What is it about?

This scoping review collates findings relevant to policy and practice for integrated care for children and families pre-birth to age five. We collated evidence using an existing framework in four domains of ‘governance,’ ‘leadership,’ ‘organisational culture and ethos,’ and ‘front-line interdisciplinary practice,’ and identified a fifth domain, ‘access.’

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Why is it important?

Every child and family has a right to access equitable health, education and welfare support in the earliest years of the child's life, when their development is most profound. But there is a gap in evidence for how to integrate this care effectively and sustain it over time. By building on the evidence, we hope to support sound provision of integrated care for children and families, and reduce inequity.


The first years of a child's life are crucial to their long term outcomes of learning, health, and wellbeing. I am passionate about supporting families as they care for their young children, and this paper is one part of a larger work towards that.

Dr Helen J. Nelson
Carey Community Resources

Read the Original

This page is a summary of: Models, theoretical design and formal evaluation of integrated specialist community health service provision for the first 2000 days: a scoping review, BMJ Open, May 2023, BMJ,
DOI: 10.1136/bmjopen-2022-070042.
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