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Child and Adolescent Health Program Committee

What’s new

The Child and Adolescent Health Program Committee was established under the Section of Family Physicians with Special Interests or Focused Practices (SIFP) in 2011 (now known as Communities of Practice in Family Medicine (CPFM) and includes the work of the Joint Action Committee on Child & Adolescent Health (JACCAH), which was established in 1997.

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].

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/

Upcoming events

Accredited early child development continuing professional development (CPD)

A new online CPD course helps primary care physicians develop practical skills to promote early childhood development. Produced by the Canadian Paediatric Society (CPS) 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 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 free course is accredited for both Mainpro+® and Maintenance of Certification (MOC) credits.

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.

Mainpro+ certified events

Looking for local Mainpro+ certified events? Search the continuing professional development calendar of events

Pregnancy, prenatal, newborn resources

The Preconception Health Care Tool: The Centre for Effective Practice’s (CEP)’s tool to support primary care providers in discussions about  health promotion and illness prevention strategies with 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. 

A Call to Action on Behalf of Maltreated Infants, Toddlers and Preschoolers in Canada: an Infant Mental Health Promotion (IMHP) from the Hospital for Sick Children, Toronto

Executive summary

The Maternal, Newborn and Child Health Promotion Network (MNCHP) Bulletin (December 17, 2015): news, tools, links and resources relevant to preconception health, prenatal health and early child development. May be useful in welcoming and supporting Syrian refugees.

Paediatric care

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.

Paediatrics & Child Health: the CPS’s peer-reviewed paediatric journal in Canada

Child mortality rates plunge by more than half since 1990 but global MDG target missed by wide margin” (WHO, September 9, 2015)

Quarter of children suffer from insomnia, but new study offers hope”: researchers at The Hospital for Sick Children study childhood insomnia (CTV News Health, November 21, 2016)

Light exercise after concussion in kids, teens may halt prolonged symptoms: study” (Toronto Star, December 20, 2016)

Five Things Physicians and Patients Should Question (November 30, 2016): The 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.

Canadian kids may be among the least active in the world: ParticipAction” (CTV News Health, November 16, 2016)

Kids’ eyesight getting worse at younger ages: study” (The Toronto Star, November 14, 2016)

How You Can Help Reduce Your Kids’ Immunization Pain” (November 12, 2015): sponsored on yummymummyclub.ca by It Doesn’t Have to Hurt, Proven Pain Control for Children

Reducing pain during vaccine injections: clinical practice guideline” (Canadian Medical Association Journal (CMAJ), August 24, 2015)

Mental health

New Mental Health Resource for Health Care Providers and Caregivers Developed by Experts at The Hospital for Sick Children (March 23, 2016, SickKids, AboutKidsHealth, 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. (Login required.)

Mental health problems in children with neuromotor disabilities: position statement from the CPS (March 7, 2016)

CPS position statements

Newborn male circumcision: (updated September 8, 2015; reaffirmed February 28, 2018)

Folate and neural tube defects: The role of supplements and food fortification: (April 1, 2016)

Transitions and shared care for complex patients

A Guide to Understanding Behavioural Problems and Emotional Concerns

Health Watch Table—Down Syndrome

Informed Consent in Adults with Developmental Disabilities (DD)

Office Organizational Tips – Patients with Developmental Disabilities (DD)

Transition Tool Resource FMF 2013

Who we are

Chair

Dr. Roxanne MacKnight, New Brunswick

The College of Family Physicians of Canada (CFPC) members

Dr. Heather Taylor, Alberta

Dr. Fahamia Koudra, Ontario

Dr. Pierre Paul Tellier, Quebec

Dr. Stephanie Fong, Resident Representative

Canadian Paediatric Society (CPS) members

Marie-Adele Davis, Executive Director, Ottawa

Dr. Karolyn Hardy, Ontario

Dr. Anne Rowan-Legg, Ontario

Dr. Curren Warf, British Columbia

Dr. Ellen Wood, Nova Scotia

The College of Family Physicians of Canada (CFPC) staff

Dr. Victor Ng, Associate Director, Programs and Practice Support

Supported by the Programs and Practice Support Department

Terms of reference

Child & Adolescent Health Program Committee Terms of Reference

Joint Action Committee on Child & Adolescent Health Terms of Reference

Resources

The page contains relevant materials, web resources, papers, and clinical practice guidelines for physicians who have a special interest in providing care to children and adolescents.

Disclaimer:  Most of the materials on this page come from external sources. The CFPC is not responsible for the accuracy, reliability of application of these materials. Users wishing to verify this information should consult directly with the identified sources. The information on this site does not necessarily reflect the policies or views of the CFPC.

Canadian Paediatric Society (CPS) resources

Canadian Paediatric Society

Online continuing medical education (eCME): professional online education and clinical podcasts from the CPS

Early Childhood Development, First Years First: a CPS early child development strategy, developed to engage health professionals, policy makers, communities, parents and educators in a broad-based effort to support young children and families

Active Kids, Healthy Kids: a CPS program to help paediatricians, family physicians and other health professionals promote physical activity, nutrition, and other healthy choices

Caring for Kids New to Canada: The CPS’s guide for health professionals working with immigrant and refugee children and youth

Caring for Kids New to Canada: a presentation by Maureen Mayhew MD MPH CKNC Editorial Board, CPS, Clinical Prevention Services, BCCDC, Vancouver, British Columbia

Caring for Kids: a CPS website with information for parents from Canada’s paediatricians

Air travel and children: from the Caring for Kids website

CPS Paediatric Transfer Record

CPS position statements and practice points

Zika virus: What does a physician caring for children in Canada need to know?”: a CPS practice point (March 30, 2017)

Antimicrobial stewardship in daily practice: Managing an important resource”: a CPS position statement (May 1, 2014; reaffirmed January 30, 2017)

Preventing and treating infections in children with asplenia or hyposplenia”: a CPS position statement (May 1 2014; reaffirmed January 30, 2017)

Dietary exposures and allergy prevention in high-risk infants”: a CPS position statement (December 2, 2013; reaffirmed February 1, 2016)

Transition to Adult Care for Youth with Special Health Care Needs”: a CPS position statement (November 1, 2007; reaffirmed February 28, 2018)

Folate and neural tube defects: The role of supplements and food fortification”: a CPS position statement (April 1, 2016)

Assessment of cardiorespiratory stability using the infant car seat challenge before discharge in preterm infants (<37 weeks’ gestational age)”: a CPS position statement (April 1, 2016)

Bronchiolitis: Recommendations for diagnosis, monitoring and management of children one to 24 months of age”: a CPS position statement (November 3, 2014; updated January 31, 2018)

Working with vaccine-hesitant parents”: a CPS practice point (May 3, 2013; reaffirmed February 28, 2018)

Sexually transmitted infections in adolescents: Maximizing opportunities for optimal care”: a CPS practice point (October 16, 2014; reaffirmed January 30, 2017)

Vaccine recommendations for children and youth for the 2019/2020 influenza season”: a CPS practice point (October 7, 2019)

Managing type 1 diabetes in school: Recommendations for policy and practice”: a CPS position statement (February 6, 2015)

Search all CPS position papers and practice points

Early years

Best Start: Ontario's Maternal Newborn and Early Child Development Resource  Centre: supports service providers in Ontario working on health promotion initiatives to enhance the health of expectant and new parents, newborns and young children

Rourke Baby Record: evidence-based infant/child health maintenance guide in in mobile app format for healthcare professionals and parents; supplements information from the family physician or primary care provider

FASD: How Fetal Alcohol Spectrum Disorder impacts the life course trajectory of children, teens and adults”: Family Medicine Forum (FMF) workshop by Murray Trusler, MD et al (November 21, 2014)

Greig Health Record: published in 2010 and updated in 2016, is an evidence-based health promotion guide for clinicians caring for children and adolescents ages 6 to 17 years

The Greig Health Record for Young Adults: an evidence-based health promotion guide for clinicians caring for young adults ages 18 to 24 years. The College of Family Physicians of Canada (CFPC) endorses the Greig Health Record for Young Adults. Health professionals can download the files below and reproduce them for office use. Any other use requires permission of the author.

Selected Greig Health Record for Young Adults guidelines and resources:

Daily nutritional recommendations, Canada’s Food Guide, strategies for good sleep habits, and more (p. 1)

Communication, depression and anxiety screening (p. 2)

Alcohol, cannabis, Internet, and gambling screening (p. 3)

Sexuality, iron deficiency, and diabetes screening (p. 4)

World Health Organization (WHO) Growth Charts

Clinical Question: What is the best treatment for head lice?”: (February 16, 2016) Tools for Practice, by the Alberta College of Family Physicians (ACFP)

Child Health Enhanced Skills Program – University of Western Ontario

Best Advice Guide: Communities of Practice in the Patient’s Medical Home

Clinical Report—Health Supervision for Children with Down Syndrome (Pediatrics, official journal of the American Academy of Pediatrics, July 25, 2011)

Surrey Place: provides specialized clinical services that are responsive to individual’s needs and promote health and well-being in the Toronto region

Child-Youth Epilepsy Overview, epidemiology, terminology: Glen Fenton, MD, Professor, Child Neurology and Epilepsy, University of New Mexico

Vaccinations

A Parent's Guide to Vaccination, Government of Canada

First Shots, Best Shot: Vaccines at work in Canada; the CPS’s teaching tool A teaching tool in PowerPoint format that is adaptable for any audience of learners, available from the Immunize Canada website

Nutrition

Health Canada infant feeding update for infants and young children from birth and six to 24 months

Health Canada Nutrition for Healthy Term Infants: Recommendations from Six to 24 Months

Pediatric Nutrition Guidelines (Birth to Six Years) for Health Professionals: produced by the Ontario Dietitians in Public Health (ODPH) [formerly known as the Ontario Society of Nutrition Professionals in Public Health (OSNPPH)] – Family Health Nutrition Advisory Group (revised November 2014). Provides evidence-based nutrition feeding guidelines and red flags for healthy, full-term infants and children up to six years of age for health professionals. Includes growth monitoring, infant formula, food allergies, vitamin D, iron, choking prevention, fish consumption and methylmercury, NutriSTEP®, and parent influences on eating habits.

Mental health

Kids Have Stress Too!®: The Psychology Foundation of Canada’s website supports parents through the challenges spanning the developmental stages from birth to adulthood

Joint Consortium for School Health Positive Mental Health Toolkit

Child & Youth Mental Health Toolkits: the Canadian Collaborative Mental Health Initiative’s (CCMHI’s) evidence-based series of toolkits

Infant Mental Health Promotion: Canadian Centre for the Advancement of Infant and Early Childhood Mental Health

New immigrants

Reaching Teens: Strength-Based Communication Strategies to Build Resilience and Support Healthy Adolescent Development”: by Kenneth R. Ginsburg, MD, MS Ed, FAAP, FSAHM and Sara B. Kinsman, MD, PhD; available for purchase from the American Academy of Pediatrics

The Health of Canada’s Children and Youth: a Canadian Institute of Child Health (CICH) profile

Health Profile on Immigrant and Refugee Children and Youth in Canada: a CICH profile

Adolescent health education

Child & Adolescent Health Program Committee Summer 2015 Newsletter

Youth Friendly Care, Engaging with Teens: a BC Children’s Hospital presentation (November 7, 2013)

Embracing the Now! Promoting Resilience in Adolescents and Health Providers with Mindfulness: a Family Medicine Forum (FMF) presentation by Dzung X. Vo, MD, Clinical Assistant Professor, Adolescent Medicine (BC Children’s Hospital, University of British Columbia (November 7, 2013)

Developmental disabilities

A Surrey Centre Guide to Understanding Behavioural Problems and Emotional Concerns: for primary care providers and caregivers of adults with developmental disabilities (DD)

A Surrey Centre Health Watch Table—Down Syndrome

A Surrey Centre process guide: Informed Consent in Adults with Developmental Disabilities (DD)

Surrey Centre Office Organizational Tips – Patients with Developmental Disabilities (DD)

Substance

Having some drinks: A normal part of growing up or a signal of a larger problem?”: Paediatric Child Health (December 10, 2013)

The Drug Cocktails website: “Facts for Youth about mixing Medicine, Booze and Street Drugs,” developed as a resource for youth and staff within Children’s & Women’s Health Centre of British Columbia Branch (C&W) for Provincial Health Services Authority and its branch agencies (PHSA)(C&W and PHSA together the “Societies”)

Eating disorders

Clinical Practice Guidelines for the BC Eating Disorders Continuum of Services: multidisciplinary clinical practice guidelines for the treatment of eating disorders across the continuum of care from the British Columbia Ministry of Health

Kelty Mental Health Resource Centre: BC’s Information Source for Children, Youth & Families: includes resources for parents and caregivers about eating disorders, and transition and treatment of adolescents with anorexia nervosa

Eating Disorders in Children and Adolescents: a presentation by Dr Pei-Yoong Lam FRACP Assistant Clinical Professor, Division of Adolescent Health and Medicine (BC Mental Health & Addiction Services, University of British Columbia, BC Children’s Hospital)

Suicide prevention

Mental Health Resources For Parents of Adolescents and Young Adults: the Society for Adolescent Health and Medicine (SAHM), a multidisciplinary association of health professionals throughout the world who are involved in service, teaching, or research concerned with the health and well-being of all adolescents and young adults

Suicide and Self-Harm: SAHM’s clinical care guidelines

Truth and Reconciliation: As paediatricians, how can we make a difference?”: a CPS blog post (January 18, 2018)

Tools for planning transition preparation and transfer

Transition to Adult Care (ON TRAC): BC Children’s Hospital website to support youth with special health care needs and their families or caregivers to gain the confidence, skills and knowledge  to be ready to enter the adult health care system

Transitioning to Adult Care for Youth with Chronic Health Conditions and Disabilities: a continuing professional development (CPD) free online course offered by The University of British Columbia’s Faculty of Medicine; offers up to one continuing medical education (CME) credit for four 15-minute online modules

Youth Transition Care Management Plans: for specialists and family physicians throughout the province of British Columbia to facilitate continuity of care and appropriate treatment for youth and young adults with chronic health conditions and/or disabilities transitioning from paediatric to adult care; developed by the Specialist Services Committee (SSC), a joint collaborative committee of the Doctors of BC and the BC Ministry of Health

Transition and Shared Care Part 1: a presentation from the Transition to Adult Care initiative at BC Children’s Hospital

Transition and Shared Care Part 2: a presentation from the Transition to Adult Care initiative at BC Children’s Hospital

Transitions and shared care for complex patients

A Guideline for Transition from Paediatric to Adult Health Care for Youth with Special Health Care Needs: A National Approach; from the Canadian Association of Paediatric Health Centres (CAPHC) National Transitions Community of Practice (June 2016)

Resources for parents 

Child care: Making the best choice for your family: from the CPS website, Caring for Kids

Social media: What parents should know: from Caring for Kids

Physical activity for children and youth: from Caring for Kids

Playtime with your baby: Learning and growing in the first year: from Caring for Kids

Healthy snacks for children, from Caring for Kids

Needles Don’t Have to Hurt: Canadian Medical Association Journal (2015)

Hospital for Sick Children resources

Constipation

Management of Functional Constipation

High fibre diet

Resources

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