ERIC ED369476: Improving Health (Majority Recommendations.) Next Steps for Children and Families. Implementation Guide Series.

85 Pages·1993·1.1 MB·English

by  ERIC

DOCUMENT RESUME
ED 369 476
PS 021 442
Improving Health (Majority Recommendations.) Next
TITLE
Steps for Children and Families. Implementation Guide
Series.
National Commission on Children, Washington, DC.
INSTITUTION
Annie E. Casey Foundation, Greenwich, CT.; Carnegie
SPONS AGENCY
Corp. of New York, N.Y.; Ford Foundation, New York,
N.Y.; Foundation for Child Development, New York,
N.Y.; Grant (W.T.) Foundation, New York, N.Y.;
Kellogg Foundation, Battle Creek, Mich.; Pew
Charitable Trusts, Philadelphia, PA.; Robert Wood
Johnson Foundation, New Brunswick, N.J.
PUB DATE
93
85p.; For a related guide, see PS 021 441.
NOTE
AVAILABLE FROM The'Coalition for America's Children, 1710 Rhode
Island Avenue, N.W., Washington, DC 20036.
PUB TYPE Non-Classroom Use (055)
Guides
EDRS PRICE MF01/PC04 Plus Postage.
*Child Health; Community Involvement; *Family
DESCRIPTORS
Involvement;.Federal Programs; *Government Role;
Health Education; *Health Insurance; *Health
Services; Medical Services; Parent Responsibility;
*Prenatal Care; State Programs
Health Delivery Systems; *National Commission on
IDENTIFIERS
Children
.ABSTRACT
Based on the assumption that all American children
deserve an opportunity to be born healthy and to grow up healthy,
this guide presents the recommendations approved by the majority of
the National Commission on Children for improving the health of the
nation's pregnant women and children. The Commission's five
recommendations are: (1) provide universal health insurance coverage
for pregnant women and children through age 18 through a
public-private system that includes a basic level of care and
provisions to contain costs and improve care quality; (2) expand
effective health care programs for underserved populatiens; (3)
improve the delivery of health care through joint efforts by health
care professionals and professionals from other disciplines to ensure
the quality and comprehensiveness of health and social services,
participate in publicly funded programs, and serve their communities
(4) reinforce parental responsibility to protect their
as volunteers;
children's health by protecting their own health, modeling healthful
behavior, providing a safe home environment, and seeking essential
health services for their children; and (5) increase community
responsibility for creating safe neighborhoods, supporting the
development of community-based health education and health care
programs, and sponsoring activities and special projects to help
families gain access to needed services. This guide outlines steps to
implement these recommendations. (AC)
Implementation
Guide
Series
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NATIONAL COMMISSION. ON CHILDREN
AND FAMILIES
NEXT STEPS FOR CHILDREN
Improving
Health
Recommendations
Majority
Children was
The National Commission on
established by Public Law 100-203 "to serve as a
the nation." It is a
forum on behalf of the children of
appointed
bipartisan body whose 34 members were
Tempore of the
by the President, the President Pro
U.S. House of
U.S. Senate, and the Speaker of the
Commission
Representatives. As required by law, the
the Committees on
reports to the President; to
Resources of the
Finance and on Labor and I luman
Ways and Means,
Senate; and to the Committees on
Commerce of
Education and Labor, and Energy and
the I louse of Representatives.
ON CHILDREN
NATIONAL COMMISSION
3
Library of Congress Cataloging-in-Publication
Data
United States. National Commission
on Children.
Next steps for children and families.
Improving health (majority
recommendations) / National Commission
on Children.
p. cm.
Includes bibliographical references.
1. Child health servicesUnited StatesPlanning.
2. Maternal
health servicesUnited StatesPlanning.
3. Health promotion
United StatesPlanning. 4. FamilyHealth
and hygieneUnited
States. I. Title.
RJ102.U56 1993
362.1 '9892'000973dc20
93-35
C1P
Additional copies available from the
National Commission on
Children, 1111 18th Street, NW, Suite
810, Washington, DC 20036;
and (after March 31, 1993) the Coalition
for America's Children,
1710 Rhode Island Avenue, NW,
Washington, DC 20036.
All photographs copyright 1993, Eric
Futran
4
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i National Commission on Children:
: Majority Members
Nancy Daly
Hon. John D. Rockefeller 1V, Chairman
Founder
U.S. Senator
United Friends of the Children
State of West Virginia
Los Angeles, California
Washington, DC
Marian Wright Edelman
Barbara B. Blum
President
President
Children's Defense Fund
Foundation for Child
Washington, DC
Development
New York, New York
Hon. Raymond L Flynn
Mayor
T. Berry Brazelton, M.D.
City of Boston
Professor of Pediatrics
Boston, Massachusetts
Harvard Medical School
Boston, Massachusetts
Mary Hatwood Futrell
Assistant Professor and Director of
Hon. Bill Clinton
the Institute for Curriculum
Governor
Standards and Technology
State of Arkansas
George Washington University
Little Rock, Arkansas
Washington, DC
Donald J. Cohen, M.D.
Hon. Martha W. Griffiths
Director
Former Lieutenant Governor
Child Study Center
State of Michigan
Yale University School of Medicine
Detroit, Michigan
New Haven, Connecticut
5
3
4
Next Steps for Children and Falsities
Irving B. Harris
Gerald W. McEntee
Chairman of the Executive
President
Committee
American Federation of State,
Pittway Corporation
County and Municipal
Chicago, Illinois
Employees, AFL-CIO
Washington, DC
Be Hy Jo Hay
Former President
Hon. George Miller
National Mental Health
U.S. Congressman
Association
State of California
Dallas, Texas
Washington, DC
Hon. Bill Honig
James D. Northway, M.D.
Superintendent of Public
President and CEO
Instruction
Valley Children's Hospital
State of California
Fresno, California
Sacramento, California
Sarah Cardwell Shuptrine
President
Mai Bell Hurley
Former President
The Southern Institute on
Child Welfare League of America
Children and Families
Chattanooga, Tennessee
Columbia, South Carolina
A. Sidney Johnson, III
Reed V. Tuckson, M.D.
Executive Director
President
American Public Welfare
Charles R. Drew University of
Association
Medicine and Science
Washington, DC
Los Angeles, California
Ruth Massinga
David P. Weikart, Ph.D.
Chief Executive
President
The Casey Family Program
High/Scope Educational Research
Seattle, Washington
Foundation
Ypsilanti, Michigan
6
5
Improving Hoahh (Majority kommondations)
Staff
Bernice Weissbourd
President
Family Focus
Evanston, Illinois
Cheryl D. Hayes
Executive Director
Barry S. Zuckerman, M.D.
Director
Carol A. Emig
Division of Developmental and
Deputy Director
Behavioral Pediatrics
Boston City Hospital
Boston, Massachusetts
Polly Dement
Communications
Director
.
David Zwiebel, J.D.
General Counsel and Director
Office of Government Affairs
Bertha A. Cayman
Agudath Israel of America
Administrative Officer
New York, New York
Chase Haddix
Research Assistant
John P. Johnson
Staff Assistant
Jason N. Juffras
Senior Policy Analyst
Kirsten Monihan
Administrative
Assistan t
Denise Smith
Policy Analyst
(Presidential
Management Intern)
Linda J. Wells
Executive Assistant
Thomas E. Woods
Research Assistant
a e
.
T bl
of Contents
11
Letter from the Chairman
15
Introduction
Provide Universal Health Insurance for
19
Pregnant Women and Children
Expand Effective Health Care Programs for
32
Underserved Populations
41
Improve the Delivery of Health Care
53
Reinforce Parental Responsibility
59
Increase Community Support
77
Conclusion
78
Appendix
81
Notes
8
7
: Acknowledgements
The National Commission on Children gratefully acknowl-
edges the extraordinary efforts of all those on the staff
who helped prepare this series of implementation guides.
Cheryl D. Hayes, the Commission's executive director,
has directed all aspects of the Commission's work over
the past three-and-one-half years. She supervised the
development and preparation of these monographs and
contributed to the drafting. Carol A. Emig, the Commis-
sion's deputy director, and Jason N. Juffras, senior policy
analyst, organized the working group meetings, and Jason
assumed major responsibility for drafting several of the
guides. Denise Smith, policy analyst, and Thomas E.
Woods, research assistant, also contributed to the draft-
ing. Administrative staff members Lindal Wells, Kirsten
Monihan, Bertha A. Caymon, and John P. Johnson man-
aged all the logistical arrangements for the working
group meetings and prepared the manuscTipts for publi-
Polly Dement, the. Commission's communica-
cation.
tions director, and Chase Haddix, research assistant, orga-
nized the public release and distribution.
Others outside the Commission staff also deserve thanks.
We are grateful to all those individuals who gave gener-
ously of their time to participate in the working groups
and to review and comment on drafts of the implementa-
tion guides. Their insights and perspectives significantly
9
9
10
Next Steps for Children and Families
enriched the final documents. Sally Stanfield edited the
guides, and Francesca Moghari and Linda Hump%rey are
responsible for the design and layout.
Finally, we acknowledge the generous contributions of
our foundation sponsors whose support made this pro-
ject possible: the W. T. Grant Foundation, Carnegie Cor-
poration of New York, Robert Wood Johnson Founda-
tion, W. G. Kellogg Foundation, Pew Charitable Trusts,
Foundation for Child Development, Annie E. Casey
Foundation, and Ford Foundation.
0