The implications of US experiences with early childhood interventions for the UK Sure Start Programme.

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Abstract Text:

R Gray,E Francis,R Gray,E Francis,

BACKGROUND: The UK Government introduced a large-scale early childhood intervention programme, Sure Start, in 1999. Sure Start is to be further expanded, to achieve national coverage. US experience is highly relevant for anticipating challenges that this expansion will raise. METHODS: This is a focused, narrative review. We examine the impact, funding, quality-improvement and programme objectives of Head Start and Early Head Start programmes. RESULTS: (1) Early childhood interventions can make a significant difference to children's life chances; (2) expansion without adequate funding threatens quality; (3) narrower objectives, which are easier to measure, can crowd out broader objectives, which are difficult to measure; (4) programmes must balance fidelity to the model and flexibility to local conditions; (5) multiple objectives may conflict; and (6) programmes may have differential impacts. We consider the implications of these findings for Sure Start, focusing on funding, quality control and parental involvement. We also consider that the potential Sure Start should offer for tackling health inequalities in early childhood and suggest ways in which this aspect of the Programme could be enhanced. CONCLUSION: Head Start has been dogged by concerns about quality and effectiveness. Many of these problems stemmed from an over-hasty expansion, which locked the Programme into inadequate funding and uneven project- and staff-quality. These issues have been addressed through large funding increases and more rigorous performance measures. Nevertheless, concerns about the aims of the Programme and the extent of parental involvement in management remain. Current funding for Sure Start appears to be adequate, while systematic evaluation procedures have been built in from its inception. Concerns have been raised about the implications of expansion for funding, quality and for parental involvement in management of local programmes. US experience shows that these are centrally important issues and that, if they are not addressed early on, they can take many years to rectify.

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Publishing Authors By Initials

R Gray,E Francis,R Gray,E Francis,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Child: care, health and development

VOLUME: 33

Page Numbers: 655-63

Journal Abbreviation:

ISSN: 0305-1862

DAY: 19

MONTH: Nov

YEAR: 2007

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 7602632

The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: The implications of US experiences with early childhood interventions for the UK Sure Start Programme. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for The implications of US experiences with early childhood interventions for the UK Sure Start Programme.

AFFILIATION: National Perinatal Epidemiology Unit, Department of Public Health and Primary Health Care, University of Oxford, Oxford, UK.

Country: England

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Child Care Health Dev

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

The implications of US experiences with early childhood interventions for the UK Sure Start Programme Related Publications

• 3D excretory MR urography: improved image quality with intravenous saline and diuretic administration.
• A glial cell line-derived neurotrophic factor (GDNF):tetanus toxin fragment C protein conjugate improves delivery of GDNF to spinal cord motor neurons in mice.
• An affinity-based method for the purification of fluorescently-labeled biomolecules.
• Anomalous inferior vena cava drainage to portal vein offers a challenge to transcatheter ductus arteriosus closure.
• Congruency in homonymous hemianopia.
• Crossed pulmonary arteries.
• Cryo-SEM studies of latex/ceramic nanoparticle coating microstructure development.
• Determination of the abduction-adduction axis of rotation at the human knee: helical axis representation.
• Differences in Virulence among Escherichia coli O157:H7 Strains Isolated from Humans during Disease Outbreaks and from Healthy Cattle.
• Dual-surface-modified bacteriophage MS2 as an ideal scaffold for a viral capsid-based drug delivery system.
• Effects of language experience and stimulus complexity on the categorical perception of pitch direction.
• Evolving concepts in left ventricular systolic and diastolic remodeling: implications for therapy.
• Exploring new drugs for heart failure: the case of urocortin.
• Genetic variation in the 5-HT2A receptor and altered neocortical [(3)H] ketanserin binding in Alzheimer's disease.
• Interactions of uranium with polyphosphate.
• Low worldwide genetic diversity in the basking shark (Cetorhinus maximus).
• Magnetic resonance contrast agents from viral capsid shells: a comparison of exterior and interior cargo strategies.
• Modification of aniline containing proteins using an oxidative coupling strategy.
• Operator induced variability in left ventricular measurements with cardiovascular magnetic resonance is improved after training.
• Optics & refraction.
• Province-wide healthcare system integration challenge being solved in Alberta.
• Regioselective labeling of antibodies through N-terminal transamination.
• Response time in 14-year-olds with language impairment.
• Self-assembled cellular microarrays patterned using DNA barcodes.
• Self-assembling light-harvesting systems from synthetically modified tobacco mosaic virus coat proteins.
• TNF-alpha blockade decreases oxidative stress in the paraventricular nucleus and attenuates sympathoexcitation in heart failure rats.
• TNF-alpha-induced mitochondrial oxidative stress and cardiac dysfunction: restoration by superoxide dismutase mimetic Tempol.
• The "ultimate sales machine"--7 ways to increase your lab's sales productivity.
• The implications of US experiences with early childhood interventions for the UK Sure Start Programme.
• The role of tissue factor pathway inhibitor in tumor growth and metastasis.