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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

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