Moving Beyond Program to Population Impact: Toward a Universal Early Childhood System of Care




W. Benjamin Goodman, Karen O’Donnell, Robert A. Murphy, and Kenneth A. Dodge

Brief Type

Journal Publication


  • Family Connects


Families have clearly benefited from increased availability of evidence-based intervention,
including home-visiting models and increased federal funding for programs benefiting parents
and children. The goal of population-level impact on the health and well-being of infants and young children across entire communities, however, remains elusive. New approaches are needed to move beyond scaling of individual programs toward an integrated system of care in early childhood. To advance this goal, the current article provides a framework for developing
an early childhood system of care that pairs a top-down goal for the alignment of services with a bottom-up goal of identifying and addressing needs of all families throughout early childhood.
Further, we describe how universal newborn home visiting can be utilized to both support alignment of, and family entry into, an early childhood system of care with broad reach, high
quality, and evidence of population impact for families and children. (author abstract)

Data Collection Methods

  • Fidelity observations
  • Program administrative record reviews
  • Surveys or questionnaires



For More Information

Goodman, W. B., O’Donnell, K., Murphy, R. A., & Dodge, K. A. (2018). Moving beyond program to population impact: Toward a universal early childhood system of care. Journal of Family Theory & Review. Advance online publication. doi: 10.1111/jftr.12302
Author Contact Information:
W. Benjamin Goodman


  • Participant, Family, and Program Outcomes
  • Program Enhancements, Innovations, and Promising Approaches
  • Program Quality, Continuous Quality Improvement, and Fidelity