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Author Report No Available from Edrs Price DOCUMENT RESUME ED 281 642 PS 016 508 AUTHOR Deitch, Selma R., Ed. TITLE Health in Day Care: A Manual for Health Professionals. INSTITUTION American Academy of PeSiatrics, Evanston_,_ Ill. SPONS AGENCY Administration for Children, Youth, and Families (DIMS), Washington, D.C. REPORT NO ISBN-0-910761-13-2 PUB DATE 87 NOTE 265p. AVAILABLE FROMAmerican Academy of Pediatrics, Publication Department, 141 Northwest Point Boulevard, P.0._Box 927, Elk Grove Village, IL 60009 ($25.00, plus $2.50 handling. Orders must be prepaid). PUB TYPE Viewpoints (120) -- Guides- Non-Classroom Use (055) EDRS PRICE MF01 Plus Postage. PC Not Available from EDRS. DESCRIPTORS Advocacy; Check Lists; *Child Abuse; Child Caregivers; Consultants; *Day Care; Day Care Centers; Disabilities; f:Diseases; Early Childhood Education; Guidelines; *Health; *Health Education; *Injuries; Prevention IDENTIFIERS Child Health; Social Policy ABSTRACT Addressed especially to community pediatricians, but also useful to other health workers, this manual discussesaspects of day care that require a physician's attention. Chapter I historically traces the positive effect of a nurturing environment upon the development of the infant and child, covering the period from the early 1900s to the present. Chapter II sets forth precise suggestions for program components advancing child health. Chapter III depicts the role of the pediatrician in advocating day care adapted toserve children with special needs effectively, and discusses several settings in which children with different disabilitiescan be accommodated. Chapter IV addresses the issue of child abuse. Chapter V describes measures that retard the spread of contagious diseases in day care facilities and makes suggestions for the prevention of infection. Chapter VI reviews factors that increage the riskof injury to children in the day care setting. RuleSare provided for the maintenance of a safe environment and advice iS given for handling injuries that do occur. Chapters VII, VIII, and IXsupply information intended to increase health professionals' abilityto serve effectively as consultants. Many related materials are appended, such as sample letters, forms, and several checklists,b t also including guidelines, recommendations, resource listS, glossaries, brief discussions, and a national directory ofState offices providing advice on safety. (RH) **********************************************************##*********** Reproductions supplied by EDRS are the best that can be made from the original document. *********************************************************************** U.S. DEPARTMENT OF-EDUCATION BESTcopyAVAILABLE Ohice of Educational Research and Improvern, EDUCATIONAL RESOURCES INFORMATI CFNTER (ERIC) kcs document has been reproduced- owed_ 'awn the person or organizat originating it. r Minor changes have been made to imph reproduction auahlY . F Pomts of vfew otoptruonsstatedtrithisdc rnent do nnt necessarily represent ofli re: OERI pos.tion or policy .L:Ilealth*.Peof0s8ionals u4 American Academy of Pediatrics "PERMISSION TO_RERRODUCE THIS MATERIAL INMICROFICHE ONLY HAS BEEN GRANTED_BY TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC)" Health in DayCaré: Mahval for Health ProfesSionals Author: Committeeon Early Childhood, Adoption and Dependent Care American Academy of Pediatrics Selma R. Deitch, M.D., Editor American Academy of Pediatrica P.O. Box 927, 141 NorthwestPoint Boulevard Elk Grove Village, IllinoiS60009 . 3 'This document witS supported in part bythe Division of Ma- ternal and Child Health and TheAdministration for Chil- dren, Youth and. Families. Library of CongresS Catb.log No. 87-70643 ISBN 0-91076i-13=2 Single copy $25.00. Quantity priceS on request Addressall inquiries to: American Academy of Pediatrics, P.O.Box 927, 141 Northwest Point Boulevard, Elk GroveVillage, Illinois 60009 01987 by the American Academy ofPediatrics. Ali righta reserved. Printed in Ire United Statesof America. Committee on Early Childhood, Adoption and Dependent Care 19834987 Selma R Deitch, M.D., Chairman 1983-1984 George G. Sterne, M.D., Chairman 1984-1987 David L. Chadwkk, M.D. Gerald E. Porter, M.D. Thomas Coleman, MD. Edward L Soho; M.D. Henry L. Harris, M.D. Burton Sokoloff, M.D. Roy C. Haberkern, M.D. Virginia Wagner, M.D. Jean Pakten M.D. Esther H. Wender, M.D. Consultant on day care: Susan S. Aronson, M.D. Liaison: AAP aection on Child Development Kay R. Lewis, M.D. AAP Section on Otolaryngology Carol Roberts Gerson, M.D. Child Welfare League of America, Inc. Robert R. Apteker Jeanne Hunzeker DSW Children's Bureau, OHD, DHHS Elaine Schwartz National AsSociation for the Education of Young Children Bernice Weissbourd DEDICATION To David Belais Friedman, M.D._ (1916-1985) whose recog- nition of the health needs of children, of the receptivity of parents to help with parenting skills, of the value ofday care of quality as a supplement to home care,and of the potential for the pediatrician to be helpfia in providing useful consultation served to energize the Early Childhood, Adoption and Dependent Care Committee in the preparation of this manual. FOREWORD HISTORICAL PERSPECTIVE The association of day care and health care is notnew. When charitable agencies established the first day nurseries in New York and Boston in the midninethenth century for "children of worthy working mothers," they certainly sought the counsel of physicians. As nursery school becamea com- mon experience for children from more affluent families in the early 1920s; the advice of pediatricians was sought by families in finding "good" schools. A pamphlet produced in the '20s by the Child Welfare League of America, entitled "Day Care, A Partnership of Three Professions," displayed on its cover a triangle with Health, Education, and Welfare forming the three sides. In the early 1940s; under the leadership of Dr. Leona Baumgartner, a pediatrician who served as Commissioner of Health for the City of New York, a Division of. Day Care, Day Camps, and Institutions was formed. This Divisionwas responsible for licensing, counseling, and providing staff= parent education for daytime programs for children. Its staff consisted of early childhood educators and child welfarespe- cialists who worked closely with public healthnurses. Day care and health care became even more closely linked in New York when Dr. Harold Jacobziner, another pediatrician/ public health physician, established health supervision clinics in some of the city's publicly supported day care centers in low-income areas. The obligation of pediatricians to help in the development of sound day care programs became clearer after the estab- lishment of the American Academy of Pediatrics (AAP) and its journal PEDIATRICS. Articles were published stressing the responsibility of pediatricians to thice part in the day care field, and a statement to this effect, prepared by the Committee on Infant and Preschool Child, was printed in the AAP Newsletter of November 15, 1966; Also in the '60s the Section of Maternal and Child Health (MCH) of the American Public Health kaociation took action that deepened the involvement of pediatricians in day care 7 programs. An interdisciplinary committee set up by MCH with a pediatrician/public health physician as its chairman met under the sponsorship of the U.S. Children's Bureau in Washington. Dr. Katherine Bain, the Bureau's Chief of Re- search in Child Development, suggested that the MCH corn= mittee include representatives from the Child 'Welfare League and the American Academy of Pediatrics. The members of the AAP who attended the first two meetings of the commit:. tee, Drs. Samuel Karelitz, Edward Wakernan, Belle Dale Poole, and Patricia T. Sehloesser, continued to work actively with the group as the _MCH Committee established Sub= committees on the care of infants, handicapped children, and the sch)ol-aged child. The MCH Committee carried out studies relating the extent of health involvement in child day care, and _a pamphlet resulted, entitled "Day Care, with Focus on Health," edited by Laura Dittman and publiahed by the Government Printing Office, as one of the Children'S Bureau documents. Federally sponsored programs for the supervision _of chil; dren. routinely involved day care. The Lanham Act financed child care centers during World War II that were open long hours, even _overnight, to accommodate parents working on every shift. Funds were included for nurses and nutritionist§ acting as consultants. In 1965, Head Start bega.n as a pre- school summer child care program for poor children. The total needs of the Child were addressed by adding medical, dental, and family componenta to this child care service. Private resources have also been used to join day care and health care. Major contributions have been made to the ma= derstancling of health in day care by the Frank Porter Graham Child Development Center at the Univeraity of North Carolina in Chapel Hill. The Center's program, opened in 1966 and still in existence, has focused on childhood illness in the day care setting. It has carried out a number of signif= icant studies that have resulted in new information regarding types, frequency, and managemen t of infectious diteaSes in children. By the 1970s health professionals, with pediatricians at the forefront, were organizing and articulating their advice for health maintenance in day care establishment& The Cora= mittee on _Infant and Preschool Child of the American Academy of Pediatrics, under the chairmanship of Dr. Samuel Karelitz, initiated the
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