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California Essentials for Childhood Initiative (CA)

The California Essentials for Childhood Initiative uses a public health and collective impact approach to align and enhance collaborative efforts to promote safe, stable, nurturing relationships and environments for children, youth and families through systems, policy and social norms change.

Moving Upstream to Address Contributors to Toxic Stress in Pediatric Primary Care []


By Angeline Spain, Angela Sander, and Amanda Brown, Chapin Hall at The University of Chicago, October 2019

Healthcare in the U.S. is increasingly moving “upstream” to address the risk of social determinants of health. One common strategy is the early screening of needs and connection to services. Chapin Hall, in collaboration with national and local partners, is conducting an evaluation of innovations designed to promote screening for contributors to toxic stress during pediatric well-child visits and connect families to early childhood and community service providers. The first brief outlines the research questions, study design, methods, and data sources used in this study. The second brief describes the implementation experiences of clinic and partner staff. The second brief also highlights the potential of innovations like DULCE and I-SCRN to link healthcare and early childhood services and improve the quality of care families receive and strengthen relationships across service systems. 

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