To promote children's healthy development and give them opportunities to flourish, families need a wide range of support services. These services are often disconnected from each other. Early care and education (ECE) has a particularly fragmented system (National Academies of Sciences, Engineering, and Medicine 2018). Systems with myriad processes…

This report describes the work done by the 48 State Deaf-Blind Projects awarded grants by the Department of Education's Office of Special Education Programs (OSEP) in late 2013. The report documents the technical assistance and dissemination activities carried out by the Projects and their collaborative activities, describes the needs for…

Background: Massachusetts is one of a very limited number of states exclusively employing participant-direction to deliver autism waiver services to children. A crucial element of this waiver program is the work conducted by the state's Department of Developmental Services (DDS) staff and state-approved providers with waiver families to facilitate…

Although Early Head Start (EHS) is a federal-to-local program, there are opportunities for collaboration at the state level that have expanded in recent years. State leaders can seize opportunities to break down silos and create collaborative state systems and programs to better meet the needs of vulnerable young children in their states. This…

Providing health care services for foster children, who frequently have significant health care needs, can be challenging. The Administration for Children and Families (ACF) oversees foster care, but state child welfare agencies are responsible for ensuring that these children receive health care services, which are often financed by Medicaid. In…

Part of the Harvard Family Research Project's ongoing series of case studies that examine state-level policy and programs for families, this booklet reviews initiatives undertaken by the states of Connecticut, Kentucky, Maryland, Minnesota, and Missouri to support and educate families with young children. Each of the booklet's five sections…

This brochure presents an overview of the eight trial Family Support Programs in Illinois which attempt to meet needs of families of children with disabilities in order to enable such children to remain with their families and avoid institutional placements. Principles of family support are listed, including its focus on whole families and meeting…

Noting that prevention is the key to healthy development of the youngest children in Illinois, the Birth to Three Project is working to develop a comprehensive, coordinated system of services for expecting families and children under 3 years of age. This progress report details the first year implementation of the All Our Kids (AOK): Birth to…

Describes respite care, a temporary relief service for families with developmentally disabled members at home, as an essential element in preventing institutionalization of disabled persons. Major approaches for providing respite care are identified. The advantages and disadvantages of the different approaches are discussed. (Author/JAC)

School districts are central players in the child care delivery system: they operate a mix of child care centers and programs, serve a range of children of different ages, and fund their programs from a variety of federal, state, and local sources. This report provides a range of programmatic and fiscal information about the federal and state…

Seldom do the needs of children with disabilities divide neatly along program lines. Instead, children and their families navigate a large, complex, and fragmented array of programs with inconsistent eligibility standards, application procedures, and program goals. "Meeting the Needs of Children with Disabilities" examines these programs, focusing…

This report to the Minnesota state legislature describes the status of the local children's mental health collaboratives. These mental health collaboratives were established in response to the fragmented service delivery system. Counties, school districts, and local mental health entities became partners with public health, juvenile corrections,…

Years of categorical funding have led to fragmented service delivery systems related to children and families. States have had to devise mechanisms to coordinate the variety of funding streams which finance the array of children's programs. Creation of a single focal point for children's policy at the national level is recommended. Attempts to…

This policy brief reports on the status of state policies and programs that relate to integrating community services for children and families. Problems with the current service delivery system are discussed, and guidelines for creating a profamily system through effective collaboration are outlined. Information from a questionnaire on early…

This paper reports on several projects conducted in Georgia over the past 2 years that move the development of respite care services toward the goal of becoming a "cooperative, collaborative, and coordinated" effort. An overview of respite care in Georgia is provided as well as a summary of strategies used to provide such care. Emerging…