Much attention has been focused on the importance of providing physical and mental health services to students in educational environments in recent years. Millions of students receive school-based health services, and for many students, schools are their first and only option to receive health care. State policymakers have a lot to consider in…

This report details the story of the Race to the Top - Early Learning Challenge (RTT-ELC) Grant in Washington for the period of 2012-2016. It provides detailed reflections on the state's accomplishments over the grant period, shares the enhanced vision for the RTT-ELC in Washington, and provides specific details about what has changed in the state…

The Expanded Food and Nutrition Education Program (EFNEP) is the nation's first nutrition education program and remains at the forefront of educational efforts to reduce nutrition insecurity of low-income families and youth today. Funded by the USDA's National Institute of Food and Agriculture (NIFA), EFNEP supports program participants' efforts…

Well-known disparities exist in rates of obesity and drowning, two public health priorities. Addressing these disparities by increasing access to safe swimming and water recreation may yield benefits for both obesity and injury prevention. "Everyone Swims," a community partnership, brought community health clinics and water recreation…

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…

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2015 describes Washington's accomplishments, lessons learned, challenges, and strategies Washington will implement to address those challenges. Year 4 of Washington's RTT-ELC was one of preparing to sustain the programs beyond RTT-ELC support and to…

Children from low-income families are more likely than those from higher income families to have poor social, emotional, cognitive, behavioral, and health outcomes. One approach that has helped parents and their young children is home visiting, which provides information, resources, and support to expectant parents and families with young…

Background: Parental trust in their child's health care provider and the number and type of vaccine information sources are important dimensions of vaccine hesitancy and may suggest intervention components for future research. Method: We conducted secondary analysis of survey data from mothers of healthy newborns in Washington State, and examined…

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2014 describes Washington's accomplishments, lessons learned, challenges, and strategies Washington will implement to address those challenges. Year 3 of Washington's Race to the Top - Early Learning Challenge (RTT-ELC) was one of refinement and…

Background: HealthLinks is a workplace health promotion program developed in partnership with the American Cancer Society. It delivers a package of evidence-based interventions and implementation support to small worksites in low-wage industries. As part of a randomized, controlled trial of HealthLinks, we studied approaches to recruiting these…

Purpose/Objectives: This study investigates the effect of meal component changes by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) on school lunch quality and consumption in elementary school students, grade 2-5 before and after the HHFKA guidelines were implemented in July 2012 using the Healthy Eating Index. Methods: In Spring 2012, before…

Through reinforcement of policies and nutrition standards linked to the National School Lunch Program (NSLP), school environments play an important role in preventing childhood obesity. The NSLP includes mandated nutrition standards that specify recommended servings of vegetables, fruit, whole grains, dairy and protein, as well as limits on…

"Steps to Health King County" ("Steps KC"; Seattle, Washington) was one of 40 community-level initiatives funded in 2003 as part of the "Steps to a HealthierUS" initiative. "Steps KC" goals included reducing the impact of chronic diseases through a comprehensive, coordinated approach and reducing health…

Purpose/Objectives: This study compares the mean nutrients selected and consumed in National School Lunch Program (NSLP) meals before and after implementation of the new nutrition standards mandated by the Healthy Hunger-Free Kids Act of 2010 (HHFKA) in July 2012. Four elementary schools achieving Healthier US Schools Challenge awards serving…

The Afterschool Alliance and MetLife Foundation are proud to celebrate a fifth round of the MetLife Foundation Afterschool Innovator Awards. For the past five years, we have collaborated to highlight the work of quality afterschool programs that support children, families and communities across the nation. This compendium is a compilation of four…