Adolescents may especially need social and emotional help. They are learning how to handle new demands in school and social life while dealing with new, intense emotions (both positive and negative), and they are increasingly feeling that they should do so without adult guidance. Social and emotional learning (SEL) programs are one way to help…

Children who are healthy early in life--from conception to age five--not only grow up to be healthier adults, they are also better educated, earn more, and contribute more to the economy. The United States lags behind other advanced countries in early childhood health, threatening both the health of future generations and the nation's long-term…

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…

Isabel Sawhill, Adam Thomas, and Emily Monea believe that given the well-documented costs of nonmarital births to the children and parents in fragile families, as well as to society as a whole, policy makers' primary goal should be to reduce births to unmarried parents. The authors say that the nation's swiftly rising nonmarital birth rate has…

Jane Waldfogel, Terry-Ann Craigie, and Jeanne Brooks-Gunn review recent studies that use data from the Fragile Families and Child Wellbeing Study (FFCWS) to examine why children who grow up in single-mother and cohabiting families fare worse than children born into married-couple households. They also present findings from their own new research.…

Describes a 20-year program of research on the Nurse Home Visitation Program, a model in which nurses visit mothers beginning at pregnancy and continuing through the children's second birthdays. Summarizes results of two randomized trials and concludes that the use of nurses as home visitors is key to program success. (SLD)

Since the 1970s, the share of U.S. children growing up in single-parent families has doubled, a trend that has disproportionately affected disadvantaged families. Paul Amato and Rebecca Maynard argue that reversing that trend would reduce poverty in the short term and, perhaps more important, improve children's growth and development over the long…

Reviews and analyzes findings indicating that exposure to involuntary smoking is detrimental to the health of children, discusses measures taken to decrease their exposure, and explores additional interventions that might be considered. Lessons learned from reductions in active smoking in public places are emphasized, and suggestions are made…

Examines the claimed advantages and potential disadvantages of managed care plans for children and pregnant women. Although available research does not support most claims that such plans reduce costs and improve care, managed care plans are growing and changing rapidly. Therefore, past experience with managed care may not be a good guide to…

The articles in this journal issue provide an overview of ways in which health services are presently delivered to children, youth, and pregnant women; the means by which these services are financed; and some of the major deficiencies in meeting the health needs of these groups. In the first article, the Center for the Future of Children presents…

Estimates the number of infants exposed to legal and illegal substances before birth, drawing on 27 published reports and National Institute on Drug Abuse data. The following are estimated exposure levels: (1) cocaine, 2-3 percent; (2) marijuana, 3-12 percent; (3) cigarettes, 38 percent; and (4) alcohol, 73 percent. (SLD)

Reviews the effects of prenatal exposure to the following: (1) cigarettes; (2) alcohol; (3) heroin; (4) narcotics; (5) marijuana; and (6) cocaine. Also discussed are the effects of exposure to multiple drugs and research issues in assessing drug effects. The importance of environment in long-term outcome is emphasized. (SLD)

Discusses drug-exposed infants from the perspective of a juvenile court judge. Experience in Los Angeles County (California) illustrates the following common problems in the juvenile courts: (1) high court caseload; (2) lack of legal representation and overloaded case workers; and (3) lack of resources mandated by law. (SLD)

Summarizes and analyzes the following issues in developing policy to address the problems of drug-exposed infants: (1) degree of harm; (2) identification; (3) interventions; (4) needs assessment; (5) child protection; and (6) drug treatment. Significant interventions, including expanded prenatal care and drug treatment programs, are proposed. (SLD)

Drug-exposed infants are having a profound impact on the child welfare system. When community resources are not available to meet the needs of these children and families, requirements of current child welfare laws cannot be met. The range of services necessary for effective child welfare responses is discussed. (SLD)