Archive for the ‘Child Life’ Category
I came to the San Francisco Bay Area to further my education and discovered my passion for working with children and families. After graduating from San Francisco State University with a BA in Child and Adolescent Development, I worked as a full-time Infant/Toddler teacher. I enjoyed my work but wanted to pursue something more and find another way to serve the families in my community. Through volunteering at UCSF’s Benioff Children’s Hospital, I discovered a field called Child Life. The child life philosophy emphasizes play as an integral aspect of decreasing the stress that comes with hospitalization. Child Life was perfect for me because of my degree in Early Childhood Education and interest in science and medicine. Studying Child life and Early Childhood Special Education at Mills College has been a rewarding experience for me. This past summer I was fortunate to intern in the child life program at Kaiser Permanente Oakland. This internship was intense, but an important part of my journey to become a child life specialist. I was constantly reminded me of why I love the child life philosophy.
During my last summer as a graduate student I balanced being a live-in-nanny while interning full time at Kaiser Oakland. On a daily basis I met children and teenagers who were admitted for anything from swallowing a foreign object to scheduled chemotherapy. I ended most of my days by picking up from school two of the children I cared for. I then took them home and sometimes cooking dinner for the family. Many times I told myself that balancing a lot is great practice for the real world. Though stressful, it felt good being busy and always on the move. That being said, throughout my internship I often strangely felt that I was not doing enough. I had many moments when I felt joy in knowing that I had made a child laugh or smile or was able to give them something that would at least briefly take their mind off of their pain or illness. However I also had moments when I did not want to be that other person that a child felt that they had to interact with while dealing with the trauma and stress of hospitalization.
All this time caring for others often caused me to lose track of caring for myself. I balanced the stress by marathon training and distance running with friends as a way to do something completely selfish yet physically and mentally beneficial. In order to keep running as a way to decrease my stress, I had to balance my time being active while still having time to read and write reflective journals for my internship. This was difficult. These journals allowed me to write down my thoughts, address biases I did not know I had, while absorbing and questioning the new knowledge I was gaining. Reflecting on paper and reflecting while running really caused me to face the choices I was making in life and reflect if I wanted to follow the path I was on. The reflection could be scary because I questioned my worth and wondered if I was making a difference in my community. I also questioned if the time I was putting in was making me selfish –I took out more money to pay for my education while my parents struggled financially. Of course, my parents are my #1 fans and completely support my academic pursuits, but as I struggled to provide for myself, I hated not being able to give them financial support. They are the reason I am here and the reason for the path I chose.
One day I hope to be in a position that would allow me to practice the child life profession in Africa. My roots are in Africa, as are many of my family members. With the high childhood mortality rates in parts of Africa, I see child life as a great profession needed. I know I still have a long way to go but I feel that having a goal or multiple goals are worth the time and energy. Just like marathon training, you get out what you put in.
In the present day push to make every minute “accountable,” which is synonymous to “billable,” it is becoming increasingly challenging to justify any service that’s considered psychosocial in nature—a service such as Child Life. Child Life Specialists are unique professionals whose primary role is to respond to the developmental, social, and emotional needs of hospitalized children. Child Life Specialists are trained in child development, psychology, education, hospital systems and culture, and psychosocial interventions designed to reduce distress and pain and to promote healing.In 2012 a notable pediatric surgeon stated that each visit with a child life specialist could save his surgical team three to five minutes. “With 10 kids, that’s 50 minutes – that’s another surgery,” he explained.
Like all psychosocial cares in the hospitals, the cost effectiveness of child life services has come under scrutiny by the hospital administrators during an era of hospital mergers, affiliations, and rising health care costs. How do we justify the need for child life services through cost effectiveness? Anecdotal accounts like the one offered by the pediatric surgeon only helps to a certain degree. At a time when administrative decision and policy are driven by evidence-based data, child life needs to find a way to quantify and qualify itself as an essential service in the delivery of quality healthcare for children and families. The discipline of child life, a relatively new profession, needs to continue proving its worth through research.
Research studies translating psychosocial services into saved dollars and cents have been extremely scarce. Yes, there are a few reliable studies such as those in pediatric radiology departments identifying, for example, the potential costs saved by minimizing the need for anesthesia for school age patients undergoing MRIs when they are adequately prepared by a child life specialist. Reality is that the value of psychosocial care is difficult to quantify.
Nevertheless, Child Life must engage in research not only to prove its worth but also to better understand itself as a profession. As a matter of fact, an evidence-based research study is in the planning stages through the National Child Life Council. This will be a 5-year retrospective data analysis of pediatric patient records for children who have (and have not) received child life services as part of their hospitalization to analyze recovery rates and other outcome measures. The goal of this study is to provide critically necessary data related to both the effectiveness of the modality of play and the cost effectiveness of child life services because of their use of play techniques.
At Mills, we are actively looking at how we can engage in Child Life research. We have an obligation to produce quality Child Life Specialists and to contribute to the Child Life field. Stay tuned!
Over the past two years Child Life faculty in the School of Education, Linda Perez, Ph.D. and Susan Marchant, MA, CCLS have worked with Japan Seitoku University Cooperative, a Japanese government grant to investigate models for educating non-medical professionals in hospital settings.
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On June 21, 2012 we traveled to Tokyo, Japan to present a series of Child Life lectures to medical doctors, professors at Seitoku University, and Japanese Child Life Specialists that focused on “The Professional Work of Child Life Specialists in the United States” and the “History and Education of Child Life Specialists.” We also provided continuing education training to a group of Child Life Specialists that chronicled Susan’s process of building a Child Life department at Children’s Hospital in Oakland and Linda’s work in Infant Mental Health and Early Brain Development of High Risk Medically Fragile Preterm Infants born in the Intensive Care Nursery.
During our stay in Japan, we toured the National Center for Child Health and Development, a children’s hospital where Mills graduate, Megumi Aiyoshi ’06 MA, CCLS works. We were most impressed with how the hospital staff welcomed us and how they provide child and family focused care. For example, throughout the patient rooms, medical treatment spaces, play areas, and waiting locations, the child and family focused themes and interactive experiences are abundant. In the (radiology or nuclear) medicine environments, appropriate child-oriented themes create a comfortable atmosphere, which children and families can relate to. Here patients develop their own masks and watch videos which support their coping strategies during a medical procedure.
We also visited Seitoku University and sat in on class lectures. Similar to the structure of Mills Child Life courses, professors engage students to take an active role in their own learning process. Finally, we went to observe a government-run and a private preschool, and an infant home of the Japanese Red Cross Medical Center that is aimed at raising babies and infants with special needs who have difficulties being cared for by their families. The infant center offers childcare and nursing which enables the integration of child development and physical and mental wellbeing. It nurtures a strong relationship with the parents in an effort towards family reunification.
The Mills Child Life faculty learned that the Child Life Specialists’ work in Japan is supported by the pediatricians’ interest and beliefs in their work. The pediatricians understand the important role child life plays in advocating for the child and family, and in providing psychosocial interventions to reduce children’s pain and suffering during their hospital stay. As such, they are communicating and working with the professors at Seitoku University to establish an academic Child Life Program to increase the number of Japanese Child Life Specialists. Like them, we believe that as the number of Child Life Specialists grows and gains support from the medical community, Child Life will play an important role in Japanese medical society.
We left Japan with much gratitude for the care that everyone we met provided us during our visit. We take great pride in the accomplishments of the Japanese Child Life graduates who graduated from Mills School of Education. In the last 17 years, we have educated 20 of the 26 Japanese Child Life Specialists who are working diligently and long hours in hospitals in Japan. We in the United States have much to learn from their dedication and commitment to hospitalized children and their families. We are certain that they will continue to contribute to the professional field of Child Life, both in Japan and in the United States. The Child Life faculty at Mills College looks forward to continuing to coordinate our efforts with Seitoku University and Child Life Specialists in Japan to ensure moving the field forward.
Lastly, we would like to acknowledge and thank Professor Mikiko Tabu, Megumi Aiyoshi, MA, CCLS, Dr. Miyamoto, M.D., Ph.D., Dr. Matsurra, M.D., Ph.D., Professor Hirozumi, and all of the Child Life Specialists who traveled long distances to attend our lectures. Their hospitality, expertise, and generosity were very much appreciated.
Linda Perez, Ph.D. Susan Marchant, MA, CCLS
Holland Professor Adjunct Professor
Professor of Education