Moving Beyond Program to Population Impact: Toward a Universal Early Childhood System of Care

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2018-01-01

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Abstract

© 2018 National Council on Family Relations Families have clearly benefited from increased availability of evidence-based intervention, including home-visiting models and increased federal funding for programs benefiting parents and children. The goal of population-level impact on the health and well-being of infants and young children across entire communities, however, remains elusive. New approaches are needed to move beyond scaling of individual programs toward an integrated system of care in early childhood. To advance this goal, the current article provides a framework for developing an early childhood system of care that pairs a top-down goal for the alignment of services with a bottom-up goal of identifying and addressing needs of all families throughout early childhood. Further, we describe how universal newborn home visiting can be utilized to both support alignment of, and family entry into, an early childhood system of care with broad reach, high quality, and evidence of population impact for families and children.

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10.1111/jftr.12302

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Goodman, W Benjamin, Karen O'Donnell, Robert A Murphy and Kenneth A Dodge (2018). Moving Beyond Program to Population Impact: Toward a Universal Early Childhood System of Care. Journal of Family Theory and Review. 10.1111/jftr.12302 Retrieved from https://hdl.handle.net/10161/17697.

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Scholars@Duke

Goodman

Ben Goodman

Research Scientist

Ben Goodman is a research scientist at the Center for Child and Family Policy. His research interests focus broadly on the implementation and evaluation of population-based interventions to reduce child maltreatment and improve parent and child health and well-being, including the evidence-based Family Connects postpartum nurse home visiting program. His research also examines how sources of stress and support shape the quality of parent-child relationships, parents’ own well- being, and child development.

Research Interests:
  • Home Visiting
  • Child Maltreatment
  • Parenting
  • Program Evaluation
Education:
  • Ph.D. The Pennsylvania State University - 2009
Murphy

Robert A. Murphy

Associate Professor in Psychiatry and Behavioral Sciences

Dr. Murphy is a licensed clinical psychologist focused on child traumatic stress, including its treatment and prevention and development and dissemination of evidence-based interventions. He is an Associate Professor in the Department of Psychiatry and Behavioral Sciences at Duke University School of Medicine. Dr. Murphy serves as Executive Director for the Center for Child & Family Health (CCFH), a community and three university partnership (Duke University, the University of North Carolina at Chapel Hill, and North Carolina Central University) dedicated to research, training, and intervention related to child trauma and maltreatment. Interests include treatment and prevention of child maltreatment and traumatic stress, dissemination of evidence based interventions, and improving mental health care for military families. In partnership with the Duke Sanford School of Public Policy Center for Child and Family Policy, he has been active in the development and evaluation, via two randomized controlled trials, of a brief, postnatal, universal nurse home visiting program (Family Connects) that has demonstrated improved parenting and parental distress, as well as reduced emergency medical care costs and lower rates of reported child maltreatment. Since 2003, CCFH has been a community treatment and services center within the National Child Traumatic Stress Network focused on improving access to evidence based mental health care for foster care youth and developing trauma informed child welfare systems.


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