Head Start began in 1965 with the aim to provide children from low income families with skills to be ready for and to succeed in kindergarten and in life. It now serves nearly 1 million children from birth to age 5 years with comprehensive early learning services in classrooms, home-based programs and family child care partners. Pediatricians should promote Head Start in patient visits and through advocacy efforts at local, state and federal levels. (more…)
Texas House Bill 4 introduced this session seeks to regulate the quality of pre-kindergarten programs that eligible Texas children receive. The measure includes a provision to authorize state payment up to $1,500 per child to the schools to ensure the programs are effective. It requires that teachers be certified or have at least eight years of experience and that the student:teacher ratio be no more than 18:1. It also requires reporting of data to the state to regulate quality and track outcomes in these existing pre-kindergarten programs. Programs must also have a curriculum and a family engagement plan to maintain “high levels of family involvement and positive family attitudes toward education”. It does not expand enrollment, nor would it increase from the current half-day model.
Current opposition to the bill is reminiscent of 1971 and the failure to establish universal childcare for all American children. At that time, the Comprehensive Child Development Act had passed both houses of Congress. Before being signed into law, it was vetoed by President Nixon. Various repudiated the legislation as the “Sovietization” of American children. Opponents argued that the law took the rights of child-rearing away from parents and placed them with the government. They characterized the act as an attempt to indoctrinate American children, and further stated that children should stay at home with their mothers. This same argument is being revived today by some opponents of House Bill 4. Other opponents are rejecting this bill because they believe more could be done by expanding pre-kindergarten enrollment to allow every child to participate. Others withhold support claiming a lack of evidence to support early childhood education as effective.
With many more women fully employed now, childcare and early childhood education is a clear necessity for most families. High quality early educational programs have demonstrated substantial effects on social and cognitive outcomes for children. Some studies also show a reduction in crime and arrests of the participants in their later adult years. Two aspects which are crucial for a program to be effective are limitation of class size and the amount of individualized attention that each child receives. House Bill 4 lacks content to address those aspects, and it does not include a requirement to expand pre-kindergarten programs from half-day to full-day
As of May 7, 2015, House Bill 4 has been approved by both the House and Senate in Texas. When this bill is signed into law by Governor Abbot, we will have taken a step to help some Texas children reach their full potential. I encourage my colleagues to continue to advocate for all of our children. Universal early childhood education will benefit Texas families. Continue to raise awareness for this need by writing your state legislators to expand pre-kindergarten programs to give every Texas child the opportunity to benefit.
Stephanie Bousquet, MD
Badger, E. (2014, June 23). That one time America almost got universal child care. Retrieved May 5, 2015, from http://www.washingtonpost.com/blogs/wonkblog/wp/2014/06/23/that-one-time-america-almost-got-universal-child-care/
Barnett, W. (2011). Effectiveness of Early Educational Intervention. Science, 975-978.
The Raising of America: Early Childhood and the Future of our Nation [Motion picture]. California Newseel with Vital Pictures.
All children deserve a fair chance at a bright future, and the greatest window of opportunity to make a positive impact occurs during the years between birth and kindergarten. During this time, children develop very quickly, both physically and mentally.
It is a common sentiment in the pediatric community that our current health care system does not meet the needs of the 1 in 5 children in the United States with a diagnosable mental health disorder. There is a current bill in Congress that speaks to this very problem: The Mental Health in Schools Act of 2013. This bill would require a comprehensive school mental health program that would assist children in dealing with trauma and stress and would encourage community partnerships among education systems and mental health and substance use disorder services and other agencies. (more…)