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Barnert E, Wright J, Choi C, Todres J, Halfon N, Adedokun LA, Akl A, Alexander DT, Alvarez ME, Aron LY, Auerswald CL, Barbosa G, Battle GC, Bunnett DM, Chow G, Christakis DA, Counts NZ, El-Amin Champion TS, Engman MG, Ewing TJ, Gentile-Montgomery CR, Godoy B, Goldhagen JL, Gran B, Hernandez G, Iyer P, Jones-Taylor M, Kemp JM, Kirsch KA, Lansdown G, Lazarus W, Lesley B, Lombardi J, López Hernández G, Mejia-Garzaro BN, Michael Brown K, Morales X, Moulton MK, Peiffer MB, Peńa AR, Pitre N, Porayouw WF, Poterek LA, Santana S, Sayed RS, Schotland MS, Thomas III BL, Togi D(DL, Woodhouse B, Zhang A. Reimagining Children's Rights in the US. JAMA Pediatr 2022; 176:1242-1247. [PMID: 36279125 DOI: 10.1001/jamapediatrics.2022.3822] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
IMPORTANCE The US faces a pivotal moment of opportunity and risk regarding issues affecting children (aged 0-17 years). Although the US remains the only United Nations member state to not have ratified the Convention on the Rights of the Child (CRC), a child rights framework is essential for child health professionals seeking to advance many issues affecting children in the US. The Reimagining Children's Rights project (2020-2021) conducted an in-depth environmental scan of relevant literature and policy analysis using the Three Horizons design process to assess strategies that could advance the rights and well-being of children in the US. The project was overseen by a steering committee and informed by an advisory committee composed of youth leaders and experts in children's rights, advocacy, health, law, and a range of child-specific issues (eg, youth justice, early childhood development), who provided expert input on strategic considerations for advancing children's rights. OBSERVATIONS Seven findings about advancing children's rights in the US are notable, all reflecting current gaps and opportunities for using a whole-child rights framework in the US, even without formal adoption of the CRC. Actionable strategies, tactics, and tools to leverage sustainable change in the multitude of issue areas can advance the current state of children's rights. High-potential strategies for catalyzing advancement of children's rights include youth activism, innovations in governance and accountability, legislative action, impact litigation, place-based initiatives, education and public awareness, alignment with other children's movements, and research. The child rights framework is unifying and adaptive to future unforeseen challenges. CONCLUSIONS AND RELEVANCE Children's rights provide a powerful, synergistic framework for child health professionals-in partnership with youth and other leaders-to increase equity and protect the rights and well-being of all children in the US.
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Affiliation(s)
- Elizabeth Barnert
- Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles.,UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles.,Children's Discovery & Innovation Institute, Mattel Children's Hospital, University of California, Los Angeles
| | - Joseph Wright
- UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles.,Department of Education, School of Education and Information Sciences, University of California, Los Angeles.,Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles
| | - Charlene Choi
- Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles.,UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles.,Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles
| | | | - Neal Halfon
- Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles.,UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles.,Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles.,Department of Public Policy, Luskin School of Public Affairs, University of California, Los Angeles
| | | | - Lola A Adedokun
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Abdullah Akl
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - David T Alexander
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Mayra E Alvarez
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Laudan Y Aron
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Colette L Auerswald
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Gabriella Barbosa
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Gabrielle C Battle
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Dana M Bunnett
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Giselle Chow
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Dimitri A Christakis
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Nathaniel Z Counts
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | | | - Mark G Engman
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Toby J Ewing
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | | | - Blanca Godoy
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Jeffrey L Goldhagen
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Brian Gran
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Giovanni Hernandez
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Puja Iyer
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Myra Jones-Taylor
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Jasmin M Kemp
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Kayla A Kirsch
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Gerison Lansdown
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Wendy Lazarus
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Bruce Lesley
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Joan Lombardi
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | | | - Brianna N Mejia-Garzaro
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Keaun Michael Brown
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Xavier Morales
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Melissa K Moulton
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Matthew B Peiffer
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Andrea R Peńa
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Nikki Pitre
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - William F Porayouw
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Lauren A Poterek
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Sandy Santana
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Rimsha S Sayed
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Marieka S Schotland
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Bernard L Thomas III
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Dashuri (Dash) L Togi
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Barbara Woodhouse
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
| | - Adrianna Zhang
- for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team
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