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SERVICES

The Brookdale/Community Partnership Program's Services Include:

Outreach, Screening and Identification

Outreach, Screening and Identification is being conducted through community-based screening programs at the CWHA, the New York City Housing Authority, and schools in region 5& 6. Community and school-based screening consists of height and weight measurement and calculation of Body Mass Index. Overweight (BMI >85th percentile) and obese (BMI>95th percentile) youth are referred to the network of Brookdale physicians or a private pediatrician for follow-up fasting blood tests to measure cholesterol and glucose tolerance and blood pressure. Overweight/obese youth with elevated cholesterol (total cholesterol >170 and/or abnormal HDL/LDL), hypertension (blood pressure >90th percentile for height and age), or fasting insulin level >15 units per liter, are referred to the Brookdale Pediatric Obesity Clinic for comprehensive evaluation and treatment. Overweight and obese children who do not have abnormal test results, but who are at risk for these disorders due to overweight, are referred to their primary care physicians in the community. The Pediatric Obesity Clinic (clinical staff and care coordinators) works with the BFCC and community PCP’s to develop individualized care plans for weight management programs using the BCP nutrition education, counseling and supervised physical education resources.

A community-Based Care Coordinator/Health Educator will organize and coordinate community outreach, and health education for parent and community groups, and provide community-based care planning and care coordination services.

 

Referral To Obesity Treatment

Medical Treatment is provided by the Pediatric Obesity Clinic. The initial visit will consist of a comprehensive medical evaluation, family history, and fasting blood tests. Children with one or more of the metabolic abnormalities associated with obesity (hypertension, hyperinsulinemia or type II diabetes, and dyslipidemia) are enrolled, with their families, in a treatment program that includes pharmacological management, where appropriate, nutrition education and counseling, behavior modification counseling, and participation in a exercise program that involves weekly sessions of physical activity under the supervision of a certified trainer or subtrainer.

Obesity Clinic - April 2005

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The children are followed by physicians and a nutritionist at regular intervals. The frequency of follow-up depend on disease severity, ability to reach and maintain target glucose, cholesterol and blood pressure levels, and responsiveness to exercise and weight control regimens. The Pediatric Obesity Clinic is directed by Sarita Dhuper, MD, a pediatric cardiologist. In addition, staff includes Dr. Vipin Agarwalla, Director of Community Pediatrics , Rose St. Victor, MD an adolescent medicine a nutritionist, nurses and health technicians, residents and the community care coordinator.

 

Care Coordination

Care Coordination is provided by the members of the obesity clinic, community Coordinator and families. Based on the clinical evaluation, the priorities and concerns of the child and family, the Care Coordinators develop individualized plans of care, with the child, family and clinical staff. The Care Coordinator facilitate referrals to organizations that offer family health services and other support services. The Care Coordinator and nutritionist will also reinforce the education and skills training related to nutrition, exercise, and other behavior modifications.

 

Community Education

 

Community Education is organized to disseminate information about the health risks associated with obesity, the importance of good nutrition and physical activity, and resources for treatment of obesity. Community education is accomplished through educational programs at community and faith-based agencies, the distribution of information and brochures, and a public awareness campaign using the media.

Educational Seminar On Obesity


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Community Education Through Brochures


               Brochure 1


Brochure 2               


Parent Education and Support Groups

BCP will offer parent education and support groups to parents (or caregivers) of children enrolled in the BCP. Parents play a highly influential role in the behaviors of their children, especially in the early years, but also during adolescence. It is, therefore, critical to give parents information and resources to promote healthy eating and active lifestyle.

A nutritionist will provide nutrition education and support groups to parents and children.

Brochures on all aspects of nutrition, exercise, and weight management will be made available.

Regulation of Food Intake

 

Education of community Physicians

Community-Based Physician Education helps improve the identification and management of overweight/obese youth, beyond those served directly by BCP, by educating community pediatricians and family practice physicians in childhood obesity. Many community physicians do not appreciate the extent of the epidemic of childhood obesity or know the appropriate identification and clinical management of obesity and associated disorders. Live Light …. Live Right program delivers educational seminars (including the distribution of patient education materials and other resources) for community physicians in issues related to obesity management.

 

Structured Physical Activity Programs

The Structured Physical Activity Program At Safe Sites addresses a major barrier to weight control in poor, inner-city communities. The absence of parental supervision and the lack of safe places for children and youth to play and engage in physical exercise contribute to a culture of television watching, video game playing, and snacking on unhealthy foods after school. Healthy eating and an active lifestyle are the two essential components of weight management. Live Light… Live Right takes full advantage of the resources in the community, including community-based organizations, faith-based organizations, the schools and the New York City Housing Authority and Parks Department Recreation Centers. Patterns of exercise and physical activity adopted early are likely to carry into adulthood and affect health status throughout life.

Live Light… Live Right has started the Train-the-Trainer Program. Through this program members of the community are being trained to serve as supervisors of the exercise programs at city recreation centers and faith-based institutions in the community.

Exercise Program 2005


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Physical Activity Programs At Safe Sites

 

Parent/Patient Education And Support Groups

Parent Education and Support Groups to parents (or caregivers) of children enrolled in the BCP. Parents play highly influential role in the behaviors of their children, especially in the early years, but during adolescence as well. It is, therefore, critical to give parents information and resources to promote healthy eating and active lifestyle. A nutritionist will provide nutrition education and support groups to parents and children are initiated by volunteers from the community and supervised by staff from the Live Light….Live Right program

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