Pathway Outcomes

Children and Youth are Nurtured, Safe, and Engaged
YES
NO
Children in good physical and mental health
- Children have up-to-date immunizations
- Children receive regular well-child care
- Children attend school regularly (fewer than 10 absences per year)
- Children with chronic health problems follow a plan for their care
- Children and youth do not have untreated mental health problems or substance abuse problems
Children's cognitive and socio-emotional development on track
- Children and youth interact positively with peers and adults
- Children and youth with cognitive delays or social or emotional disabilities follow a plan for dealing with these issues
- Children do not exhibit behavior problems in the borderline or clinical range, as judged by parents and/or teachers

Families are Strong and Connected
YES
NO
Parental resilience (Parent Functioning)
- Parents with less stress, greater competence in managing stress, greater anger management (coping) skills
- Parents free of issues that negatively impact parenting, including substance abuse, symptoms of depression, and domestic violence.
- Parents with high level of efficacy, including the capacity to seek help
Strong Social Connections
- Parents can identify people who have provided (and can be counted on to provide in the future) emotional and/or instrumental support when needed.
- Parents are connected to community social institutions, services, and supports.
Knowledge of child development and demonstrated skill in parenting
- Parents have realistic expectations of young children and apply them to interactions with their child(ren)
- Parents use positive, age-appropriate disciplinary practices
- Parents establish and maintain predictable, age-appropriate daily routines for their child(ren)
- Parents engage in appropriate play with their child or children on a regular basis
Basic supports and services used by families as needed (Parents are helped and supported to negotiate the system and to obtain help and support as needed)
- Parents use a consistent medical home or have an identified medical home for themselves and Their children
- Children and families have health care coverage/insurance
- Pregnant women receive appropriate pre-natal care and have positive childbearing experiences
- Parents identify and use appropriate child care
- Parents with drug abuse or mental health problems receive effective treatment; families involved in domestic violence receive assistance
Family Environment
- Families have at least two supportive adults in the household
- Non-custodial parents not living in the home have regular contact with child(ren) when appropriate
- Family has had low mobility (moved fewer than two times) and low turbulence (changes in primary caretakers) during the past five years
- Children have stable, secure relationships with parent or other adult
- Mothers have children born more than two years apart (intentional child spacing)
- Parents establish appropriate boundaries for the children and adults in their lives

Identified Families Access Services and Supports
YES
NO
Identified Families Access Services and Supports
- Parents with less stress, greater competence in managing stress, greater anger management (coping) skills
- Parents free of issues that negatively impact parenting, including substance abuse, symptoms of depression, and domestic violence.
- Parents with high level of efficacy, including capacity to seek help
Strong Social Connections
- Parents can identify people who have provided (and can be counted on to provide in the future) emotional and/or instrumental support when needed.
- Parents are connected to community social institutions, services, and supports
Knowledge of child development and demonstrated skill in parenting
- Parents have realistic expectations of young children and apply them to interactions with their child(ren)
- Parents use positive, age-appropriate disciplinary practices
- Parents establish and maintain predictable, age-appropriate daily routines for their child(ren)
- Parents engage in appropriate play with their child or children on a regular basis
Basic supports and services used by families as needed (Parents are helped and supported to negotiate the system and to obtain help and support as needed)
- Parents identify and use a consistent medical home for themselves and their children
- Children and families have health care coverage/insurance
- Pregnant women receive appropriate pre-natal care and have positive childbearing experiences
- Parents identify and use appropriate child care
- Parents with drug abuse or mental health problems receive effective treatment; families involved in domestic violence receive assistance
Family Environment
- Families have at least two supportive adults in the household
- Non-custodial parents not living in the home have regular contact with child(ren)
- Family has had low mobility (moved fewer than two times) and low turbulence (changes in primary caretakers) during the past five years
- Children have stable, secure adult relationships with parent or other adult
- Mothers have children born more than two years apart (intentional child spacing)
- Parents establish appropriate boundaries for the children and adults in their lives

Families are Free from Substance Abuse and Mental Illness
YES
NO
Parent Resilience (Parent finctioning)
- Parents have less stress, greater competence in managing stress, greater anger management (coping) skills.
- Parents are free of issues that negatively impact parenting, including substance abuse, symptoms of depression, and domestic violence.
- Parents demonstrate efficacy, including the capacity to seek help.
Strong Social Connections
- Parents can identify people who have provided (and can be counted on to provide in the future) emotional and/or instrumental support when needed.
- Parents are connected to community social institutions, services, and supports
Knowledge of child development and demonstrated skill in parenting
- Parents have realistic expectations of young children and apply them to interactions with their child(ren)
- Parents use positive, age-appropriate disciplinary practices
- Parents establish and maintain predictable, age-appropriate daily routines for their child(ren)
- Parents engage in appropriate play with their child or children on a regular basis
Basic supports and services used by families as needed (Parents are helped and supported to negotiate the system and to obtain help and support as needed)
- Parents and use a consistent medical provider or have an identified medical home for themselves and their children
- Children and families have health care coverage/insurance
- Pregnant women receive appropriate pre-natal care and have positive childbearing experiences
- Parents identify and use appropriate child care
- Parents with drug abuse or mental health problems receive effective treatment; families involved in domestic violence receive assistance
Family Environment
- Families have at least two supportive adults in the household
- Non-custodial parents not living in the home have regular contact with child(ren) when appropriate
- Family has had low mobility (moved fewer than two times) and low turbulence (changes in primary caretakers) during the past five years
- Children have stable, secure relationships with parent or other adult
- Mothers have children born more than two years apart (intentional child spacing)
- Parents establish appropriate boundaries for the children and adults in their lives

Communities are Caring and Responsive
YES
NO
Community environments support healthy child development and family functioning
- Community has capacity to make available, accessible, and affordable the high-quality services needed to maximize healthy family functioning, including:
- Child health services
- Prenatal and childbearing services
- Family planning services
- Substance abuse and mental health treatment
- Housing
- Child care and early childhood education
- Food and nutrition
- Domestic violence support and services
- Transportation
- Community providers families with healthy environments, distinguished by the:
- Absence of concentrated poverty
- Absence of neighborhood violence
- Absence of physical toxins (e.g., lead, poisoned air, unsafe water)
- Presence of neighborhood watch program, neighborhood association, etc.
- Neighborhoods foster social ties among residents.
- Neighborhoods reflect a belief that residents can act collectively to improve their well-being and their children’s future.

Vulnerable Communities Have Capacity to Respond
YES
NO
Community environments support healthy child development and family functioning
- Community has capacity to make available, accessible, and affordable the high-quality services needed to maximize healthy family functioning, including:
- Child health services
- Prenatal and childbearing services
- Family planning services
- Substance abuse and mental health treatment
- Housing
- Child care and early childhood education
- Food and nutrition
- Domestic violence support and services
- Transportation
- Community providers families with healthy environments, distinguished by the:
- Absence of concentrated poverty
- Absence of neighborhood violence
- Absence of physical toxins (e.g., lead, poisoned air, unsafe water)
- Presence of neighborhood watch program, neighborhood association, etc.
- Neighborhoods foster social ties among residents.
- Neighborhoods reflect a belief that residents can act collectively to improve their well-being and their children’s future.