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Abstract：
Given the importance of health to educational outcomes, and education to concurrent and future health, cross-systems approaches, such as the Whole School, Whole Community, Whole Child (WSCC) framework, seek to enhance services typically in K-12 settings. A major gap exists in cross-systems links with early care and education serving children birth to age 5. Both pediatric health systems and early family and child support programs, such as Early Head Start (EHS) and Head Start (HS), seek to promote and optimize the health and wellbeing of infants, toddlers, preschoolers, and their families. Despite shared goals, both EHS/HS and pediatric health providers often experience challenges in reaching and serving the children most in need, and in addressing existing disparities and inequities in services. This paper focuses on infant/toddler services because high-quality services in the earliest years yield large and lasting developmental impacts. Stronger partnerships among pedicatric health systems and EHS programs serving infants and toddlers could better facilitate the health and wellbeing of young children and enhance family strengths and resilience through increased, more intentional collaboration. Specific strategies recommended include strengthening training and professional development across service platforms to increase shared knowledge and terminology, increasing access to screening and services, strengthening infrastructure and shared information, enhancing integration of services, acknowledging and disrupting racism, and accessing available funding and resources. Recommendations, including research-based examples, are offered to prompt innovations best fitting community needs and resources.
摘要：
鉴于健康对教育成果的重要性，以及对并发和未来健康的教育，跨系统方法，比如整个学校，整个社区,整个儿童（WSCC）框架，寻求增强通常在K-12设置中的服务。与为5岁以下儿童提供服务的早期护理和教育的跨系统联系存在重大差距。儿科卫生系统和早期家庭和儿童支持计划，如早期先发(EHS)和先发(HS)，寻求促进和优化婴儿的健康和福祉，幼儿,学龄前儿童,和他们的家人。尽管有共同的目标，EHS/HS和儿科健康提供者在接触和服务最需要的儿童方面经常遇到挑战，以及解决服务中现有的差距和不平等。本文着重于婴儿/幼儿服务，因为最早的高质量服务会产生巨大而持久的发展影响。在为婴幼儿提供服务的儿科卫生系统和EHS计划之间建立更牢固的伙伴关系，可以更好地促进幼儿的健康和福祉，并通过增加家庭力量和韧性来增强家庭力量。更多的合作。建议的具体战略包括加强服务平台的培训和专业发展，以增加共享的知识和术语，增加筛查和服务的机会，加强基础设施建设和信息共享，加强服务整合，承认和破坏种族主义，并获得可用资金和资源。Recommendations,包括基于研究的例子，提供最适合社区需求和资源的创新。
