Healthy Steps for Young Children uses a team approach to primary health care. It offers families with children up to age 3 access to a specialist who addresses parents' concerns about child development and behavior and serves as a link between families and their doctors. The following resources offer information on the Healthy Steps program and its effectiveness, including State and local examples.
Healthy Steps for Young Children
Provides information on the national initiative and offers access to publications, evaluation results, resources for parents and professionals, and more.
Home Visiting Evidence of Effectiveness, U.S. Department of Health and Human Services
Provides a brief program model description, a review of studies, evidence of effectiveness, and a summary of findings by outcome domain.
Healthy Steps: A Systematic Review of a Preventive Practice-Based Model of Pediatric Care
Piotrowski, Talavera, & Mayer
Journal of Developmental and Behavioral Pediatrics, 30(1), 2009
Summarizes and compares 13 evaluations of the Healthy Steps for Young Children program. The study indicates the program is effective in preventing negative child and parent outcomes and enhancing positive outcomes.
Healthy Steps at 15: The Past and Future of an Innovative Preventive Care Model for Young Children (PDF - 486 KB)
Describes the evolution of the Healthy Steps program, reviews costs and funding, profiles existing program sites, and discusses the effect of health care reform on the program.
Healthy Steps in an Integrated Delivery System: Child and Parent Outcomes at 30 Months
Johnston, Huebner, Anderson, Tyll, & Thompson
Archives of Pediatrics and Adolescent Medicine, 160(8), 2006
Finds Healthy Steps was associated with positive outcomes in timely well-child care, immunization rates, breastfeeding, television viewing, injury prevention, and discipline strategies.
A Modified Healthy Steps Model to Improve Resident Training in Behavioral and Developmental Care
Randolph, Stenberg, Socolar, Wysocki, Fuller, Check, et al. (2011)
Journal of Developmental and Behavioral Pediatrics
Assess whether implementing a modified Healthy Steps for young children program in residency clinics could improve resident education and their perception of the quality of care provided for common behavioral and developmental issues.
Programs that Work: Healthy Steps for Young Children
Promising Practices Network & RAND Corporation (2011)
Evaluates the impact of the Healthy Steps program in sample of 2,235 parents who had a newborn between birth and 4 weeks old and utilizing care at one of 15 pediatrics practices.
State and local examples
Comparison of the Use of the Healthy Steps for Young Children Model at the Affiliate Sites in Two Diverse Chicago Communities
Dissertation Abstracts International: Section B: The Sciences and Engineering, 69(6B), 2008
Examines the effectiveness of the Healthy Steps program with diverse communities and finds that outcomes from the Chicago sites compared favorably with national sites on four of the five components of the quality of care measures.