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A Descriptive Study of the Head Start Health Component
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Title Page
List of Exhibits
List of Abbreviations
Acknowledgments
Executive Summary
1.0 Introduction
1.1 Research Questions
1.2 Study Overview
1.3 Organization of the Report
2.0 Historical Context of the Health Component
2.1 Functions and Organization of the Head Start Health Component
2.2 Barriers to Health Care for Head Start Children and Families
2.3 Current Health Context for the Head Start Program
2.4 Head Start Program Growth and Quality
3.0 Methodology
3.1 Overview
3.2 Description of Head Start Universe
3.3 The Sampling Plan 3.4 Description of Study Sample
3.4.1 Head Start Children and Parents
3.4.2 Head Start Staff
3.5 Data Collection Instruments
3.5.1 Data Sources
3.5.2 Instrument Development
3.6 Staffing
3.7 Data Collection Procedures
3.8 Record Keeping Issues
3.9 Data Analysis
4.0 Program Staffing and Staff Qualifications
4.1 Overview
4.2 Findings
4.2.1 Program Staffing
4.2.2 Staff Qualifications
4.2.3 Staff Certification and Training
5.0 Program Procedures and Linkages with the Community
5.1 Overview
5.2 Findings
5.2.1 Community Resources
5.2.2 Staff Activities with Community Providers
5.2.3 Child Health Files
5.2.4 Health Screening and Examination Procedures
5.2.5 Treatment Procedures
5.2.6 Barriers to Care
5.2.7 Perceived Community Health Risk Factors
6.0 Health Education
6.1 Overview
6.2 Findings
6.2.1 Health Education Provided to Children
6.2.2 Health Education Provided to Parents
7.0 Immunizations
7.1 Overview
7.2 Findings
7.2.1 Head Start Child Health Records
7.2.2 Parent- Provided Immunization Records
7.2.3 Health Coordinators’ Knowledge of Immunization Requirements
8.0 The Medical Health Domain
8.1 Overview
8.2 Findings
8.2.1 Staff Reports of Perceived Health Problems
8.2.2 Health Histories and Child Health Files
8.2.3 Timing and Methods of Completing Physical Examinations
8.2.4 Medical Conditions and Injuries
8.2.5 Findings From the Health Assessments
8.2.6 Medical Treatments
9.0 The Dental Health Domain
9.1 Overview
9.2 Findings
9.2.1 Timing and Methods of Completing Dental Examinations
9.2.2 Dental Conditions
9.2.3 Dental Treatments in the Study Sample
10.0 The Mental Health Domain
10.1 Overview
10.2 Findings
10.2.1 Issues Encountered While Studying the Mental Health Domain
10.2.2 Staffing the Mental Health Domain
10.2.3 Perceived Mental Health Problems
10.2.4 Screenings and Assessments
10.2.5 Conditions
10.2.6 Treatments
11.0 The Nutrition Domain
11.1 Overview
11.2 Findings
11.2.1 Screenings
11.2.2 Conditions
11.2.3 General Status
11.2.4 Treatments
11.2.5 Head Start Meals
12.0 Summary and Recommendations
12.1 Overview
12.1.1 Study Background
12.1.2 Study Procedures
12.2 A Review of the Key Study Findings
12.2.1 What Are the Qualifications of the Health Component Staff?
12.2.2 What Kinds of Training Do the Health Component Staff Receive?
12.2.3 What Are the Primary Community Health Risk Factors Faced by Head Start Programs?
12.2.4 How Does Head Start Provide or Access Health Services for Children and Their Families?
12.2.5 What Health Services Are Provided at Head Start Centers?
12.2.6 What Are the Community Resources That Are Used Most by Head Start Programs?
12.2.7 How Do Other Federal and State Programs Play a Role in the Health Component?
12.2.8 How Are the Costs of Health Services Covered?
12.2.9 What Are the Barriers to Obtaining Health Services for Head Start Children?
12.2.10 How Does Head Start Incorporate Health Education into the Program?
12.2.11 How Successful Is Head Start in Encouraging Parents to Get Their Children Immunized?
12.2.12 What Are the Primary Medical Health Problems of Head Start Children?
12.2.13 What Are the Primary Dental Health Problems of Head Start Children?
12.2.14 How Does the Health Component Integrate Mental Health Services?
12.2.15 What Is the Nutritional Status of Head Start Children?
12.3 Strengths and Limitations
12.4 Implications for Head Start Program Practices
12.4.1 Staff Training and Support
12.4.2 Immunizations Records and Knowledge
12.4.3 Mental Health Issues
12.4.4 Treatment Follow- Up
12.4.5 Record Keeping
12.4.6 Collaboration Activities
12.5 Recommendations for Future Research
12.6 Conclusions
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