Southern California Program

The Children's Clinic "Serving Children and Their Families"

Health Care
Long Beach, CA
December 2016

The Children’s Clinic, “Serving Children & Their Families” (TCC) is a Federally Qualified Health Center system in Long Beach providing preventive, primary and chronic care to almost 40,000 patients annually.  In 2014, TCC developed and piloted the Everychild Bright Beginnings Initiative, which is a trauma-informed approach to primary care that addresses toxic stress and the social determinants of health.  Initial training was provided to staff on how the effects of chronic exposure to trauma, toxic stress and violence can negatively impact normal child development and lifelong health.  Clinicians conducted family well-being screenings during prenatal and pediatric visits and referred at-risk patients to TCC’s home visiting, parent education and support groups as well as to external partners for mental health care and resources for basic needs.  Based on screening data from the pilot, one-third of TCC’s prenatal, pregnant and pediatric patients are living with significant trauma, social isolation and food and housing insecurity.  A two-year W. M. Keck Foundation grant will enable TCC to transform its primary care practice by integrating trauma-informed care into clinical visits and programs at all 11 of its sites, including a mobile health clinic.  TCC will refine its training and screening tools, implement a new data system to track outcomes and work with community partners to facilitate a city-wide system to address the social determinants of health.  TCC will share lessons learned with its partners and other clinics and health care systems.

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