Video Chapters
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Rena Menke, Ph.D., Maternal & Infant Psychologist, University of Michigan
Early Relational Health is a determinant of pediatric outcomes. The relationship between a caregiver and child provides the neurodevelopmental and psychosocial foundation for a child’s cognitive, social, emotional, and physical development. Key factors influencing this relationship include, but are not limited to, attachment, parental mental health, social drivers of health, and child characteristics. Recommended strategies for assessing relational health include validated screening and direct observation of caregiver-child exchanges during visits.
Relational challenges can overlap with common clinical concerns (such as sleep issues, behavior problems, growth concerns, or repeated visits) and can sometimes be mistaken for disorders like anxiety, depression, Attention Deficit Hyperactivity Disorder, or Autism Spectrum Disorders. Management of relational health emphasizes non-judgemental, trauma-informed care and linkage to support programs. The focus is on strengthening the caregiver-child relationship.
Bell A, Agnihotri R. Early relational health care: What is known and what is new for family physicians. Can Fam Physician. 2024 May;70(5):298-302. doi: 10.46747/cfp.7005298. PMID: 38744506; PMCID: PMC11280644.
Frosch CA, Schoppe-Sullivan SJ, O’Banion DD. Parenting and Child Development: A Relational Health Perspective. Am J Lifestyle Med. 2019 May 26;15(1):45-59. doi: 10.1177/1559827619849028. PMID: 33447170; PMCID: PMC7781063. https://pmc.ncbi.nlm.nih.gov/articles/PMC7781063/#bibr79-1559827619849028
Prinzie P, Stams GJJM, Deković M, Reijntjes AHA, Belsky J. The relations between parents’ Big Five personality factors and parenting: a meta-analytic review. J Pers Soc Psychol. 2009;97:351-362. doi: 10.1037/a0015823
Willis, D. W., Long, D., Johnson, K. (2024). Relational Health in Pediatrics. Pediatric Clinics of North America, 71(6), 1027-1045. Doi: 10.1016/j.pcl.2024.07.011
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