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    Why Becoming a Good Parent Begins in Infancy: How Relationship Skills Are Developed throughout the Life Course

    Learning social skills is a cumulative, lifelong task that can have a profound effect on many aspects of an individual’s life. Social skills can be taught and reinforced at all ages and in numerous social settings. Greater attention to supporting the kinds of social interactions that improve relationships can contribute to individual growth and a more equitable and just society.

  • Challenges and Joys: Pediatricians Reflect on Caring for Children with Special Health Care Needs

    Children with special health care needs (CSHCN) fare better when they are cared for in a "medical home," yet only a small percentage receive such care. In a series of focus groups and interviews, California pediatricians and other key informants discuss their views on caring for CSHCN, and their ideas about how system changes could enhance their willingness to provide a medical home.

  • Could a California-Specific Website Ease Transition to Adult Care?

    For young people with special health care needs, transitioning to the adult care system can be complicated. Thirty-nine states have websites to help youth and families with planning and support. California is not one of them. This brief outlines key components that a state-specific site for California might offer.

  • Key Components of a System for Publicly Financed Care of CSHCN in California

    The future of the California Children’s Services program has spawned numerous but often unfocused discussions. A new paper from Ed Schor, MD, senior vice president at the Lucile Packard Foundation for Children’s Health, attempts to organize and focus forthcoming discussions.  This issue brief is provided as a proposal to which stakeholders are encouraged to react.

  • A Triple Aim Approach to Transition from Pediatric to Adult Health Care for Youth with Special Health Care Needs

    More than 90% of children with chronic illness now survive into adulthood, which presents a range of challenges for individuals and for the system of care. This Issue Brief describes key unmet needs regarding a) developing chronic disease self-management skills; b) enhancing the capacity of the adult health care system to care for young adults with special health care needs; and c) reducing lapses in care during the transition period. The authors, fellows at the Stanford University Clinical Excellence Research Center, offer recommendations for improving the transition.

  • ITUP: Children’s Health Coverage Under the ACA

    This series of issue briefs, prepared by the Insure the Uninsured Project and funded by the Lucile Packard Foundation for Children’s Health, examines the impact of the Affordable Care Act on health insurance coverage for children in California, and offers recommendations on how the state might alter existing programs and systems to better serve children.

  • Next Steps Toward Care Coordination

    A recent survey indicates that California’s fragmented system of care is the main barrier to effective care coordination.

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