The autism spectrum disorder phenotype varies by social and communication ability and co-occurring developmental, behavioral, and medical conditions. Etiology is also diverse, with myriad potential genetic origins and environmental risk factors. Examining the influence of parental broader autism phenotype--a set of sub-clinical characteristics of…

This resource was prepared for an Early Learning Challenge (ELC) State in response to a request for information about initiatives to improve the quality of child care and early education provided by family, friends, and neighbors in the 20 RTT-ELC States. This information will be helpful to other States as they consider how to continue to increase…

This briefing paper explores Infant and Early Childhood Mental Health (IECMH) policies and practices that state early intervention (Part C) programs may consider implementing to meet the social-emotional and mental health needs of infants and toddlers in the context of relationships with their parents and other caregivers.

Despite the relative increase in early care and education (ECE) investment over recent decades, access to infant and toddler care continues to be a hurdle for countless families across the nation. While access is a multifaceted issue, main contributors include a lack of available slots and the high cost of providing care to infants and toddlers.…

A $2.37 billion increase in the Child Care and Development Block Grant (CCDBG) provides an opportunity to address the mental health needs of young children in child care. While the CCDBG increase is the largest ever, states must navigate many legitimate and competing claims for these funds, particularly those set aside to improve quality. One…

Despite the myriad of challenges that families, students, teachers and policymakers faced in 2021, the momentum to transform education did not waver. New opportunities for students unfolded in more than a dozen states through expanded private and public school choice. An additional 1.7 million students gained eligibility for private choice alone,…

Focused on educational quality, innovation and opportunity--both within and outside of the traditional system--ExcelinEd advances a broad range of student-centered policy solutions that are successfully: (1) increasing student learning; (2) Readying graduates for college and career; and (3) Advancing equity. This year's annual report highlights…

We assessed potential factors associated with "current" or "ever" self-injurious behaviors, reported in the Autism Diagnostic Interview-Revised, among children with autism spectrum disorder (n = 692) from the Study to Explore Early Development. Data on factors examined were obtained from questionnaires, standardized clinical…

Care Quality Rating and Improvement Systems (QRISs) have advanced and matured, a number of states and localities have undertaken evaluations to validate the systems. Such efforts stem from the desire to ensure that the system is designed and operating in the ways envisioned when the system was established. Given that a central component in a QRIS…

The Race to the Top - Early Learning Challenge (RTT-ELC) program, authorized by Congress in 2011, is designed to improve the quality of early learning and development programs for children from birth through age 5. This discretionary grant program is administered jointly by the U.S. Departments of Education (ED) and Health and Human Services…

Joint attention, or the shared focus of attention between objects or events and a social partner, is a crucial milestone in the development of social communication and a notable area of deficit in children with autism spectrum disorder. While valid parent-report screening measures of social communication are available, the majority of these…

The human brain develops rapidly in the first five years of life. High-quality early learning experiences can have a profound and lasting positive effect on young children during these years, setting the stage for success in kindergarten and beyond. This is especially true for young children with high needs who are from low-income families; who…

Background: There has been little evaluation of school-located vaccination programs that offer human papillomavirus (HPV) vaccine in US schools without health centers (ie, extramural programs). This article summarizes lessons learned from such programs. Methods: In July to August 2010, 5 programs were identi?ed. Semistructured, in-depth telephone…

The start of kindergarten signifies the beginning of elementary school and everything that may come with it: a new building, new teachers, new expectations, and a different routine and culture. These new students transition into kindergarten from different settings, bringing with them a variety of assets and experiences. From a holistic…

Quality Rating Systems (QRS) are currently operating, under development, or being piloted in over 25 states or local areas. As the QRS model becomes integrated into the landscape of child care and education service delivery, policy, and the decisions parents make about child care across the United States, there is an increasing need for…