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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Goodman, WB; O'Donnell, K; Murphy, RA; Dodge, KA; Duke University,

Published Date

  • March 2019

Published In

Volume / Issue

  • 11 / 1

Start / End Page

  • 112 - 126

PubMed ID

  • 30923572

Pubmed Central ID

  • PMC6433400

International Standard Serial Number (ISSN)

  • 1756-2570

Digital Object Identifier (DOI)

  • 10.1111/jftr.12302


  • eng

Conference Location

  • United States