1. One Science = Early Childhood Pathway for Healthy Child Development Sentinel Outcomes ALL CHILDREN ARE BORN HEALTHY measured by: rate of infant mortality and % of low birth weight births All CHILDREN HAVE HEALTH AND DEVELOPMENT ON TRACK measured annually by: timely immunizations and rate of children developing typically in cognitive, physical, social/emotional, communication development at 9m, 18m & 36m check points ALL CHILDREN ARE SAFE AND NURTURED measured by: % of children (birth – 5) who are subject of a verified complaint and/or are in foster care ALL CHILDREN ARE READY TO BE SUCCESSFUL IN SCHOOL measured by: State School Readiness measure or assessment related to core standards Measurable Conditions Parent/Caregiver Mothers receiving early and regular prenatal care Mothers using tobacco during pregnancy Mothers using alcohol during pregnancy Mothers using drugs during pregnancy Breastfeeding Mothers receiving appropriate inter-conception health care education Mothers with subsequent births at least 18 months apart Births to teens Subsequent teen births Children born to parent(s) who have graduated from High School Expectant mothers and mothers of young children with depression and PTS Parent self regulation and executive function Caregiver self regulation and executive function Parental emotional well-being Parental stress High-quality, affordable, accessible health care for parents Parents practicing nurturing and effective parenting Parent confidence in their parenting ability Parent child bonding Parent knowledge of child development Parents reading to their children Employment and family income Infant/Child Children who have a secure attachment to a primary caregiver Children identified as needing help (e.g. social emotional, behavioral, developmental, and disability) and are linked to appropriate interventions and services as early as possible Children interacting positively with peers and adults Children with social emotional competence Children who have healthcare coverage Children who have a primary healthcare provider Well child visits Children in good health Visits to the emergency room Children in high quality early learning environments Children in high quality out-of school time activities Children with emergent literacy skills Strategies Screen & intervention on maternal depression & PTSD Guidance for coping with stress, social emotional development, family support services Parent education and support activities Parental engagement in the development and education of their children Screening to ensure early detection of developmental obstacles, signs of toxic childhood stress, and abuse and follow-up intervention Screening for child development on cognitive, physical, social emotional and developmental domains and early care and education settings Screening for child development on cognitive, physical, social emotional and developmental domains at well baby and well child check-ups High-quality, affordable, accessible prenatal care High-quality, affordable, accessible family planning services and other preconception/ inter conception health care Access to specific services and supports appropriate to mothers needs Available, affordable and accessible high quality child care Quality ratings for early learning environment (child care and preschools) Screen for domestic violence Link families with services to address problems of substance abuse, domestic violence, child abuse, or unmet basic needs Child protection agencies work in partnership with families and community organizations Connections among schools, early childhood providers, and families focus on the transition to school and the alignment of curriculum and expectations Schools and school districts support excellent teaching and learning in the early grades and ensure most effective staff are placed in high-risk communities Alternatives for teens to risky sexual behaviors Influence community norms Interventions Support families to strengthen parenting capacity Parent education and support programs (universal and targeted) Establish medical tours for parents\child Develop caregiver capacities in self regulation, executive functions and cognitive development Available help lines to parents Children in Head Start and Early Head Start Staff working for families are trained on effective family engagement Provide system for early identification & support to pregnant women and parents with infants Create and coordinate screening assessment and referral & linkage Systems of care with wrap around services and supports Adequate service capacity based on information system that track families and children Adequate availability and access to high quality interventions Institute a targeted community norms changing campaign Children Prenatal to 5