REIMAGINING A SYSTEM OF CARE
TO PROMOTE THE WELL-BEING
OF CHILDREN AND FAMILIES
PROCEEDINGS OF A WORKSHOP
Megan Snair, Rapporteur
Forum for Children’s Well-Being:
Promoting Cognitive, Affective, and Behavioral Health
for Children and Youth
Board on Children, Youth, and Families
Division of Behavioral and Social Sciences and Education
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and the American Board of Pediatrics (unnumbered award); Centers for Disease Control and Prevention (200-2011-38807, TO #69); and Health Resources and Services Administration of the U.S. Department of Health and Human Services (HHSH250201500001I/75R60219F34017). Additional support came from the American Academy of Pediatrics, Autism Speaks, Children’s Hospital Association, Family Voices, the Global Alliance for Behavioral Health and Social Justice, the National Federation of Families for Children’s Mental Health, the Society for Child and Family Policy and Practice, the Society of Clinical Child and Adolescent Psychology, Well Being Trust, and ZERO TO THREE. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-37740-9
International Standard Book Number-10: 0-309-37740-4
Digital Object Identifier: https://doi.org/10.17226/26098
Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Copyright 2021 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. (2021). Reimagining a System of Care to Promote the Well-Being of Children and Families: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26098.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.
Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.
For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
PLANNING COMMITTEE FOR REIMAGINING A SYSTEM OF CARE TO PROMOTE THE WELL-BEING OF CHILDREN AND FAMILIES: A WORKSHOP
HAROLYN M.E. BELCHER, Johns Hopkins University School of Medicine and Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute
CHERYL POLK, Safe & Sound
CARLOS SANTOS, Luskin School of Public Affairs, University of California, Los Angeles
DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice
DAVID WILLIS, Center for the Study of Social Policy
FORUM FOR CHILDREN’S WELL-BEING: PROMOTING COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH OF CHILDREN AND YOUTH
CHERYL POLK (Cochair), Safe & Sound
DAVID W. WILLIS (Cochair), Center for the Study of Social Policy
SANDRA BARRUECO, Catholic University of America
WILLIAM R. BEARDSLEE, Baer Prevention Initiatives and Department of Psychiatry, Boston Children’s Hospital; Department of Psychiatry, Harvard Medical School
HAROLYN M.E. BELCHER, Johns Hopkins University School of Medicine; Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute
RAHIL D. BRIGGS, ZERO TO THREE, Washington, DC; Department of Pediatrics, Montefiore Medical Group
C. HENDRICKS BROWN, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University
TINA CHENG, Department of Pediatrics, Johns Hopkins University School of Medicine
NATHANIEL Z. COUNTS, Mental Health America
ROBERT H. DUGGER, Hanover Provident Capital, LLC and ReadyNation
MARY FRISTAD, Society for Clinical Child and Adolescent Psychology, Nationwide Children’s Hospital
LYNDA GARGAN, National Federation of Families for Children’s Mental Health
KIMBERLY EATON HOAGWOOD, Department of Child and Adolescent Psychiatry, School of Medicine, New York University
STEPHANIE M. JONES, Harvard Graduate School of Education
JENNIFER W. KAMINSKI, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention
KELLY J. KELLEHER, Center for Innovation in Pediatric Practice, Health Services Research, Community Health, and Services Research; Research Institute, Nationwide Children’s Hospital
AMY WIMPEY KNIGHT, Children’s Hospital Association, Washington, DC
LAUREL K. LESLIE, American Board of Pediatrics; Departments of Medicine and Pediatrics, Tufts University School of Medicine
MARY ANN McCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Department of Pediatrics, George Washington University School of Medicine; Department of Applied Psychology, George Mason University
TYLER NORRIS, Well Being Trust, Oakland, CA
CARLOS E. SANTOS, Luskin School of Public Affairs, University of California, Los Angeles
ANDY SHIH, Autism Speaks, New York, NY
VERA FRANCES “FAN” TAIT, American Academy of Pediatrics
DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice and Boston University School of Public Health
LESLIE R. WALKER-HARDING, Department of Pediatrics, Seattle Children’s Hospital
Forum Staff
SUZANNE LE MENESTREL, Director
ERIN KELLOGG, Associate Program Officer
STACEY SMIT, Senior Program Assistant
This page intentionally left blank.
Acknowledgments
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published record of proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individual for her review of the record of these proceedings: Cheryl Polk, Chief Program Officer, Safe & Sound, San Francisco, CA. We also thank staff member Sheena Posey Norris for reading and providing helpful comments on this manuscript.
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings record, nor did they see the final draft before its release. The review of this record of proceedings was overseen by Patrick H. Deleon, F. Edward Hebert School of Medicine and the Graduate School of Nursing, Uniformed Services University of the Health Sciences. He was responsible for making certain that an independent examination of this record of proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.
This page intentionally left blank.
Contents
2 The Need for a Systems Approach to Address Structural Racism
Social Determinants of Health: Place Matters
3 Reimagining Economic Systems to Support Children and Families
Understanding Race and Impacts on Wealth
Making Progress on Economic Policies
4 Reimagining Behavioral and Public Health Systems to Support Children and Families
Understanding the Impact of Racism on Health
Ensuring Equity in a New System
B Biographical Sketches of Workshop Presenters and Planning Committee Members
This page intentionally left blank.