1. Disease Prevention and Health Promotion/Screening Guidelines
Janet Cady, MN, ARNP
Neighborcare Health
University of Washington
2013

2. Prevention Works! Child Safety Seats Fluoridation Immunizations
Bike Helmets
Prevention Works!
A central tenet of Bright Futures health supervision is the knowledge that specific preventive and health promotion interventions improve children’s social, developmental, and health outcomes.
Examples of successful interventions include:
Child safety seats
Water fluoridation
Immunizations
The Back to Sleep campaign to reduce the risk of sudden infant death syndrome.
Bike helmets
Home safety practices.
All of the Bright Futures materials emphasize anticipatory guidance on injury prevention and health promotion, specific to each age level.
Home Safety
Back to Sleep

4. Utilization of Preventive Services
Least likely to use health services
20-34% received no health care in previous year
Parent level of education & insurance status impact utilization
Poverty= less preventive health care
Minority = less preventive health care
And annual routine preventive services are recommended for all adolescents

5. Bright Futures Charter- 1994

6. We know what works… Risk & Protective Factors
Individual
Peer
Family
School
Community
+ Protective Factors= + Health Outcomes
+ Risk Factors= - Health Outcomes
Catalano & Hawkins- UW~ SDRG

7. Bright Futures Steering & Advisory Committees- 2008
American Academy of Pediatrics
American Academy of Family Physicians
Ambulatory Pediatric Association
Family Voices
National Association of Pediatric Nurse Practitioners
American Dietetic Association
HRSA, Maternal & Child Health Bureau
American School Health Association
American Academy of Child & Adolescent Psychiatry
American College of Preventive Medicine
Mental Health America
American Academy of Pediatric Dentistry
Centers for Disease Control & Prevention
Indian Health Service
National Initiative for Children’s Healthcare Quality
American Medical Association
and more…
Funding of Bright Futures
Since its inception in 1990, Bright Futures has been funded by the U.S. Department of Health and Human Services, under the direction of the Maternal and Child Health Bureau.
Organizations That Support Bright Futures
Bright Futures has enjoyed an overwhelmingly positive response from organizations representing medicine, public health, social services, education, and related fields.
The Bright Futures guidelines are supported by more than 30 national organizations and associations, including:
Ambulatory Pediatric Association, Ambulatory Pediatric Association, American Academy of Child and Adolescent Psychiatry, American Academy of Pediatric Dentistry, American Academy of Pediatrics, American Academy of Physician Assistants, American College of Nurse-Midwives, American Dental Hygienists' Association, American Dietetic Association, American Medical Association. American Medical Women's Association, American Occupational Therapy Association, Inc., American Public Health Association, American School Health Association, Association of Maternal and Child Health Programs, Association of State and Territorial Health Officials, Child Welfare League of America, Inc., CityMatCH, Family Voices, March of Dimes Birth Defects Foundation, National Association of County and City Health Officials, National Association of Pediatric Nurse Associates and Practitioners, National Association of School Nurses, Inc., National Association of WIC Directors, National Organization of Nurse Practitioner Faculties, National Parent Network on Disabilities, National Perinatal Association, The National PTA, Society for Adolescent Medicine, Society for Developmental and Behavioral Pediatrics, Society of Pediatric Nurses, Zero to Three
Organizations That Support Bright Futures
The Bright Futures guidelines are supported by more than 30 national organizations and associations.

8. Bright Futures Core Concepts
Effective Partnerships
Communication
Promoting Health & Preventing Illness
Managing Time
Educating Families
Advocating
PATIENT & FAMILY-CENTERED CARE

9. Six Key Components Use of a preventive services prompting sheet
Use of structured tools to assess the child and family’s developmental and behavioral needs
Evaluation of parental strengths and needs, including assessment of protective factors
Use of recall and reminder systems
Linkage of the child and family to appropriate community resources
Use of assessment strategies at well-child visits to identify children with special health care needs

10. Surveillance, Screening, Assessment, Guidelines, & Anticipatory Guidance

11. Bright Futures Visit Solicits concerns from parent & child
Surveillance and screening
Assessment of strengths
Discussion of certain priorities for improved child & adolescent health & family function over time.

12. Adolescent Health Care Bright Futures- 2008
Health History & Physical Examination
Vision, Hearing, Dental, & Risk-based Screening
Anticipatory Guidance Priorities
Physical Growth & Development
Social & Academic Competence
Emotional Well-being
Risk Reduction
Violence & Injury Prevention

13. Goals for Quality Improvement

14. Immunization

24. CRAFFT

25. “HEADS” Assessment/Screening

26. HOME

27. EATING

28. Energy/Exercise/Sleep

29. DRUGS & ALCOHOL

30. SAFETY

31. SUICIDE RISK

32. SEXUALITY

33. STRENGTHS & SKILLS

35. Internet Resources Bright Futures at AAP Bright Futures at Georgetown
Bright Futures at Georgetown