Analyzes preventive strategies to reduce childhood injuries through education, environmental change, and enforcement of legislation and regulation, offering recommendations for steps to reduce the toll of injuries on children's lives. After discussing the magnitude, trends, and costs associated with childhood injuries and models for prevention,…

This theme issue provides a summary of six evaluations of home-visiting models that have been implemented nationally. These model programs represent home-visiting programs across the country that help parents provide children with the best start in life. (SLD)

Discusses the role of evaluation both in improving programs and in determining program effects. Explains how to conduct a strong and methodologically rigorous evaluation and discusses additional factors policymakers and practitioners should consider when interpreting the results of home-visiting program evaluations. (SLD)

This analysis begins with a description of current funding for child care services and reviews the problems of the existing child care system. Reform proposals are described, with cost estimates and a review of ways funds could be raised. Principles are suggested to guide any financing reform. (SLD)

Reviews types of evaluation that may be applied to school-linked services; and discusses the needs for a range of evaluative strategies for program providers, policymakers, and funders. For some programs evaluation will be primarily descriptive, whereas for others a carefully designed outcome evaluation will be possible. (SLD)

Estimates the number of infants exposed to legal and illegal substances before birth, drawing on 27 published reports and National Institute on Drug Abuse data. The following are estimated exposure levels: (1) cocaine, 2-3 percent; (2) marijuana, 3-12 percent; (3) cigarettes, 38 percent; and (4) alcohol, 73 percent. (SLD)

Describes the range of health or social service home visiting programs in the United States, examining the characteristics of successful programs, the outcomes produced by such programs, and the future direction of home visitation. Recommends that home visiting programs be voluntary, flexible, culturally sensitive, well-staffed, and realistic in…

Provides brief descriptions of major types of early childhood programs, and reviews what is known about the effects of early childhood programs on children and their families. The authors also consider how those effects come about and why effectiveness varies across programs. Five policy questions and recommendations are discussed regarding how…