Publications by authors named "Adiaha Spinks-Franklin"

Article Synopsis
  • ADHD is a treatable condition, but children from racial-ethnic minority backgrounds often face barriers to timely and consistent treatment.
  • Understanding the effects of systemic racism on healthcare can help improve ADHD care for these families.
  • The experiences of families of color, along with guidance from healthcare professionals, can inform better clinical practices and foster equitable treatment for ADHD.
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Recent findings from the Centers for Disease Control and Prevention's (CDC) Autism and Developmental Disabilities Monitoring (ADDM) Network's 2020 prevalence report indicate that disparities in autism diagnoses between Black and White youth have narrowed, reflecting improved screening, awareness, and access to services (Maenner et al., 2023. Morbidity and Mortality Weekly Report.

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Rachel is a 10-year-old White girl with attention-deficit/hyperactivity disorder and a history of trauma who presented for evaluation by Dr. Narayanaswamy, a developmental-behavioral pediatrician. A pediatric resident observed the visit with permission from Rachel's parents.

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There is an insufficient number of specialty developmental-behavioral pediatrics (DBP) physicians, despite nearly 25% of children and adolescents having a developmental, learning, behavioral, or emotional problem. In the nearly 20 years since becoming a board-certified subspecialty, the definition of DBP clinical practice remains somewhat unclear. This lack of clarity likely contributes to recruitment challenges and workforce issues, and limited visibility of DBP among parents, other professionals, payors, and administrators.

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Racism and discrimination are the root of many pediatric health inequities and are well described in the literature. Despite the pervasiveness of pediatric health inequities, we have failed to adequately educate and prepare general pediatricians and pediatric subspecialists to address them. Deficiencies within education across the entire continuum and in our health care systems as a whole contribute to health inequities in unacceptable ways.

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Objective: The objective of this study was to address critical gaps in pediatric medical education by developing and evaluating an interactive educational workshop on racism as an adverse childhood experience (ACE).

Methods: A team of developmental-behavioral pediatrics professionals used a best-practice curriculum development model of Kern's 6 steps to develop the workshop curriculum. Based on a targeted needs assessment, goals and objectives to address the topics of race and racism in clinical practice were developed.

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Potocki-Shaffer syndrome is a contiguous gene deletion syndrome involving 11p11.2p12 and characterized by multiple exostoses, biparietal foramina, genitourinary anomalies in males, central nervous system abnormalities, intellectual disability, and craniofacial abnormalities. Current literature implicates haploinsufficiency of three genes (ALX4, EXT2, and PHF21A) in causing some of the cardinal features of PSS.

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Increased public awareness of autism spectrum disorders (ASD) and routine screening in primary care have contributed to increased requests for diagnostic ASD evaluations. However, given the scarcity of subspecialty autism diagnostic resources, overreferral of children suspected of having ASD may be contributing to long waiting lists at tertiary care autism centers and delaying diagnosis for those children who truly have ASD. To determine whether children are being excessively referred to ASD-specific diagnostic clinics, our objective was to determine the prevalence of true ASD diagnoses in children referred for diagnostic ASD evaluation.

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Synopsis of recent research by authors named "Adiaha Spinks-Franklin"

  • - Adiaha Spinks-Franklin's recent research focuses on the interplay between racism and pediatric health, seeking to address health inequities faced by minority groups, particularly Black youth, in the context of autism and developmental-behavioral pediatrics.
  • - Her studies emphasize the importance of understanding perceived racism as a significant factor affecting mental health and well-being among adolescents, highlighting the need for greater awareness and responsive training among healthcare professionals regarding these issues.
  • - Spinks-Franklin advocates for systemic changes in medical education and clinical practice to better equip pediatricians in recognizing and addressing the impact of racism as an adverse childhood experience, ultimately aiming to improve health outcomes for marginalized populations.