Table 1.

Programmatic Components of Healthy Steps*

Healthy Steps Specialist (HSS) in the pediatric office and package of services, including:
1Extended well child office visits: conducted jointly or sequentially by a pediatrician, family physician, or nurse practitioner, and a HSS; designed to answer questions about child development; identify family health risks; take advantage of teachable moments.
2Home visits by HSS: timed to reach parents and their children at predictable junctures in their developing relationships; inform parents about fostering children's intellectual and emotional development; a minimum of 7 visits over the first 3 years.
3Child development telephone information line: HSS available to answer questions about day-to-day worries and developmental concerns.
4Parent groups: facilitated by HSS, these meetings of parents offer social support as well as interactive learning sessions and practice in problem solving.
5Tool for gauging child development: used to detect early signs of developmental or behavioral problems and provide teachable moments.
6Written information materials for parents that emphasize focus on prevention: bulletins sent out before visits; handouts on variety of issues; Child Health and Development Record.
7Links to community resources: practice provides information to parents about community resources and parent-to-parent connections; Internet home page.
  • * Source: The Commonwealth Fund. The Healthy Steps for Young Children Program Brochure, 1998.