Leveraging the Science of Child Development to Design and Implement More Effective Policy and Practice JACK P. SHONKOFF, M.D. Julius B. Richmond FAMRI Professor of Child Health and Development Professor of Pediatrics and Director, Center on the Developing Child Harvard University Simp처sio Internacional de Desenvolvimento da Primeira Inf창ncia S찾o Paulo, Brazil | October 20, 2011
Science Can Help Construct a Logic Model to Guide Effective Early Childhood Investments
Long-Term Preconception Outcomes Prenatal
Policy & Program Levers for Innovation
Caregiver & Community Capacities
Foundations of Healthy Development
Early Biology of Childhood Health & Health and Health-Related Behaviors Development Development AcrossAchievement the Educational Middle Lifespan & Economic Productivity Childhood Physical & Mental Health Adolescence Adulthood
Source: Center on the Developing Child (2010)
Early Experiences Are Built Into the Body Through Complex Physiological Pathways Biology of Health, Learning, and Behavior
Policy & Program Levers for Innovation
Cumulative Effects Over Time
Caregiver & Community Capacities
Foundations of Healthy GeneDevelopment Environment Interaction
Biology of Health and Development Physiological
Adaptations & Disruptions
Biological Embedding During Sensitive Periods
Long-Term Outcomes Health-Related Behaviors Educational Achievement & Economic Productivity Physical & Mental Health
Source: Center on the Developing Child (2010)
The Foundations of Healthy Development Influence Biological Responses Over Time
Outcomes in Lifelong Well-Being
Foundations of Healthy Development
Policy & Program Levers for Innovation
Foundations Caregiver & of Healthy Community Development Capacities Stable, Responsive Relationships Safe, Supportive Environments Appropriate Nutrition
Biological Adaptations or Disruptions
Health-Related Behaviors Educational Achievement & Economic Productivity Physical & Mental Health
Source: Center on the Developing Child (2010)
Caregiver and Community Capacities Affect the Strength of the Foundations
Outcomes in Lifelong Well-Being
Caregiver and Community Capacities
Policy & Foundations Caregiver & Program of Healthy Community Levers for Development Capacities InnovationTime and Commitment Financial, Psychological, and Institutional Resources Skills and Knowledge
Biological Adaptations or Disruptions
Health-Related Behaviors Educational Achievement & Economic Productivity Physical & Mental Health
Source: Center on the Developing Child (2010)
The Developmental Needs of Young Children Can Be Addressed Across Multiple Sectors
Policy & Program Levers for Innovation Child Care&& Early Education Policy Caregiver & Program Primary Health Care Community Levers for Early Intervention Capacities Innovation Child Welfare Public Health Initiatives Income Supports Community Development
Outcomes in Lifelong Well-Being Foundations of Healthy Development
Biological Adaptations or Disruptions
Health-Related Behaviors Educational Achievement & Economic Productivity Physical & Mental Health
Housing
Private Sector Actions
Source: Center on the Developing Child (2010)
Science Can Inform an Integrated Approach to Early Investment in Healthy Development
Preconception Prenatal
Policy & Program Levers for Innovation
Caregiver & Community Capacities
Foundations of Healthy Development
Biological Adaptations or Disruptions
Early Childhood Health & Development Across the Middle Lifespan Childhood Adolescence Adulthood
Source: Center on the Developing Child (2010)
www.developingchild.harvard.edu