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A Comprehensive Guide For Caregivers In Day Care Settings
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Book Synopsis A COMPREHENSIVE GUIDE FOR CAREGIVERS IN DAY-CARE SETTINGS by : Nettie Becker
Download or read book A COMPREHENSIVE GUIDE FOR CAREGIVERS IN DAY-CARE SETTINGS written by Nettie Becker and published by Charles C Thomas Publisher. This book was released on 1999-01-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: An increasing number of people in our country today acknowledge the fact that there is an enormous crisis in the field of early child care. The first chapter of this book examines the major reasons for the crisis and why the economic reality for most American households will cause the problem to continue to grow in the coming years. Following this, the second chapter discusses the criteria of a good early child care setup, based on professional literature in the field and the author's experience. The remainder of the book addresses the serious problem that most day-care workers are very poorly trained for their jobs. Six chapters are devoted to providing a practical guide for people who work with young children. They discuss, from current research in the field but without using technical language, current practical methods of working with children-at-risk or those who may potentially be at-risk. The focus is on working with children in groups, helping day-care workers and substitute parents to minimize or remediate the at-risk factor in the children in their care. The book also addresses parents of these children and emphasizes the need for cooperation between day-care workers and them so that child care providers can effectively convey the skills presented here. There is also a chapter on approaches to working with special children, such as children with autism, and those with physical or neurological impairments. This informative and sensitive book will be useful in advancing the training of workers in infant and early child care settings.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309448069 Total Pages :367 pages Book Rating :4.3/5 (94 download)
Book Synopsis Families Caring for an Aging America by : National Academies of Sciences, Engineering, and Medicine
Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-12-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Book Synopsis Guidelines for Early Learning in Child Care Home Settings by : John McLean
Download or read book Guidelines for Early Learning in Child Care Home Settings written by John McLean and published by . This book was released on 2010 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Developing Quality Care for Young Children by : Nettie Becker
Download or read book Developing Quality Care for Young Children written by Nettie Becker and published by Corwin Press. This book was released on 2009 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: By examining high-quality early care within a real-life setting, this resource illustrates how to build a successful program, handle the inevitable challenges, and achieve and sustain positive results. --from publisher description.
Book Synopsis Leukemia: A Comprehensive Guide to Understanding, Diagnosis, and Treatment by : Ethan D. Anderson
Download or read book Leukemia: A Comprehensive Guide to Understanding, Diagnosis, and Treatment written by Ethan D. Anderson and published by BornIncredible.com. This book was released on 2023-01-01 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A comprehensive guide for patients, families, and caregivers facing leukemia." Are you or a loved one facing a leukemia diagnosis? Arm yourself with knowledge, hope, and support with "Leukemia: A Comprehensive Guide to Understanding, Diagnosis, and Treatment." This essential guidebook provides a clear and thorough overview of leukemia, demystifying the complexities of this blood cancer for patients, families, and caregivers. Carefully written, this book helps to empower readers to make informed decisions about their healthcare journey. Inside this invaluable resource, you'll discover: A detailed introduction to leukemia, its types, causes, and risk factors. In-depth explanations of blood and bone marrow anatomy, and how leukemia affects these crucial components. An extensive look at the signs and symptoms, diagnostic procedures, and staging systems for leukemia. A comprehensive overview of treatment options, including chemotherapy, radiation therapy, stem cell transplantation, immunotherapy, and clinical trials. Specific chapters on pediatric leukemia, living with leukemia, and survivorship, addressing unique challenges and opportunities for patients and their families. Guidance on supportive care, palliative care, and caregiving, with practical advice and resources for managing side effects, emotional well-being, and financial considerations. "Leukemia: A Comprehensive Guide to Understanding, Diagnosis, and Treatment" is more than just a reference book. It is a powerful tool that empowers those affected by leukemia to take control of their lives, providing them with the knowledge and resources they need to face blood cancer with confidence and hope. Don't let leukemia define your journey. Order your copy today and take the first step towards understanding, healing, and hope. Table of Contents What is Leukemia? Definition and Types Causes and Risk Factors Epidemiology and Statistics Anatomy of Blood and Bone Marrow Components of Blood Bone Marrow Structure and Function Hematopoiesis Pathophysiology of Leukemia Genetic and Molecular Abnormalities Leukemic Cell Development Effects on Normal Blood Cells Signs and Symptoms General Symptoms Organ-Specific Manifestations Complications The different types of Leukemia Acute Lymphocytic Leukemia Acute Myelogenous Leukemia (AML) Chronic Lymphocytic Leukemia (CLL) Chronic Myelogenous Leukemia (CML) Hairy Cell Leukemia Myelodysplastic Syndromes Myeloproliferative Disorders. Who’s at risk for Leukemia? How do you get Leukemia? What are the symptoms of Leukemia? What causes Leukemia? How can Leukemia be prevented? How is Leukemia diagnosed? Medical History and Physical Examination Laboratory Tests Imaging Studies Biopsy and Cytogenetics Classification and Staging World Health Organization Classification Prognostic Factors Staging Systems How do you treat Leukemia? Goals of Treatment Multidisciplinary Approach Factors Influencing Treatment Decisions Chemotherapy for Leukemia patients Radiation therapy for Leukemia patients Bone marrow and stem cell transplants for Leukemia patients Immunotherapy and targeted therapy for Leukemia patients Induction Therapy Consolidation and Maintenance Therapy Targeted Therapy External Beam Radiation Radioimmunotherapy Total Body Irradiation Stem Cell Transplantation Autologous Transplant Allogeneic Transplant Preparative Regimens and Graft-Versus-Host Disease Immunotherapy Monoclonal Antibodies Adoptive Cell Therapy Immune Checkpoint Inhibitors Supportive Care Blood Transfusions Infection Prevention and Management Clinical trials for Leukemia patients Types of Clinical Trials Benefits and Risks Participating in Clinical Trials Pediatric Leukemia Unique Characteristics Treatment Approaches Alternative treatments for Leukemia What is the prognosis for Leukemia Long-Term Effects and Follow-Up Care Research and Future Directions Advances in Leukemia Research Emerging Treatments Personalized Medicine and Precision Oncology Coping with Leukemia Emotional impact of Leukemia Coping strategies for patients and caregivers Emotional and Psychological Support Pain Management The role of diet in Leukemia The role of stress in Leukemia What are the risks and complications associated with Leukemia? Living with Leukemia Palliative Care and Hospice Goals of Palliative Care Managing Symptoms Hospice Care Survivorship Follow-Up Care Late Effects and Secondary Cancers Caregiving and Family Support Roles and Responsibilities Communication and Decision-Making Resources for Caregivers Financial and Legal Considerations Health Insurance and Medical Expenses Employment and Disability Rights Advance Directives and Estate Planning Frequently Asked Questions. What are the first signs of having Leukemia? What is the survival rate of leukaemia? What causes leukaemia? What happens when a person has Leukemia? How long can you have leukaemia without knowing? What are the red flags for Leukemia? How long can a leukaemia patient live? Is Leukemia able to be cured? Can you suddenly get Leukemia? Where does Leukemia usually begin? Is Leukemia curable if caught early? What age is Leukemia most common? Would Leukemia show up in blood test? Who is most likely to get Leukemia? What can be confused for Leukemia? How fatal is Leukemia? Can you live a full life after Leukemia? Is Leukemia always terminal? How successful is chemotherapy for Leukemia? What is lemons for Leukemia? Can Leukemia be inherited? How serious is lymphocytic Leukemia? Is lymphocytic Leukemia curable? What is the survival rate of lymphocytic Leukemia? What causes lymphocytic Leukemia? Is lymphocytic Leukemia terminal? Can you have Leukemia for years without knowing? What is the best treatment for lymphocytic Leukemia? What kills people with CLL? What is the average age of CLL patients? Is lymphocytic Leukemia an autoimmune disease? What is the meaning of lymphocytic? Where does Leukemia start in the body? What are the stages of lymphocytic Leukemia? What are signs that CLL is progressing? Can blood test detect Leukemia? Is lymphocytic Leukemia painful? Can I live a normal life with CLL? What happens if chronic lymphocytic Leukemia is left untreated? Can I drink alcohol with CLL? What is the most common cause of death in CLL? What is the best vitamin for CLL? What is survival rate for AML? What are the 3 stages of AML Leukemia? Is AML Leukemia curable? How aggressive is AML Leukemia? How long do AML patients live? Does AML spread quickly? What triggers AML Leukemia? How quickly does AML progress? What were your first AML symptoms? What are the 5 stages of Leukemia AML? Is AML considered terminal? Does AML come on suddenly? How long does chemo last for AML? Is AML Leukemia genetic? Who is most likely to get AML? Can AML run in families? What are the end stages of AML Leukemia? What organs are affected by AML? What is palliative care for AML? How many rounds of chemo is needed for AML? What is the 7 day rule in chemotherapy? Can you have AML for years and not know it? What is the survival rate for CLL Leukemia? How serious is CLL cancer? How is CLL different from Leukemia? Is CLL Leukemia fatal? Can CLL patients live 20 years? What should be avoided in CLL? What age group is CLL most common? How quickly does CLL progress? What is end stage CLL like? What is the 1st line treatment for CLL? How painful is CLL? Does CLL shorten life expectancy? How do you know what stage you are with CLL? Does exercise help CLL? What is the 15 year survival rate for CLL? What can trigger CLL? What organs are affected by CLL? What is the 10 year survival rate for CLL? What is very high risk CLL? Does CLL go to the brain? Can CLL spread to other organs? What is the survival rate of Leukemia CML? Is CML life threatening? Is CML a good cancer? How do you get CML Leukemia? How long can a CML patient live? Is CML treated with chemo? What are the signs of CML getting worse? What organs are affected by CML? What is the best treatment for CML? What were your first CML symptoms? What is the first stage of CML? Is CML considered a rare disease? How long is chemotherapy for CML? Can CML turn into other cancers? What to expect when you have CML? Are you born with CML? Does CML reduce life expectancy? Does CML have a good prognosis? Can stress cause CML? Does CML go to brain? Is CML the same as Leukemia? What is the survival rate for hairy cell Leukemia? How serious is hairy cell Leukemia? What is a common finding in patients with hairy cell Leukemia? How treatable is hairy cell Leukemia? Why do you get hairy cell Leukemia? Should hairy cell Leukemia patients get Covid vaccine? What are some fun facts about hairy cell Leukemia? What is another name for hairy cell Leukemia? How long is chemo for hairy cell Leukemia? How can you prevent hairy cell Leukemia? Is the COVID vaccine safe for Leukemia patients? Does COVID vaccine affect chemotherapy? Can Covid affect your blood count? Does hair fully grow back after chemo? Does body hair grow back after chemo? Does body hair always grow back after chemo? What happens if you get COVID during chemo? Can Leukemia be cured? Should you vaccinate a FeLV positive cat? Can I have flu jab while on chemo? Can COVID vaccine lower red blood cell count? What are examples of myelodysplastic syndromes? How serious is myelodysplastic syndrome? What causes myelodysplastic syndrome? Is myelodysplasia a form of Leukemia? What is early stage myelodysplastic syndrome? Can you live a full life with MDS? What are signs that MDS is progressing? Is myelodysplastic syndrome always fatal? What is the most common finding in myelodysplastic syndrome? Does myelodysplasia run in families? Does MDS start suddenly? What causes death in MDS patients? How is MDS treated in the elderly? What are the symptoms of myelodysplasia? Does chemotherapy work on MDS? What should I avoid if I have MDS? Can MDS be cured with chemo? What age group gets MDS? Can MDS lead to other cancers? Does MDS cause pain? What part of the body does MDS affect? What are the symptoms of myeloproliferative disorder? How serious is myeloproliferative disorder? Is myeloproliferative disorders a cancer? What is the most common myeloproliferative disorder? How long can you live with myeloproliferative disorder? What is the survival rate of myeloproliferative? What is the difference between Leukemia and myeloproliferative disorder? How do you test for myeloproliferative disorder? How common is myeloproliferative disorders? Is myeloproliferative disorder rare? What is the average age of myelofibrosis? What is the life expectancy of a person with myelofibrosis? What does myeloproliferative mean? What is the prognosis for myeloproliferative neoplasm? How long can you live with JAK2 mutation? What is the cause of myeloproliferative disorder? What are the first symptoms of myelofibrosis? What is the end stage of myelofibrosis? How long can you have myelofibrosis without knowing? Can you live 20 years with myelofibrosis? Have Questions / Comments?
Download or read book Child Care Handbook written by and published by . This book was released on 1980 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis From Neurons to Neighborhoods by : National Research Council
Download or read book From Neurons to Neighborhoods written by National Research Council and published by National Academies Press. This book was released on 2000-11-13 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt: How we raise young children is one of today's most highly personalized and sharply politicized issues, in part because each of us can claim some level of "expertise." The debate has intensified as discoveries about our development-in the womb and in the first months and years-have reached the popular media. How can we use our burgeoning knowledge to assure the well-being of all young children, for their own sake as well as for the sake of our nation? Drawing from new findings, this book presents important conclusions about nature-versus-nurture, the impact of being born into a working family, the effect of politics on programs for children, the costs and benefits of intervention, and other issues. The committee issues a series of challenges to decision makers regarding the quality of child care, issues of racial and ethnic diversity, the integration of children's cognitive and emotional development, and more. Authoritative yet accessible, From Neurons to Neighborhoods presents the evidence about "brain wiring" and how kids learn to speak, think, and regulate their behavior. It examines the effect of the climate-family, child care, community-within which the child grows.
Download or read book Cerebral Palsy written by Freeman Miller and published by JHU Press. This book was released on 2006-05-08 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
Download or read book Resources in Education written by and published by . This book was released on 2001 with total page 764 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Zero to Three written by and published by . This book was released on 2004 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309493382 Total Pages :621 pages Book Rating :4.3/5 (94 download)
Book Synopsis Vibrant and Healthy Kids by : National Academies of Sciences, Engineering, and Medicine
Download or read book Vibrant and Healthy Kids written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-12-27 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.
Book Synopsis A Comprehensive Guide to Safety and Aging by : Barry S. Eckert
Download or read book A Comprehensive Guide to Safety and Aging written by Barry S. Eckert and published by CRC Press. This book was released on 2023-06-16 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive survey on safety for older adults. It contains contributions by experts from over a dozen disciplines, including physicians, audiologists, optometrists, mental health professionals, lawyers, occupational therapists, and policy makers. This multi-disciplinary approach provides a new and expansive conceptual framework for health care professionals, students, policymakers, and others who care for older adults, and promotes an understanding of the many challenges that adults face as they age. This book describes the complex range of issues that need to be considered when safeguarding older adults. We hope that this book will be of benefit to anyone currently working or training to work with older adults, helping them to fully appreciate the many safety issues that can arise. The book will be also be useful for both older adults and their caregivers, helping them to identify and address areas of concern. Our goal is to mitigate injury or other harm through an increased understanding of the risks encountered by older adults. This text will also appeal to professionals and graduate students in the fields of human factors and ergonomics, occupational health, and safety.
Download or read book Child Care written by R.H Rizvi and published by R.H Rizvi. This book was released on 2024-08-02 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Comprehensive Guide to Effective Child Care: Insights and Strategies for Nurturing Growth and Well-being by R.H. Rizvi Navigating the world of child care can be both rewarding and challenging. In "A Comprehensive Guide to Effective Child Care," R.H. Rizvi offers a thorough and practical resource for parents, caregivers, and educators dedicated to fostering the optimal development and well-being of children. This book provides a deep dive into essential aspects of child care, blending expert insights with actionable strategies. It addresses a wide range of topics crucial for creating a nurturing and supportive environment. Whether you are a new parent, an experienced caregiver, or an educator seeking to enhance your approach, this guide equips you with the knowledge and tools needed to excel in your role. Inside This Book Effective Communication with Children: Learn techniques to foster open, respectful, and empathetic communication, helping to build strong relationships and support children’s emotional development. Discipline and Behavioral Management: Explore proven strategies for managing behavior, setting boundaries, and promoting positive behavior while maintaining a nurturing environment. Balancing Work and Child Care: Discover practical tips for managing the demands of work and parenting, including time management, prioritization, and seeking support. Early Education Choices: Understand how to select the right educational path for your child, considering developmental needs and learning preferences. Socialization and Play: Delve into the importance of play and social interactions in child development, and find strategies for fostering these crucial experiences. Addressing Common Challenges: Tackle common child care challenges with proactive solutions and creative problem-solving techniques. Emotional Support and Bonding: Learn how to provide the emotional support needed for a child’s well-being and build strong, positive bonds through affection and understanding. Managing Special Needs: Gain insights into supporting children with special needs and conditions, including strategies for creating an inclusive and supportive environment. Technology in Child Care: Examine the role of technology in child care, balancing its benefits with potential drawbacks to enhance learning and development. Creating Routines: Understand how to establish structured yet flexible routines that provide stability while accommodating the child’s evolving needs. Parenting Styles: Explore different parenting styles and their impacts, and learn how to adopt a balanced approach that supports your child’s growth and development. Preparing for the Future: Equip yourself with strategies for helping children navigate transitions, build resilience, and prepare for future challenges and opportunities. With a focus on practical advice and real-world applications, this guide offers a comprehensive approach to child care that supports the physical, emotional, and educational needs of children. R.H. Rizvi's expertise and compassionate insights make this book an invaluable resource for anyone committed to providing the best care for the children in their lives. Embark on a journey towards more effective and fulfilling child care with "A Comprehensive Guide to Effective Child Care" and discover how you can make a meaningful difference in a child's life.
Download or read book Bibliographic Index written by and published by . This book was released on 2001 with total page 1210 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Selected Publications of the California State Department of Education by : California. State Department of Education
Download or read book Selected Publications of the California State Department of Education written by California. State Department of Education and published by . This book was released on 1988 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309388570 Total Pages :525 pages Book Rating :4.3/5 (93 download)
Book Synopsis Parenting Matters by : National Academies of Sciences, Engineering, and Medicine
Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
