About one-fifth of children involved in investigations for abuse or neglect are placed in foster care. Although some return to their families quickly, others may remain in foster care for years without permanent family relationships. In this article, Mark Testa, Kristen Woodruff, Roseana Bess, Jerry Milner, and Maria Woolverton examine the…

In this article, Trenna Valado, Jennifer Tracey, Jonathan Goldfinger, and Rahil Briggs highlight the potential to expand the promise of pediatric care to encompass the full array of child and family needs that can affect the long-term wellbeing of infants and toddlers. Pediatric care is not stigmatized, nearly universally accessed, and oriented…

Los Angeles County's experience, write Christina Altmayer and Barbara Andrade DuBransky, shows how a universal offer of assistance can establish a foundation on which public and private agencies can plan meaningful systemic reform--and spark incentives for greater, more effective investments in services directed to vulnerable families. The…

In the United States, two approaches have developed to exercise collective influence on how parents raise their children. One is mandatory public intervention in families who have placed their children at risk, exemplified by the child welfare system. The other is voluntary offers of assistance, for example, child abuse prevention services that…

Children who experience foster care, write Youngmin Yi and Christopher Wildeman, are considerably more likely than others to have contact with the criminal justice system, both during childhood and as adults. And because children of color disproportionately experience foster care, improvements to the foster care system could reduce racial/ethnic…

The U.S. legal system gives parents the authority and responsibility to make decisions about their children's health care, and favors parental rights over society's collective responsibility to provide for children's welfare. Neither the federal government nor state governments have an affirmative obligation to protect and promote children's…

Families influence their children's health in two ways that are amenable to public policy- through their financial and other investments in children, and through the quality of care that they provide. In general, children who receive more resources or better parenting are healthier than those who don't. Public policies, therefore, might improve…

Since modern welfare reform began in the 1980s, we have seen low-income parents leave the welfare rolls and join the workforce in large numbers. At the same time, the Earned Income Tax Credit has offered a monetary incentive for low-income parents to work. Thus, unlike some of the other two-generation mechanisms discussed in this issue of…

In this article, the authors found that the economic circumstances of military families are good, certainly much improved compared with even a decade ago. The military context is nonetheless challenging, with long hours, dangerous work, frequent transfers, and stressful absences during deployment. Service members receive relatively high pay and…

Military children don't exist in a vacuum; rather, they are embedded in and deeply influenced by their families, neighborhoods, schools, the military itself, and many other interacting systems. To minimize the risks that military children face and maximize their resilience, write Harold Kudler and Colonel Rebecca Porter, we must go beyond…

In 2012, nearly 16 million U.S. children, or over one in five, lived in households that were food-insecure, which the U.S. Department of Agriculture defines as "a household-level economic and social condition of limited access to food." Even when we control for the effects of other factors correlated with poverty, these children are more…

Because most research on military families has focused on children who are old enough to go to school, we know the least about the youngest and perhaps most vulnerable children in these families. Some of what we do know, however, is worrisome--for example, multiple deployments, which many families have experienced during the wars in Iraq and…

Fred Wulczyn explores how data on the incidence and distribution of child maltreatment shed light on planning and implementing maltreatment prevention programs. He begins by describing and differentiating among the three primary sources of national data on maltreatment. Wulczyn then points out several important patterns in the data. The first…

Robert Hummer and Erin Hamilton note that the prevalence of fragile families varies substantially by race and ethnicity. African Americans and Hispanics have the highest prevalence; Asian Americans, the lowest; and whites fall somewhere in the middle. The share of unmarried births is lower among most foreign-born mothers than among their U.S.-born…

Young, minority, and poorly educated fathers in fragile families have little capacity to support their children financially and are hard-pressed to maintain stability in raising those children. In this article, Robert Lerman examines the capabilities and contributions of unwed fathers, how their capabilities and contributions fall short of those…