “Development” and “Advice”. These will bring you to reliable resources about normal child growth and development, along with information on common health topics such as feeding, injury prevention, vaccinations, and some common illnesses.

Other Resources:
Here you can link to other website commonly sited by the Rourke Baby Record Parent Resources. To use this function in your app, you will need Internet or data access, as it will link you externally to Safari on your phone.

Visit Tracker:
The Visit Tracker portion of the Rourke Baby Record Mobile Application allows you to keep a record on your phone of each of your children’s growth. It allows you to plot their height, weight and head circumference, as provided to you at your well child visits by their physician or primary care provider, and track their growth on the World Health Organization Growth Charts.

Download the App:
The Rourke Baby Record Mobile App is now available on the iTunes store for iOS. Search “Rourke Baby Record”. We are developing the app to be compatible with other platforms, including Android!

Support and Acknowledgements:

The RBR Parent Resources Mobile Application has been created by the Rourke Baby Record. The Rourke Baby Record (or RBR for short) is a system that many Canadian doctors and other healthcare professionals use for well-baby and well-child visits for infants and children from 1 week to 5 years of age. It includes forms (Guides I to IV) for charting the well-baby visits.

If you are curious about the RBR, you can see a PDF copy at www.rourkebabyrecord.ca.

You can also enter the Health Professional RBR website which is designed for the doctor or other healthcare professional that cares for your child. 

The RBR Parent Resources Mobile Application and this series of information sheets have been created by Dr. Laura Butler, MD, BSc, and Dr. Heidi Wells, MD, BSc, and the RBR authors (Drs. L. Rourke, D. Leduc and J. Rourke). Two MUN Summer Undergraduate Research Awards, and MUN Professional Development and Conferencing Services have supported these projects. Support for the RBR includes the Province of Ontario through McMaster University's Offord Centre, and MUN's Dr. W. Ingram Award. Licensing contributions for RBR electronic medical record use go to the MUN RBR Development Fund.

As evidence-based information is constantly changing, the Rourke Baby Record and these recommendations should be used as a guide only

The Centre for Effective Practice (CEP) is pleased to announce the launch of the Preconception Health Care Tool!  It has been shown that enhancing preconception care reduces infant and maternal mortality and morbidity.  This tool is intended to support primary care providers in discussions of health promotion and illness prevention strategies with all patients of reproductive age.  This is the first tool developed in partnership with the Ontario College of Family Physicians as part of a larger multi-year initiative funded by the Government of Ontario.  

Click here to download a copy of the tool and access more information including supporting resources.

Paediatrics & Child Health

Paediatrics & Child Health is the official journal of the CPS 
CMAJ: Reducing pain during vaccine injections: clinical practice guideline 

The Canadian Paediatric Society has released a new position statement on Newborn male circumcision. The updated statement is in line with the 1996 statement, which did not recommend routine circumcision of every newborn male. Here is the news release

2019 ODPH Pediatric Nutrition Guidelines - English

The Pediatric Nutrition Guidelines (Birth to Six Years) for Health Professionals were developed by members of the Family Health Nutrition Advisory Group of ODPH. The document outlines evidence-based nutrition and feeding guidelines along with red flags for healthy, full-term infants and children up to 6 years of age. For more information, please contact us via email at [email protected].

Universal access to no-cost contraception for youth in Canada

Access to contraception is recognized as a basic human right, but two barriers – cost and concerns about privacy – disproportionately affect youth. To address these barriers and reduce rates of unintended pregnancy, a new CPS position statement recommends that all youth have confidential access to all forms of contraception up the age of 25.

Upcoming Events

Canadian Paediatric Society
96th Annual Conference | June 6-8, 2019
Sheraton Centre Toronto Hotel
https://www.annualconference.cps.ca/home

New! Online, accredited CPD on early child development
A new online CPD will help primary care physicians develop practical skills to promote early childhood development. Produced by the Canadian Paediatric Society in partnership with Memorial University’s MD-CPD program, the case-based course uses tools like the Rourke Baby Record to cover topics such as infant crying, normal ranges of development, breastfeeding, and behaviour. Physicians will also learn how clinical observations and referrals to community resources can be used to support child development. The course includes videos and links to external resources, and allows users to test their knowledge through questions and discussion topics after each case. Developed by Dr. Andrea Feller and Dr. Kassia Johnson of the CPS Early Years Task Force, the course is accredited for both MainPro and MOC credits, and there is no charge. To register, follow the link from the CPS website or go to MD-CPD. The course was supported with a grant from the Canadian Medical Association.

Looking for Mainpro+ certified events in your area? Visit the CPD Calendar.

Canadian Paediatric Society Position Statements

The Canadian Paediatric Society has published a new position statement that may be of interest to you: Folate and neural tube defects: The role of supplements and food fortification

Assessment of cardiorespiratory stability using the infant car seat challenge before discharge in preterm infants (<37 weeks’ gestational age)

Antimicrobial stewardship in daily practice: Managing an important resource outlines how to integrate and manage antimicrobial stewardship in your hospital and offers 10 ways to promote it in a paediatric practice.

Preventing and treating infections in children with asplenia or hyposplenia provides guidance to health care providers and recommends preventive strategies that focus on parent and patient education, immunization, antibiotic prophylaxis and aggressive management of suspected infection.

Digital media: Promoting healthy screen use in school-aged children and adolescents

Digital media are part of everyday life for children and adolescents. While most Canadian parents are concerned about how much screen time their children get, how screens are used is as important as how much they are used. To promote healthy screen use in children and adolescents, the Canadian Paediatric Society recommends that parents help manage screen use, encourage meaningful screen use, model healthy screen use, and monitor for problematic screen use. Read the newest CPS position statement to find out more.

Transitions and Shared Care for Complex Patients

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