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Reimagining Children’s Rights in the US | Law and Medicine | JAMA Pediatrics | JAMA Network
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property="og:type" content="Article" /> <meta property="og:url" content="https://jamanetwork.com/journals/jamapediatrics/fullarticle/2797600" /> <meta property="og:image" content="https://cdn.jamanetwork.com/ama/content_public/journal/peds/939039/psc220001f1_1669653249.64075.png?Expires=2147483647&Signature=J~4VNdYkSEmCfi1Fuh5yGbCBP6yTsakYuTKLrtJyQQHwcGK3nbRZCWEwZlZMwwxecJdH2MM3fFEFydGM2xK-GA8zDlEDUDlGO2ktLOg~aQgLje8s8zMTDWOjFgm6BB7N45pyw0nmaqx--ZD4GgIzvCV9Vel0tRry2D2CfH9jHn1WpnWcQ46wEh-NaOcHT4EdEVT-Fe-0yGnOjEUSMZPkHZoQ9CMt5WkiKKrDacdWxmXQw8McErJBCEOxPUPLUuG2ryUCYmQHPXjfYk7RSXZKPXPy0QOlr7F3xCJXOGfbGbC2m2yPSnlg-0EFqRxJrxIY9FQWIvOrKqJbRIHODZwcrQ__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA" /> <meta property="og:image" 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content="https://cdn.jamanetwork.com/ama/content_public/journal/peds/939039/psc220001t2_1669653249.66272.png?Expires=2147483647&Signature=I9r81ceFVGcCWHEeEQO~fcnX66cRyCM15Xwij3K67ToAz0mJRT5FL9qke~q3a7sjSBjWPGNg4uTIWcy3HRAhXy4luFaHlz1vOFbm8DBbrxIgTO62H2pud~gS-76rf2SZruHzq4BZs1TksV4GRMRM24xEw1bKTPJ~ouBSpzujjIkruZ5kxOgIj38LvQ3ORCdUm2hFQPxUXQGxOLXUvXkS-zaJICUcBTkMSVEFou18Rn8GwXReRvt0emFCEVtrC~7jMoraWLRHTCJhbTaE5xrfxtLxP4K2XGc5N3j8p619LWgwWTjIyd2kMv6jrwhkayOhkXwRT~W81gtpgA0~IlShgw__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA" /> <meta property="og:description" content="This Special Communication discusses the potential ways in which the US can advance children’s rights through the adoption of a children’s rights framework and the implementation of a children’s rights approach to benefit and protect children’s health and well-being." /> <meta property="fb:pages" content="87087958340" /> <meta property="fb:pages" content="122228711814384" /> <meta property="fb:pages" content="1648414928738217" /> <meta property="fb:pages" content="117506346528" /> <meta property="fb:pages" content="97538728726" /> <meta property="fb:pages" content="114116793520" /> <meta property="fb:pages" content="100679858757" /> <meta property="fb:pages" content="759822190741773" /> <meta property="fb:pages" content="100265333750" /> <meta property="fb:pages" content="234770525256" /> <meta property="fb:pages" content="98784919862" /> <meta property="fb:pages" content="120829458202" /> <meta property="fb:pages" content="124842870398" /> <meta property="fb:pages" content="110245330325636" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:site" content="@JAMAPediatrics" /> <meta name="twitter:image" content="https://cdn.jamanetwork.com/ama/content_public/journal/peds/939039/psc220001f1_1669653249.64075.png?Expires=2147483647&Signature=J~4VNdYkSEmCfi1Fuh5yGbCBP6yTsakYuTKLrtJyQQHwcGK3nbRZCWEwZlZMwwxecJdH2MM3fFEFydGM2xK-GA8zDlEDUDlGO2ktLOg~aQgLje8s8zMTDWOjFgm6BB7N45pyw0nmaqx--ZD4GgIzvCV9Vel0tRry2D2CfH9jHn1WpnWcQ46wEh-NaOcHT4EdEVT-Fe-0yGnOjEUSMZPkHZoQ9CMt5WkiKKrDacdWxmXQw8McErJBCEOxPUPLUuG2ryUCYmQHPXjfYk7RSXZKPXPy0QOlr7F3xCJXOGfbGbC2m2yPSnlg-0EFqRxJrxIY9FQWIvOrKqJbRIHODZwcrQ__&Key-Pair-Id=APKAIE5G5CRDK6RD3PGA" /> <meta name="citation_author" content="Elizabeth Barnert" /><meta name="citation_author_institution" content="Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles" /><meta name="citation_author_institution" content="UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles" /><meta name="citation_author_institution" content="Children’s Discovery & Innovation Institute, Mattel Children’s Hospital, University of California, Los Angeles" /><meta name="citation_author" content="Joseph Wright" /><meta name="citation_author_institution" content="UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles" /><meta name="citation_author_institution" content="Department of Education, School of Education and Information Sciences, University of California, Los Angeles" /><meta name="citation_author_institution" content="Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles" /><meta name="citation_author" content="Charlene Choi" /><meta name="citation_author_institution" content="Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles" /><meta name="citation_author_institution" content="UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles" /><meta name="citation_author_institution" content="Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles" /><meta name="citation_author" content="Jonathan Todres" /><meta name="citation_author_institution" content="Georgia State University College of Law, Atlanta" /><meta name="citation_author" content="Neal Halfon" /><meta name="citation_author_institution" content="Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles" /><meta name="citation_author_institution" content="UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles" /><meta name="citation_author_institution" content="Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles" /><meta name="citation_author_institution" content="Department of Public Policy, Luskin School of Public Affairs, University of California, Los Angeles" 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and Project Team" /><meta name="citation_author" content="Lauren A Poterek" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Sandy Santana" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Rimsha S Sayed" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Marieka S Schotland" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Bernard L Thomas III" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Dashuri (Dash) L Togi" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Barbara Woodhouse" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_author" content="Adrianna Zhang" /><meta name="citation_author_institution" content="for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team" /><meta name="citation_title" content="Reimagining Children’s Rights in the US" /><meta name="citation_firstpage" content="1242" /><meta name="citation_lastpage" content="1247" /><meta name="citation_doi" content="10.1001/jamapediatrics.2022.3822" /><meta name="citation_keyword" content="child" /><meta name="citation_keyword" content="personal satisfaction" /><meta name="citation_keyword" content="child health" /><meta name="citation_abstract" content="<h3>Importance</h3><p>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.</p><h3>Observations</h3><p>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.</p><h3>Conclusions and Relevance</h3><p>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.</p>" /><meta name="citation_journal_title" content="JAMA Pediatrics" /><meta name="citation_journal_abbrev" content="JAMA Pediatr" /><meta name="citation_volume" content="176" /><meta name="citation_issue" content="12" /><meta name="citation_publication_date" content="2022/12/01" /><meta name="citation_issn" content="2168-6203" /><meta name="citation_publisher" content="American Medical Association" /><meta name="citation_reference" content="citation_author=Woodhouse B; citation_publisher=Princeton University Press, ; citation_title=Hidden in Plain Sight: The Tragedy of Children’s Rights from Ben Franklin to Lionel Tate; citation_year=2010; " /><meta name="citation_reference" content="citation_author=United Nations General Assembly; citation_publisher=United Nations, ; citation_title=United Nations Convention on the Rights of the Child; citation_year=1989; " /><meta name="citation_reference" content="citation_title=The trauma of Trump’s family separation and child detention actions: a children’s rights perspective.; citation_author=Todres J; citation_author=Fink DV; citation_journal_title=Wash Law Rev; citation_year=2020; citation_volume=95; citation_issue=1; citation_pages=377-427; " /><meta name="citation_reference" content="citation_title=Rights, justice, and equity: a global agenda for child health and well-being.; citation_author=Goldhagen JL; citation_author=Shenoda S; citation_author=Oberg C; citation_journal_title=Lancet Child Adolesc Health; citation_year=2020; citation_volume=4; citation_issue=1; citation_pages=80-90; " /><meta name="citation_reference" content="citation_author=Woodhouse B; citation_publisher=New York University Press, ; citation_title=The Ecology of Childhood: How Our Changing World Threatens Children’s Rights; citation_year=2020; " /><meta name="citation_reference" content="citation_title=‘Voice’ is not enough: conceptualising Article 12 of the United Nations Convention on the Rights of the Child.; citation_author=Lundy L; citation_journal_title=Br Educ Res J; citation_year=2007; citation_volume=33; citation_issue=6; citation_pages=927-942; " /><meta name="citation_reference" content="citation_author=United Nations Development Program; citation_publisher=Bureau for Development Policy, ; citation_title=Marginalised Minorities in Development Programming: A UNDP Resource Guide and Toolkit. 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<span class="hide tagmanagervalue" data-attribute="type" data-value="Special Communication" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="issueVolume" data-value="176" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="issueNo" data-value="12" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="publishDate" data-value="December 1, 2022" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="topics" data-value="Law and Medicine, Pediatrics, Health Policy, Adolescent Medicine" data-type="array"></span> <span class="hide tagmanagervalue" data-attribute="topicCode" data-value="5716, 5843, 44020, 5495" data-type="array"></span> <span class="hide tagmanagervalue" data-attribute="category" data-value="Review" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="journalClub" data-value="No" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="contentStatus" data-value="Locked" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="articlePubState" data-value="Final" data-type="string"></span> <span class="hide tagmanagervalue" data-attribute="contentMedium" data-value="Article" data-type="string"></span> <div class="meta-article-type-wrap"> <div class="meta-article-type thm-col">Special Communication </div> </div> <div class="meta-date">October 24, 2022</div> <div class="meta-article-title-wrap"> <h1 class="meta-article-title ">Reimagining Children’s Rights in the US</h1> </div> <div class="meta-authors"> <span class="meta-authors--limited"><span class="wi-fullname brand-fg"><a href="/searchresults?author=Elizabeth+Barnert&q=Elizabeth+Barnert" rel=nofollow target="_blank">Elizabeth Barnert, MD, MPH, MS<sup>1,2,3</sup></a></span><span class='al-author-delim'>; </span><span class="wi-fullname brand-fg"><a href="/searchresults?author=Joseph+Wright&q=Joseph+Wright" rel=nofollow target="_blank">Joseph Wright, MPH, MS<sup>2,4,5</sup></a></span><span class='al-author-delim'>; </span><span class="wi-fullname brand-fg"><a href="/searchresults?author=Charlene+Choi&q=Charlene+Choi" rel=nofollow target="_blank">Charlene Choi, JD<sup>1,2,6</sup></a></span>; <a class="meta-authors--etal td-u stats-meta-authors--etal">et al</a></span> <span class="meta-authors--remaining"><span class="wi-fullname brand-fg"><a href="/searchresults?author=Jonathan+Todres&q=Jonathan+Todres" rel=nofollow target="_blank">Jonathan Todres, JD<sup>7</sup></a></span><span class='al-author-delim'>; </span><span class="wi-fullname brand-fg"><a href="/searchresults?author=Neal+Halfon&q=Neal+Halfon" rel=nofollow target="_blank">Neal Halfon, MD, MPH<sup>1,2,8,9</sup></a></span><span class='al-author-delim'>; </span>for the Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team<sup></sup></span> </div> <div class="meta-author"> <a class="meta-author-title is-b stats-meta-author-toggle" data-tog-target=".meta-author-content">Author Affiliations</a> <a class="meta-articleinfo-jumplink section-jump-link scroll-to stats-scroll-to-articleinfo" data-tab-toggle=".tab-nav-full-text" href="#248729818">Article Information</a> <div class="meta-author-content"> <ul class="meta-author-affiliations"> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>1</sup>Department of Pediatrics, David Geffen School of Medicine at UCLA, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>2</sup>UCLA Center for Healthier Children, Families, and Communities, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>3</sup>Children’s Discovery & Innovation Institute, Mattel Children’s Hospital, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>4</sup>Department of Education, School of Education and Information Sciences, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>5</sup>Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>6</sup>Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>7</sup>Georgia State University College of Law, Atlanta</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>8</sup>Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles</div> </li> <li class="meta-author-affiliation"> <div class="meta-author-name"><sup>9</sup>Department of Public Policy, Luskin School of Public Affairs, University of California, Los Angeles</div> </li> </ul> </div> </div> <div class="meta-citation-wrap"> <span class="meta-citation-journal-name">JAMA Pediatr. </span><span class="meta-citation"> 2022;176(12):1242-1247. doi:10.1001/jamapediatrics.2022.3822</span> </div> </div> <div class="widget-EditorsChoice widget-instance-AMA_EditorsChoice_Links"> </div> <div class="widget-LinkedContentToolbar widget-instance-AMA_LinkedContentToolbar"> <div class="linked-content-toolbar"> <div class="hidden js-search-open-multimedia-by-default" showContentByDefault="False"></div> <div class="linked-content-controls"> <a class="linked-content-trigger td-n stats-graphical-abstract" href="#graphical-abstract-tab"> <i class="icon-visual-abstract"><span class="sr-t">visual abstract icon</span></i> <div class="trigger-text d-ib va-m ta-l fw-5">Visual <div>Abstract</div></div> </a> <a class="linked-content-trigger td-n stats-editorial-comment" 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<p><strong>Importance</strong> <span>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.</span></p><p><strong>Observations</strong> <span>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.</span></p><p><strong>Conclusions and Relevance</strong> <span>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.</span></p> <div class="movable-ad-target bta"> </div> </div> </div> <div class="widget-ArticleLinks widget-instance-AMA_Abstract_EditorialComments"> </div> <a class="full-text-link is-b d-b bd-none ta-c fl-n radius mt1 mb1 m-auto" data-url="" data-article-id="2797600"> <div class="full-text-link--text fw-b"><span class="full-text-link--text-top">Full </span>Text</div> </a> <div class="seamless-access-button--mobile-only"> <div class="widget-AmaAdvancedSeamlessAccess widget-instance-AMA_AdvancedSeamlessAccessButton_Mobile"> <div class="seamless-access-button--wrap"> <button class="d-flex sa-button align-items-center" role="button" type="button"> <div class="sa-button-logo-wrap"> <img src="//cdn.jamanetwork.com/UI/app/svg/seamless-access.svg" class="sa-button-logo" alt="Seamless Access Logo" /> </div> <div class="d-flex justify-content-center align-items-center sa-button-text text-truncate"> <div class="sa-button-text-primary text-truncate">Access through your institution</div> </div> </button> <div class="sa-access-text text-truncate hide"> <div class="sa-cta-access"><span>Add or change institution</span></div> </div> </div> </div> </div> <div class="widget-UserComment widget-instance-AMA_Abstract_UserComment"> <div id="comment-wrapper"> <div class="comment-btn"> <a id="modal-opener" class="btn d-b mb1 sb-background-sc js-modal-opener" href="javascript:;">Comment</a> </div> </div> </div> <div class="widget-UserCommentBody widget-instance-AMA_UserCommentBody_Abstract"> </div> <div class="widget-WidgetLoader widget-instance-AMA_AdTag_abstract_bta_dual"> <div class="SCM-SharedWidgets-AsyncAdLoader" data-url="/AMA/AdTag/AMA_AdTag_abstract_bta_dual" data-params="{"parameters":{"siteName":"jamapediatrics","siteId":19,"journalId":75,"adDisplay":8,"adSection":"abstract","adPosition":"bta","fromGoogle":false},"dynamicParameters":{"localParams":"[REPLACE_WITH_LOCAL]"}}"></div> </div> </div> <div class="widget-RelatedTopics widget-instance-AMA_Related_Topics_Abstract"> <div class="related-topics-block"> <h4 class="related-topics-heading topic-suggestions-heading sb-sc"> Read More About </h4> <div class="related-topics topic-suggestions"> <a href="https://jamanetwork.com/collections/5716/law-and-medicine" id="item_Link" class="related-topic topic-suggestion no-wrap sb-anchor-light">Law and Medicine</a> <a href="https://jamanetwork.com/collections/5843/pediatrics" id="item_Link_1" class="related-topic topic-suggestion no-wrap sb-anchor-light">Pediatrics</a> <a href="https://jamanetwork.com/collections/44020/health-policy" id="item_Link_2" class="related-topic topic-suggestion no-wrap sb-anchor-light">Health Policy</a> <a href="https://jamanetwork.com/collections/5495/adolescent-medicine" id="item_Link_3" class="related-topic topic-suggestion no-wrap sb-anchor-light">Adolescent Medicine</a> </div> </div> </div> </div> <div class="sidebar"> <div class="branded-bar"></div> <div class="abstract-toolbar"> <a id="pdf-link" href="/journals/jamapediatrics/articlepdf/2797600/jamapediatrics_barnert_2022_sc_220001_1669653249.41555.pdf" class="toolbar-tool toolbar-pdf al-link pdfaccess js-pdfaccess" data-article-id="2797600" data-article-url="/journals/jamapediatrics/articlepdf/2797600/jamapediatrics_barnert_2022_sc_220001_1669653249.41555.pdf" data-ajax-url="/Content/CheckPdfAccess"><span class="toolbar-pdf-text"><span class="toolbar-link-text-extra">Download </span><span class="toolbar-link-text">PDF</span></span> </a> <a class="toolbar-tool toolbar-full-text is-b" data-url="" data-article-id="2797600"><span class="toolbar-link-text-extra">Full</span> Text</a> <div class="widget-ToolboxGetCitation widget-instance-AMA_Get_Citation_Abstract"> <a class="toolbar-tool toolbar-citation is-b stats-citation" rel="nofollow" data-reveal-id="get-citation" data-reveal> <span class="toolbar-link-text">Cite</span> <span class="toolbar-link-text-extra">This</span> </a> <div id="get-citation" class="reveal-modal get-citation" data-reveal> <h3 class="get-citation-title">Citation</h3> <p class="get-citation-citation">Barnert E<span class='al-author-delim'>, </span>Wright J<span class='al-author-delim'>, </span>Choi C<span class='al-author-delim'>, </span>Todres J<span class='al-author-delim'>, </span>Halfon N<span class='al-author-delim'>, </span>Reimagining Children’s Rights Steering Committee, Advisory Committee, and Project Team. 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