Health care reaches more children under age three in the United States than any other family-facing system and represents the most common entry point for developmental assessment of and services for children. In this article, Adam Schickedanz and Neal Halfon examine how well the child health care system promotes healthy child development early in…

Americans' perceptions of childhood disability have changed dramatically over the past century, as have their ideas about health and illness, medical developments, threats to children's health and development, and expectations for child functioning. Neal Halfon, Amy Houtrow, Kandyce Larson, and Paul Newacheck examine how these changes have…

This brief outlines both the national and state environments and summarizes the opportunities and challenges that need to be taken into account as states move forward to develop comprehensive early childhood systems. It is adapted from and summarizes a full report entitled "Planning for the State Early Childhood Comprehensive Systems Initiative…

Reviews "Health Care Reform and Child Welfare" (DeWoody) on addressing the needs of abused and neglected children; and "Deadly Consequences" (Prothrow-Stith and Weissman) on the violence destroying the teenage population and ways to begin solving the problem. (HTH)

This policy brief describes the State Early Childhood Comprehensive Systems (SECCS) Initiative, a policy designed to improve early childhood programs to ensure that all children arrive at school healthy and ready to learn. The SECCS is intended to help states build a bridge from birth to school and addresses how states will support children and…

Reviews the unique health care needs of children in the out-of-home care system and the standards developed over the past decade to deliver comprehensive health care services to this population. Raises key policy and practice questions for each standard to facilitate effective implementation of recommendations makes suggestions for future research…

This report examines the use of health care services by children enrolled in Medi-Cal, California's counterpart to Medicaid, and the Child Health and Disability Prevention (CHDP) program. Expenditures related to these services are also examined. Data for the report were derived from utilization and expenditure data from Medi-Cal and CHDP. Analysis…

Outlines access to health care for children in out-of-home care under current law, reviews how health care access for these children would be affected by President Clinton's health care reform initiative, and proposes additional measures that could be considered to improve access and service coordination for children in the child welfare system.…

Although most American infants and young children receive adequate well-child care, they may not receive needed help if developmental problems arise. This report examines primary health care services that promote infant/child development and suggests ways to improve those services as part of routine primary child health care. The report details…

The State Early Childhood Comprehensive Systems (SECCS) Initiative represents a unique opportunity to improve the quality of life for young children and their families, and support them in reaching their full potential. Under the SECCS Initiative, state mother and child health agencies are being asked to apply MCH experience and expertise to a…

As part of a series of reports designed to support the implementation of Proposition 10: The California Children and Families Act and to provide comprehensive and authoritative information on critical issues concerning young children and families in California, this report examines how child health services can be improved to support two related…

To accomplish desired results and to support more effective funding decisions, program planning, and policies, First 5 Ventura County adopted a results-based accountability (RBA) framework in its April 2000 strategic plan. This RBA framework uses regular, periodic and strategic data collection and analysis to inform a process of continuous…

As medical knowledge and treatments improve, pediatricians' role in promoting children's health continues to change. Genetics and early experiences may have long-term effects on health and development. Theoretical models that influence providers' decisions about the use of health-care resources are: the disease model, the neuromaturational model,…

In recent years, state Medicaid programs have implemented significant change and innovation in delivering health and behavioral health services. Prepaid capitated financing and the provider networks created by Medicaid managed care expansions have altered systems of medical and mental/behavioral health. Most children in foster care receive…

School Readiness profiles measured countywide at kindergarten entry provide important, population-based information about the developmental capacities of children as well as the capacity of families, pre-schools, and communities to support children's school readiness. These profiles enable key stakeholders to plan, evaluate, and improve programs,…