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Promoting Health: Intervention Strategies from Social and Behavioral Research (2000)
Institute of Medicine (IOM)

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. "Paper Contribution D: The Healthy Development of Young Children: SES Disparities, Prevention Strategies, and Policy Opportunities." Promoting Health: Intervention Strategies from Social and Behavioral Research. Washington, DC: The National Academies Press, 2000.

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Promoting Health: Intervention Strategies from Social and Behavioral Research

achieving this laudatory outcome and offer research and policy strategies that may help move the nation in this direction.

The Goal 1 Technical Planning Group (1993, p. 1) also highlighted three objectives for families and communities necessary to support school readiness:

Objective 1. All children will have access to high quality and developmentally appropriate preschool programs that help prepare children for school;

Objective 2. Every parent in America will be a child's first teacher and devote time each day helping his or her preschool child learn; parents will have access to the training and support they need; and

Objective 3. Children will receive the nutrition and health care needed to arrive at school with healthy minds and bodies, and the number of low-birthweight babies will be significantly reduced through enhanced prenatal health systems.

Clearly, the interplay of all of these objectives is necessary to ensure that young children are in the optimal state of physical, emotional, and intellectual well-being when they enter school.

DEFINING HEALTHY DEVELOPMENT FOR YOUNG CHILDREN

The dimensions of school readiness outlined by the Goal 1 Technical Planning Group (1993) include aspects of physical health, as well as social, emotional, and cognitive development. These five dimensions are listed below (from Love et al., 1994, pp. 4–5):

Physical well-being and motor development

  • Physical development (rate of growth and physical fitness)

  • Physical abilities (gross motor skills, fine motor skills, oral motor skills, and functional performance)

  • Background and contextual conditions of [physical] development (vulnerabilities, such as prenatal alcohol exposure; environmental risks, such as harmful aspects of the community environment; health care utilization; and adverse conditions, such as disease and disability)

Social and emotional development

  • Emotional development (feeling states regarding self and others, including self-concept; emotions, such as joy, fear, anger, grief, disgust, delight, horror, shame, pride, and guilt; and the ability to express feelings appropriately, including empathy and sensitivity to the feelings of others)

  • Social development (ability to form and sustain social relationships with adults and friends, and social skills necessary to cooperate with peers; ability to

Page
171
Front Matter (R1-R14)
Introduction (1-5)
Findings and Recommendations (6-32)
Conclusions (33-34)
References (35-36)
Paper Contribution A: The Contribution of Social and Behavioral Research to an Understanding of the Distribution of Disease: A Multilevel Approach (37-80)
Paper Contribution B: Understanding and Reducing Socioeconomic and Racial/Ethnic Disparities in Health (81-124)
Paper Contribution C: Preconception, Prenatal, Perinatal, and Postnatal Influences on Health (125-169)
Paper Contribution D: The Healthy Development of Young Children: SES Disparities, Prevention Strategies, and Policy Opportunities (170-216)
Paper Contribution E: Preadolescent and Adolescent Influences on Health (217-253)
Paper Contribution F: Behavioral and Social Science Contributions to the Health of Adults in the United States (254-321)
Paper Contribution G: The Behavioral and Social Dynamics of Aging Well (322-336)
Paper Contribution H: The Role of Mass Media in Creating Social Capital: A New Direction for Public Health (337-365)
Paper Contribution I: Public Health and Safety in Context: Lessons from Community-Level Theory on Social Captial (366-389)
Paper Contribution J: Legal and Public Policy Interventions to Advance the Population's Health (390-416)
Paper Contribution K: The Need for, and Value of, a Multi-Level Approach to Disease Prevention: The Case of Tobacco Control (417-449)
Paper Contribution L: Behavioral and Psychosocial Intervention to Modify Pathophysiology and Disease Course (450-488)
Committee Biographies (489-493)