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Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to their exposure to multiple poverty-related risks, African American children may be more susceptible to exposure to toxic stress. Toxic stress affects young children’s brain and neurophysiologic functioning, which leads to a wide range of deleterious health, developmental, and mental health outcomes. Given the benefits of early care and education (ECE) for African American young children, ECE may represent a compensating experience for this group of children, and promote their positive development.

Randomised controlled trials (RCTs) are acknowledged to provide the most reliable estimate of programme effectiveness, yet relatively few are undertaken in children's services. Consequently, there are few models with a demonstrated impact on child well‐being, leading to a concern not only that services may frequently be ineffective but also that some may be harmful. This article considers how this state of affairs has come into being and discusses potential remedies for improving both the knowledge base and the quality of interventions. It focuses on ‘operating systems’ that link prevention science and community engagement and so help communities, agencies and local authorities to choose effective prevention, early intervention and treatment models. Specifically, it describes an attempt in Ireland to implement a robust programme of research into children's health and development, to rigorously design new services, evaluate their impact to the highest standard (using RCTs)and integrate the results into the policy process. Based on the authors' extensive first‐hand experience of supporting the work, and the advice of international experts, the article reflects critically on the unforeseen challenges and offers lessons for others starting a similar enterprise.

This article reviews the first volume of the Journal of Children's Services. In doing so, it discusses broader directions and challenges in research, policy and practice. The article focuses on discussion about outcomes, the ‘idea’ of children's services and the impact of interventions on children's health and development. It welcomes reflections on different approaches to outcome measurement, analyses of the practicalities of implementing policy reforms and rigorous evaluations of the impact of Early Years, parenting and other programmes. At the same time, it suggests specific areas in which more work would be valuable, including: socio‐political commentary on policy developments; methods of and results from need analyses; empirical research on inter‐agency initiatives; how to improve the processes and structures that underpin good outcomes; transitions; and understanding ‘what works’ in research dissemination and utilisation. The value of international perspectives (including intra‐UK comparisons) is stressed. Forthcoming special editions on randomised controlled trials (RCTs) (2007) and anti‐social behaviour by young people (2008) will help to address other points raised.

Partnerships with parents are an essential strategy for promoting children's healthy development. Partnerships, themselves, also comprise a context for promoting and sustaining mental health among adults and communities at large. We must foster parents' own development in order to support their role as fully participating partners in mental health promotion; such development guides their abilities and propensity to create and sustain growth‐enhancing environments. The Listening Partners Program is an example of a program that pursued such a goal.

Behavior problems are common in toddlers and preschoolers. Richman, Stevenson, and Graham (1975) identified difficulties with eating, sleeping, toileting, temper, fears, peer relations, and activity as typical in this young population. While all young children should be expected to experience behavior problems as part of their normal development, an ongoing challenge in the field has been to determine when these “normal” developmental problems rise to the level of being considered “clinical” behavior problems (Keenan & Wakschlag, 2000). For example, when does a two-year-old child's tantrum behavior, a three-year-old's urinary accidents, and a four-year-old's defiance become clinically significant? To answer these questions, clinicians must examine the frequency, intensity, and durability of these difficulties, their potential to cause injury to the child or others, the extent to which they interfere with the child development, and the degree to which they disrupt the lives of their siblings, caregivers, peers, teachers, and others.

Transportation planning has conventionally examined mobility from the standpoint of the efficiency of transportation systems, based on trips as units of analysis, overlooking the social needs of excluded groups, such as children. Understanding children’s geographies provides insight into one of the basic social needs of children, intrinsically related to mobility: play. Disadvantages in mobility, along with other social conditions further limit children’s autonomy in their neighbourhood. This chapter proposes the term playability as a concept that intertwines both needs. A case study of neighbourhood analyses the playability needs of children from their perspective and that of the community. Findings suggest that, in a walkable, built environment, issues from criminal activity directly influence children’s playability, even more than automobile presence. Furthermore, community perspective on playability, as mostly limited to structured play in designated spaces and time, separates mobility from play and thus limits opportunities for social inclusion. A change in both, acknowledging children’s need for play and mobility, and their reciprocity, and incorporating measures to improve it, may provide a different framework for transportation and urban planning at the local level, one that seeks greater social inclusion of children.

This article seeks to help senior local policy‐makers, managers and practitioners in children's services to develop robust but realistic and manageable strategies for measuring outcomes in a multi‐disciplinary context. Drawing on orthodox research methods, it sets out strategies for measuring outcomes in children's services at individual child, service and community levels. It is intended to show how, in a given local jurisdiction, different approaches to measuring outcomes could fit together logically and within a reasonable budget, so creating an outcome culture and contributing to the development and integration of services. The principles outlined would also apply to adult services.

Children’s health and life chances are affected by many factors, with parents and schools holding influential roles. Yet relatively little is known about parental engagement in school-based health education and specifically, from the perspectives of health and education professionals. The purpose of this paper is to examine professionals’ perspectives on parental engagement in school-based health education.

An exploratory qualitative study was conducted with ten health, education and local authority professionals from a socio-economically deprived area in England. Semi-structured interviews explored the role of professionals within the school health curricula, roles that parents played in school health, and barriers and enablers to parental engagement in school health education.

Reported barriers to engagement related to assumptions about parents’ own health behaviours, impacts of funding and inspection regimes, and protected time for health within the school curriculum. Enablers included designated parental support workers based in the school, positive role modelling by other parents, consultation and engagement with parents and a whole school approach to embedding health within the wider curriculum.

Findings from this study suggest the importance of building meaningful partnerships with parents to complement school health education and improve child health outcomes.

This paper addresses an important gap in the research on parental engagement in school-based health education from the perspectives of health and education professionals. Effective partnerships with parents are crucial to the success of school health education.

Children's social services in England and Wales deal with a wide range of referrals of children who are or may be ‘in need’. Finding ways of describing the issues that present in such referrals is important if we wish to understand the nature of the work of children's services and explore different interventions and outcomes. Yet there have been few attempts to describe the full range of needs presenting to social services, and no studies of the reliability or validity of attempts to define the types of need. In this article the legal definitions of need, a typology developed by Sinclair et al, a related one used by the Department of Health and one developed within the current study were compared for reliability and construct validity. There were two main findings. First, it was found that while the presence of needs could generally be agreed on in all the schemes, ascriptions of a ‘main’ need were not made reliably. This is important because a ‘main’ need has been used in both research and statistical returns to government. Second, while existing schemes appeared well suited to describing allocated cases, they were less able to describe the range of needs presenting in all referrals to social services.