The Parents as Teachers (PAT) program is increasingly turned to as an option in broadening parent education and family support program offerings. In order to provide evidence of PAT's effectiveness in general and with low-income families in particular, a public-private partnership was formed to conduct a multi-site evaluation in three communities.…

This paper discusses how the health care needs of underserved children, particularly urban children, can be met through an ecological model of health care. Ecoprimary care, infant mortality, and the experiences of King/Drew Medical Center in Los Angeles (California), an example of maximization of resources, are described. (SLD)

Public education systems are mandated to give students the opportunity for intellectual development and to teach positive human relationships. Health clinic staffs and programs associated with the schools are the most effective way to come to grips with the dimensions that sex gives to the adolescent life. (SLD)

Strategies for the adaptation of Head Start for the economic and social conditions of the future involve the linkage of early childhood and family support approaches with community economic development. Such strategies must include a reappraisal of mental health models to ensure the health of children and their families. (SLD)

Most discussions about narrowing the achievement gap focus on ways to provide disadvantaged children with schooling comparable to that received by middle-class kids. Addressing deficiencies in children's social environment, health, housing, and family income would be more effective and would probably reduce special-education spending. (MLH)

This paper provides further evidence to challenge the scepticism of successful interprofessional working. It is a story of a project to support families and children, more specifically, isolated mothers, and the use of continuous quality improvement and action research methodologies to engage a community and change service provision. Based on…

Do parental marital conflict and dissolution influence the risk trajectory of children's physical health risk? This paper reviews evidence addressing this question in the context of understanding how early environmental adversities may trigger a succession of risks that lead to poor health in childhood and greater risk for chronic health problems…

Colorado traditionally has ranked as one of the healthiest states in the nation, a claim that reinforces a culture of activity, community and well-being. Though Colorado is ahead of the curve in this area, Coloradans aren't immune to the growing trends that threaten the health of people across the nation. One of the most concerning elements of…

A large national study of schoolchildren aged 6-18 years was conducted to assess nutritional and socio-cognitive factors associated with body mass index (BMI). A questionnaire was used to assess nutritional quality of breakfast, importance of physical activity and food variety score, among 4441 students from randomly selected schools in all states…

Objectives: To present a framework for classifying research-practice gaps to increase clarity in the discourse on evidence-informed practice and policy as it applies to child mental health. Method: The development of the framework was informed by the research literature about the effectiveness of clinic- and community-based interventions for the…

The Early Childhood Education and Assistance Program (ECEAP) of the state of Washington is a family-focused program designed to help 4-year-old children from low-income families succeed in the public education system. The ECEAP is comprised of four interactive components that relate to education, parent involvement, health and nutrition, and…

The science of early development and our understanding of the impact of early experience on later social, emotional, and cognitive development has grown dramatically in the past three decades. Because the data are compelling and far-reaching, there has been increasing interest and concern about the quality of the infant's earliest experiences, and…

Substantial numbers of children and adolescents experience symptoms of sadness, dysphoria, and other characteristics associated with depression. The nature of depression in children and adolescents has presented challenges in identification and definition. This chapter reviews research on depression in children and adolescents. Three current…

This report describes capacity and needs assessments of youth services in the District of Columbia. The assessments were conducted by the Urban Institute, Georgetown University, and the University of the District of Columbia in the summer of 1999. D.C. Mayor Anthony Williams requested these assessments to help guide the allocation of additional…

Discusses the development of the Indonesian Chart of Developmental Milestones, designed for use with existing nutrition and mother-child welfare programs to monitor children's development. A reliability and validity study using 108 Indonesian children from birth to 36 months of age established a tester-observer reliability of 0.97 and a…