Students for Community Outreach Promotion and
Education
SCOPE
SCOPE
City MatCH Expedition Conference 2004
September 13, 2004
Wingshan Lo
Research Associate
Sponsored by:
Advisors:
Alice Kuo, MD, PhD, MEd
Todd Franke, PhD
UCLA CHAT
UCLA Center for Healthier Children, Families and Communities
What is SCOPE?

A children and family
resource desk in the
waiting room of the
UCLA pediatric clinic.

A repository of health
and social resources
easily accessible by
patients, their families,
physicians and medical
staff.
How did SCOPE come about?

It is well known that a connection exists between a child’s
environment and his/her health.**

To improve the health and well-being of children, parents and
families must have access to social and community services.
 Pediatric residents identified need for centralized center of
information and resources for the families of their patients.
 In response to need, medical, graduate and undergraduate
students established SCOPE Child and Family Resource
Center at UCLA in July 2003.
**Inkelas M, Halfon N, Uyeda K, et al. The Health of Young Children in California, findings from the 2001 California Health Interview
Survey 2003.
Demographics
UCLA Children’s Health Center (CHC)
Continuity Clinic:
8,000 – 10,000 patient visits per year at the Continuity Clinic
(~ 23,000 total visits per year at CHC)
Most patients live in Los Angeles county; however, 3% come from
out of state
Insurance Status:



90% Medicaid
8% Private insurance
2% Self-pay
Demographics
UCLA Children’s Health Center (CHC)
Residents’ Primary Care Clinic:




70-75% Hispanic
10% Asian
10% Caucasian
5% African American
Demographics
Languages Spoken at CHC:
50% Speak only Spanish
25% Speak English and Spanish
10% Speak Asian or Middle Eastern
languages
SCOPE’s Objectives
1.
To implement a comprehensive system to deliver
health, social services and community
information for the children and families of the
pediatric clinic.
2.
To develop a curriculum to teach physicians and
medical staff about community resources.
What type of information does
SCOPE provide?
After
school activities
Dental Health
Affordable day care
Domestic Violence
Drug and Alcohol abuse
Education and Tutoring
Employment and Job Training
Food and Nutrition
Health Insurance
Regional Centers for
developmental disabilities
Housing/Shelters
Immigration/Undocumented
Services
Library/Literacy
Mental Health
Parenting
Safety
Transportation
Vision Health
Weight Reduction Programs
And others
How volunteers address needs
Volunteers are educated and
become knowledgeable
about SCOPE resources.
Every SCOPE client must
complete an Intake Form,
noting and finding information
requested.
Information requested is
immediately given to the
client or mailed if forget to
pick it up.
Clients are followed-up by
volunteers to see if they used
resources and to see how
things are going.
SCOPE results
From July 2003 to June 2004, total 502 families
requested resources from SCOPE.
Most requested resources from SCOPE are:
13% Food/Nutrition
12% Dental Health
10% Day Care/After School Activities
Least requested resource from SCOPE overall is
Domestic Disputes/Child Abuse (< 1%)
Location of Clients requesting SCOPE resources
at UCLA:
80% from Los Angeles County
18% from surrounding counties (Kern, Orange County,
Riverside, San Bernardino, San Diego, Santa Barbara, Tulare,
Ventura)
2% from Outside of California
Pediatric resident responses to
SCOPE survey
How often in the last year have you asked
about the following?

Often to Always asked about:



School problems/IEPs/Special Education
Day care/After school activities
Never to Sometimes asked about:




Availability of food/food stamps
Legal/Immigration problems
Divorce/Custody issue
Domestic Disputes/Child Abuse
Pediatric resident responses to
SCOPE survey
If a Resource Center in the clinic waiting room is
available:

50%* believe will help personal time management

85.7%* believe will improve overall quality of clinic patient
care.

85.7%* believe will improve overall wellbeing of clinic patients
and families.
* (Rating of Moderately to Extremely)
Pediatric resident responses to
SCOPE survey
Overall…
It would reduce their level of stress and
improve their sense of effectiveness in
the clinic.
Conclusions
Although pediatric residents are skilled at
handling medical problems of children, they
may not be confident enough to provide other
valuable community resources that could
impact a child’s health.
SCOPE has proven to be valuable in bridging
the gap between pediatric residents’ delivery
of medical care and lack of knowledge of
social/community resources.
Next Steps
Continue physician and medical staff education
about SCOPE.
 New Intake Form
 New Follow-up Form

Expand SCOPE into the community, as well as
its range of resources, where we plan to focus
on physical fitness and nutrition resources for
children and families.