In this report, the Trust for America’s Health (TFAH) examines how to increase the public health approachto child development by looking at national, State and local strategies, policies and programs that have a high impact for improving health and well-being across a range of sectors, and how to better bring those sectors together to develop partnerships that have a better chance of achieving common goals. It begins by reviewing the impact of negative experiences on the physical health and brain development of a child, and the need to reduce risks and build protective factors that help…
This paper discusses the need for targeted public investment in children’s mental and behavioral health and opportunities presented by the Patient Protection and Affordable Care Act (ACA) for promoting children’s cognitive, affective, and behavioral health. The following points are made: emphases within the ACA for prevention and coordination of care enable more family focus, or the two-generation framework, however, important gaps remain that threaten the reach of evidence-based, family-focused health care and ultimately, healthy development; there are untapped opportunities to deliver…
In our discussion, we review and synthesize research evidence on five identified domains of instability that have been well established in the literature: family income, parental employment, family structure, housing, and the out-of-home contexts of school and child care. In our review of the evidence, we also discuss some of the key pathways through which instability may affect development. Specifically, research points to the underlying role of parenting, parental mental health, and the home environment in providing the stability and support young children need for positive development. We…
Part of a series of fact sheets that discuss how and why the child support program provides innovative services to families across six interrelated areas to assure that parents have the tools and resources they need to support their children and be positively involved in raising them, this fact sheet discusses how the child support program promotes children's health. By establishing and enforcing medical support orders, the program can meet its responsibility to secure health care coverage for the children in its caseload by collaborating with private insurers, employers, Medicaid, CHIP, and…
