Children and Families

Established in 1935 under Title V of the Social Security Act, the Maternal and Child Health (MCH) Services Block Grant is one of the largest federal block grant programs and a critical source of flexible funding for public health. Commonly referred to as Title V, the MCH block grant is used to support core MCH public health functions in states, assess needs, and identify and address gaps in services.

The “medical home” encompasses the places, people, and processes involved in providing comprehensive primary care services. Medical homes replace episodic patient care with a holistic approach fostering ongoing physician-patient relationships, systematic care coordination, and addressing the “whole person.” They also must deliver physician-directed patient care that is accessible, family-centered, comprehensive, continuous, coordinated, compassionate, and culturally effective.

Infant mortality is an important measure of maternal and child health status, as well as a broader indicator of a society’s health and well-being. In the United States infant mortality rates have held stubbornly at about 7 percent for the last 10 years. This statistic, however, masks significant racial and regional disparities.

From birth to age five, a child’s brain develops at a rapid pace. As the brain’s foundation is laid, the presence or absence of critical developmental building blocks can profoundly influence a child’s cognitive, emotional, and social potential. Brain and body development are inextricably intertwined; any assessment of a child’s health must consider that a…