Reducing Poverty-Related Disparities in Child Development and School Readiness: The Smart Beginnings Tiered Prevention Strategy that Combines Pediatric Primary Care with Home Visiting.
Reducing Poverty-Related Disparities in Child Development and School Readiness: The Smart Beginnings Tiered Prevention Strategy that Combines Pediatric Primary Care with Home Visiting.
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DOI：
10.1007/s10567-021-00366-0
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发表时间：
2021-12
影响因子：
6.9
通讯作者：
Morris PA
中科院分区：
文献类型：
--
作者：
Shaw DS;Mendelsohn AL;Morris PA
本文介绍了智能开端综合模型，一种创新的，分层的方法，通过低收入家庭的普遍参与和儿科初级保健中的初级预防与家庭中的二级/三级预防相结合，来解决美国低收入儿童从出生到3岁的入学准备差异。我们建立在公共卫生的考虑，其中参与，成本和可扩展性是最重要的，以及发展精神病理学框架（Cicchetti & Toth，儿童心理学和精神病学杂志，和盟军的治疗50：16-25，2009），其中儿童被认为是在近端的环境中。尽管现有的早期预防模式在促进儿童入学准备方面显示出了希望，但“明智开端”模式解决了在个人和/或人口层面影响有限的三个重要障碍：（1）确定弱势家庭并使其参与;（2）在现有服务系统内以低成本扩大规模的挑战;（3）在教育和培训方面的挑战。以及（3）针对低收入家庭风险的异质性制定干预措施。Smart Beginnings利用现有的儿科初级保健平台，为所有家庭提供普遍的一级预防策略（视频互动项目），并为有其他背景因素的家庭提供有针对性的二级/三级预防策略（家庭检查）。我们描述了智能开端模型的理论基础，最近在两个城市的应用中的一些初步发现，以及改变社会政策以促进儿童早期入学准备的影响。
This paper describes the Smart Beginnings Integrated Model, an innovative, tiered approach for addressing school readiness disparities in low-income children from birth to age 3 in the United States through universal engagement of low-income families and primary prevention in pediatric primary care integrated with secondary/tertiary prevention in the home. We build on both public health considerations, in which engagement, cost and scalability are paramount, and a developmental psychopathology framework (Cicchetti & Toth, Journal of Child Psychology and Psychiatry, and Allied Disciplines 50:16–25, 2009), in which the child is considered within the context of the proximal caregiving environment. Whereas existing early preventive models have shown promise in promoting children’s school readiness, the Smart Beginnings model addresses three important barriers that have limited impacts at the individual and/or population level: (1) identification and engagement of vulnerable families; (2) the challenges of scalability at low cost within existing service systems; and (3) tailoring interventions to address the heterogeneity of risk among low-income families. Smart Beginnings takes advantage of the existing platform of pediatric primary care to provide a universal primary prevention strategy for all families (Video Interaction Project) and a targeted secondary/tertiary prevention strategy (Family Check-Up) for families with additional contextual factors. We describe the theory underlying the Smart Beginnings model, some initial findings from its recent application in two cities, and implications for changing social policy to promote school readiness beginning during very early childhood.
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影响因子：
4
作者：
BAUMRIND, D
通讯作者：
BAUMRIND, D
影响因子：
2.3
作者：
Ashby, Bethany D.;Ehmer, Amelia C.;Scott, Stephen M.
通讯作者：
Scott, Stephen M.
DOI：
10.1111/j.1469-7610.2008.01979.x
发表时间：
2009-01
期刊：
Journal of child psychology and psychiatry, and allied disciplines
影响因子：
--
作者：
Cicchetti D;Toth SL
通讯作者：
Toth SL
影响因子：
1.6
作者：
Berkule SB;Cates CB;Dreyer BP;Huberman HS;Arevalo J;Burtchen N;Weisleder A;Mendelsohn AL
通讯作者：
Mendelsohn AL
影响因子：
16.4
作者：
Asarnow, Joan Rosenbaum;Kolko, David J.;Kazak, Anne E.
通讯作者：
Kazak, Anne E.