title: Child care health consultation programs in California: models, services, and facilitators.
abstract: OBJECTIVE
  To summarize findings from a descriptive evaluation study of 20 county-level child care health consultation programs, services provided, and factors that facilitated the development of the programs.
  
  
  METHODS
  A 3-year intervention study of 20 county-level child care health consultation programs, selected through a competitive review process, was conducted in California.
  
  
  METHODS
  Study participants were the child care health consultation program staff, lead agency administrators and health consultants, and early care and education (ECE) staff, including health advocates and directors. MEASUREMENT AND INTERVENTION: Data collection included focus groups, interviews, consultant activity logs, and surveys. Health consultation intervention services included health and safety assessments, on-site consultation, and workshops for ECE providers and parents.
  
  
  RESULTS
  4 child care health consultation models were established based on the type of administrative agency. Health consultants and advocates primarily provided on-site consultation and education and training on child health promotion issues. Consultation programs were facilitated by the linkages formed among agencies, community characteristics, personal relationships, lead agency support, and consultant training and knowledge.
  
  
  CONCLUSIONS
  Child care health consultation programs can address the health and safety needs for ECE programs, but they need administrative support, trained staff, and sustainable relationships with local ECE programs.
authors.affiliation: School of Nursing, Department of Family Health Care Nursing, University of California-San Francisco, San Francisco, California 94143-0606, USA. abbey.alkon@nursing.ucsf.edu
authors.forename: Abbey
authors.initials: A
authors.lastname: Alkon
authors.forename: Jane
authors.initials: J
authors.lastname: Bernzweig
authors.forename: Kim
authors.initials: K
authors.lastname: To
authors.forename: Joanna F
authors.initials: JF
authors.lastname: Mackie
authors.forename: Mimi
authors.initials: M
authors.lastname: Wolff
authors.forename: Jeremy
authors.initials: J
authors.lastname: Elman
mesh_terms: D001291:Attitude of Health Personnel; D002140:California; D002648:Child; D002654:Child Care; D002662:Child Health Services / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D008297:Male; D017146:Models, Organizational; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010371:Pediatric Nursing / Q000193:education / Q000458:organization & administration; D015397:Program Evaluation; D011637:Public Health Nursing / Q000193:education / Q000458:organization & administration; D036301:Qualitative Research; D012017:Referral and Consultation / Q000458:organization & administration*; D011795:Surveys and Questionnaires