National Center on Birth Defects and Developmental Disabilities Tulsa Implementation and Evaluation of CDC’s Legacy for Children™ Model Lara Robinson,

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Presentation transcript:

National Center on Birth Defects and Developmental Disabilities Tulsa Implementation and Evaluation of CDC’s Legacy for Children™ Model Lara Robinson, PhD, MPH National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention The findings and conclusions in this report are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Why is Early Childhood a Public Health Issue? Children with MBDDs were more likely to  Have poor insurance or no medical home  Live in a neighborhood that o Lacked support o Didn’t have amenities o Was in poor condition  Have a parent who reported o Fair or poor mental health o Trouble getting by on the family’s income o Job problems related to child care

Sandler, I., Ingram, A., Wolchik, S., Tein, J. Y., & Winslow, E. (2015). Long‐Term Effects of Parenting‐Focused Preventive Interventions to Promote Resilience of Children and Adolescents. Child Development Perspectives, 9(3), In the domain of mental health, promoting effective parenting may be the counterpart to efforts such as ﬂuoridation, promoting a healthy diet, and underscoring the importance of physical exercise...

Legacy for Children™ (Legacy)  Support sensitive mother- child interactions  Promote sense of community  Enhance maternal self- efficacy

Legacy for Children™ Randomized Controlled Outcomes  Children of Legacy mothers experienced fewer behavior problems 1  Children of Legacy mothers had higher IQ and achievement scores  More positive mother- child interactions

Legacy for Children™ Community-based Implementation in Tulsa  Partnership for English Legacy implementation  Program evaluation of Spanish Legacy adaptation/translation  New opportunities to expand implementation in Tulsa

More Information on Legacy for Children™  Legacy website –  Legacy dissemination point of contact – Lara Robinson  Papers 1.Kaminski, J. Perou, R., Visser, S., Scott, K., Beckwith, L., Howard, J. Smith, D. C., & Danielson, M., Behavioral and Socioemotional Outcomes through Age 5 of the Legacy for Children™ Public Health Approach to Improving Developmental Outcomes among Children Born into Poverty. American Journal of Public Health. ( 2.Perou, R., Elliott, M.N., Visser, S.N., Claussen, A.H., Scott, K.G., Beckwith, L.H., Howard, J., Katz, L.F., Smith, D.C., Legacy for Children™: a pair of randomized controlled trials of a public health model to improve developmental outcomes among children in poverty. BMC Public Health 12, 691. (