Child life specialist Kimberly Wartak plays with a toddler at Surrey Memorial Hospital’s HEAL clinic. The clinic – the only one of its kind in the Fraser Health region

Child life specialist Kimberly Wartak plays with a toddler at Surrey Memorial Hospital’s HEAL clinic. The clinic – the only one of its kind in the Fraser Health region

CARING FOR KIDS: ‘Something right happens here’

The HEAL clinic at Surrey Memorial Hospital provides comfort and care for neglected, physically and sexually abused children and youth.

As the designated Regional Pediatric Centre in the Fraser Health region, Surrey Memorial Hospital offers specialized and unique care to babies, children and youth from Burnaby to Hope. The Leader provides an inside look at how B.C.’s second-largest hospital has grown and adapted to treat its youngest and most vulnerable patients.

Caring for Kids logoA three-month-old boy is brought to the doctor for a routine check-up. The doctor notices a bruise on his forehead the parent says is from his older sister tossing a toy at him. Less than a month later, the baby is in emergency with a bleeding mouth. It’s a minor injury the mom explains happened when he bumped his head with hers. But in just weeks, he’s brought to the hospital again, this time, barely conscious. There is severe bruising on his head and arms, and X-rays show an earlier rib fracture.

A 13-year-old girl keeps coming to school overtired and unable to concentrate. She seems sad and when her teacher asks, the girl says she’s been living at a relative’s house and it’s “different” there. When questioned further, she eventually confides her uncle has been touching her in bed at night and forcing her to do things she doesn’t think are right.

Another child is often seen by neighbours playing in the yard by himself when he should be at school. His clothes are getting dirtier by the day and he appears to be getting thinner. When police knock on the door, they discover a home stacked with garbage. Mom and dad are high and there’s no food in the fridge.

These scenarios serve as examples of children being abused and neglected. And unfortunately, the stories aren’t entirely unfamiliar to the HEAL (Health Evaluation Assessment and Liaison) team at Surrey Memorial Hospital.

In existence since 1995, it is the Fraser Health region’s only Suspected Child Abuse and Neglect (SCAN)-designated team, identifying the health needs of mistreated children. There are just four other such teams in B.C.

The Surrey HEAL clinic, housed across the street from the hospital, welcomes young people from newborns to 18-year-olds.

Nancy BellIt is non-acute, meaning it doesn’t treat children and youth needing immediate medical attention. Instead, it sees patients who have been referred – often from the Ministry of Children and Families, doctors and nurses, or police – for physical and/or psychological care.

Prior to their arrival, a child’s records are examined to see if any patterns can be established.

“For example,” explains nurse Nancy Bell (above left), “if the main concern is neglect, I look for different things than, say, if it was sexual abuse.”

Besides registered nurses, the team includes physicians, psychologists, social workers and child life specialists.

But once a young person walks through the clinic doors, they’re the ones in charge.

“It’s really important to our team that this be an invitinChristene Buchanang, warm place for them,” says Christene Buchanan (below left), HEAL clinic coordinator. “This is a crisis moment for them – often their world has been turned upside down. They still have their own worries, wondering what happens next.”

As such, everything proceeds only at the pace the child wants.

For the younger patients, a typical visit begins with a certified child life worker who invites them (and caregiver if desired) to play and have some fun in a private, kid-friendly room. They may colour or do a puzzle. It’s a casual process meant to make the children feel safe and comfortable in an unfamiliar place.

“We find when we have that one-on-one time, we make them understand they’re the boss,” says child life specialist Kimberly Wartak.

But while the children play and interact, the child care worker is observing carefully. Is there aggression? Can they distinguish colours? Do they understand consequences? Are they able to match items? Interspersed are plenty of positive messages about why they’re at the clinic.

All the while, nurses and social workers wander in and out, getting to know the child, sometimes joining in on the play and documenting observations.

“I often say it’s like a well-choreographed dance – we know when to come in…” says Wartak.

The appointment, which lasts between an hour and an hour-and-a-half, also includes a physical exam, but again, only at the young patient’s pace. There’s a doll on the exam table they’re welcome to do their own check-up on and they can touch and try out whatever medical equipment they want.

When it’s the child’s turn, the exam is non-intimidating and entirely on their terms, with each step explained before anything is done. If the child isn’t comfortable with something, they’re free to say so and their wishes are honoured.

Social workers at the HEAL clinic work mainly with parents and caregivers, helping them cope with the often difficult situation. The abuser may well have been a relative or friend, so they have that to deal with on top of helping the child.

Recommendations for the child’s care needs – such as follow-up medical appointments or appropriate community resources or counselling – are shared with guardians. The goal is to help both the child and parent succeed.

“Sometimes, they just need a little help with that,” Bell says.

The centre sees kids and youth three days a week for consultations. The team saw 197 children last year, most for medical concerns related to abuse, but some requiring psychological care. Sexual abuse continues to be the most common reason for visits, followed by physical abuse and neglect.

The cases can be troubling, but the HEAL team knows its child-focused approach is effective. They see it regularly when a patient who was ambivalent coming through the door doesn’t want to leave at the end of the appointment.

“Something right happens here that they feel that comfort,” Bell says.

ON WEDNESDAY: SURREY’S FORENSIC NURSING SERVICE

Other stories in this series:

• Bringing Joy to the world

• Shelter from the storm

• Surrey’s kids-only ER sees 100+ children per day

• ‘I think of it as putting them back together’

• ‘They’re saying that our youth matter’

Surrey North Delta Leader

Just Posted

Rahim Manji owns and operates the Hollywood 3 Cinemas in Newton, along with the Caprice in South Surrey, a theatre in Duncan and another in Pitt Meadows. “I think right now it feels different than last June, it just does,” Manji said. “I’m a lot more optimistic, with more people calling, more people out and getting vaccinated, so I think the comfort level is a lot better.” (Photo: Tom Zillich)
Surrey movie theatre operators reopen and rejoice, even with 50-max capacity

‘We have been one of the hardest-hit industries’

(Delta Police Department photo)
Delta police searching for Surrey woman missing at Centennial Beach

Wenyan Lan, 54, reported missing when she didn’t come home from a crabbing/clam digging trip June 14

Outdoor vendors at the Cloverdale Flea Market are seen in this bird’s eye view image from the flea market’s Facebook page.
Cloverdale Flea Market to reopen

Market to open June 20 after being closed since Nov. 2020

Ian MacDonald, spokesman for Surrey Police Service. (Submitted photo)
Surrey Police Service launches public consultation campaign

This is to help the SPS form its first strategic plan

TEASER PHOTO ONLY
UPDATE: Surrey RCMP say missing 13-year-old has been found and is safe

Steven Vail was last seen at 8 a.m. after arriving at Frank Hurt Secondary but did not show up for his 8:30 a.m. class.

People watch a car burn during a riot following game 7 of the NHL Stanley Cup final in downtown Vancouver, B.C., in this June 15, 2011 photo. THE CANADIAN PRESS/Geoff Howe
10 years ago: Where were you during the 2011 Vancouver Stanley Cup Riots?

Smashed-in storefronts, looting, garbage can fires and overturned cars some of the damage remembered today

(Black Press Media file)
Dirty money: Canadian currency the most germ-filled in the world, survey suggests

Canadian plastic currency was found to contain 209 bacterial cultures

(pixabay file shot)
B.C. ombudsperson labels youth confinement in jail ‘unsafe,’ calls for changes

Review states a maximum of 22 hours for youth, aged 12 from to 17, to be placed in solitary

Eleonore Alamillo-Laberge, 6, reads a book in Ottawa on Monday, June 12, 2017. THE CANADIAN PRESS/Sean Kilpatrick
Parents will need to fight ‘COVID learning slump’ over summer: B.C. literacy experts

Parents who play an active role in educating their children this summer can reverse the slump by nearly 80%, says Janet Mort

The border crossing on Highway 11 in Abbotsford heading south (file)
Western premiers call for clarity, timelines on international travel, reopening rules

Trudeau has called Thursday meeting, premiers say they expect to leave that meeting with a plan

The B.C. government’s vaccine booking website is busy processing second-dose appointments, with more than 76 per cent of adults having received a first dose. THE CANADIAN PRESS/Jonathan Hayward
B.C.’s COVID-19 infections, hospitalizations stable for Tuesday

108 new confirmed cases, 139 in hospital, 39 in intensive care

A worker, at left, tends to a customer at a cosmetics shop amid the COVID-19 pandemic Thursday, May 20, 2021, in Los Angeles. (AP Photo/Marcio Jose Sanchez)
Half of cosmetics sold in Canada, U.S. contain toxic chemicals: study

Researchers found that 56% of foundations and eye products contain high levels of fluorine

White Rock’s Marine Drive has been converted to one-way traffic to allow more patio space for waterfront restaurants. (Peace Arch News)
Province promotes permanent pub patios in B.C. post-pandemic plan

More than 2,000 temporary expansions from COVID-19 rules

Most Read