More than half of the nation’s children have been found lagging in health, socio-emotional, and/or cognitive development at the time they enter kindergarten, almost entirely because of physical and mental health-related issues. Research demonstrates that early brain development and experiences in the first years of life have a significant, lasting impact on children’s future health, behavior, and ability to learn, pointing to the extraordinary importance of comprehensive child health, early care, educational and family support services for young children.
State policymakers, physicians, educators, child care providers, advocacy organizations and families
In 2006, Connecticut’s Early Childhood Education Cabinet set a series of school readiness goals for the state’s young children in their report, Ready by 5 & Fine by 9. Building on that report, Paul Dworkin, M.D., of the Connecticut Children's Medical Center, and Lisa Honigfeld, Ph.D., and Judith Meyers, Ph.D., of the Child Health and Development Institute of Connecticut have developed A Framework for Child Health Services: Supporting the Healthy Development and School Readiness of Connecticut’s Children. This framework lays the groundwork for achieving those school readiness goals and proposes the integration of expanded children's health services with other state services for young children, such as early education and family support services. Two cities, Hartford and Norwalk, have agreed to be pilot sites for the implementation of this framework.
The framework identifies and describes the essential components of child health services within an integrated system of services for young children:
The framework also outlines a series of recommendations for cost-effective investments in Connecticut’s child health system, including:
The implementation of these recommendations has the potential to influence outcomes for children and families in a variety of ways. For example, providing care coordination services can not only decrease emergency room usage by patients and Medicaid costs for practices, but also decrease the number of days parents miss work.
This framework can not only serve as a guide for the State of Connecticut as it seeks to improve the school readiness of its young children, but also as model for other states looking to better serve their young children and families.