1A. What are the current procedures used by Head Start grantees toprovide/obtain:

a. medical/dental health screenings:

Who is responsible for scheduling screenings?

b. immunization records andimmunizations:

What immunizations have 4-year-old children completed?

What referrals are provided to parents by Head Start staff?

Who are the Head Start staff involved in referrals for medical, dental, or mental health treatment?

d. treatment

How are parents informed of treatment needs indicated by screenings completed through Head Start?

What barriers face programs and parents in obtaining needed treatments for children?

2A. What are the major health problems and risk factors present within the four health domains when a child and family enroll in Head Start?

What preexisting medical, nutritional, dental and mental health problems are most frequently identified in Head Start children through physical examinations and screenings?

What health problems are identified in Head Start children during the year through teacher or parent observation?

What are the family and community health risks that are faced by Head Start families and programs?

2B. How does the range and severity of health problems and service needs differ across Head Start programs and populations (e.g. urban/rural, region, etc)?

What are the most frequent health problems and risks in each of the program and population strata?

What is the overall cultural and economic background of Head Start families served by each of the programs?

3A. How promptly are the following provided across the four health domains?

a. health screenings and examinations

How long after first attendance at the Head Start center are health screenings and examinations provided?

b. immunization status and updates

How long after first attendance at the Head Start center are immunization record reviews completed?

Does the proportion Head Start children
immunized up-to-date vary by geographic region,
urban/rural population, etc.?

c. referrals and treatments

How long after indication that treatment is
needed are initial appointments completed?

Does the completion rate for necessary
treatments vary by the type of treatment (or by
geographic region, urban/rural population, etc.)?

4B. What are the staff credentials and training for each position?

What are the education and experience credentials for each staff position with a role in the Health Component?

What training is completed by staff with a role in the Head Start Health Component?

4C. What are the institutional mechanisms (e.g., community clinics vs. individual professionals) for the provision of health services in the medical, dental, nutritional, and mental health domains?

What service agencies provide health screening and treatment services for Head Start children?

What health care providers participate in screening and treatment services for Head Start children?

What funding agencies or mechanisms provide resources for Head Start screening and treatment services?

How does Head Start work with parents to obtain screening and treatment services (e.g. selection of providers, taking appointments, transportation to health care services, etc.)?

5. What community resources have Head Start programs utilized to meet the health needs of children and their families?

What community resources are employed in the provision of health screenings for Head Start children?

What community resources are employed in the provision of health treatments for Head Start children?

6. What amount of Head Start program funds are used to pay for health services?

What proportion of the Federal and total Head Start budget is allocated to staffing the Health Component? What are the total staff costs for this component?

How are payments and reimbursements for Head Start health treatments arranged?

7A .What barriers (e.g., transportation, limited availability of accessibility of health providers), do families and programs face in attempting to access community and state health resources?

What barriers are identified that inhibit access to preventive health services for Head Start children?

What health education activities for Head Start children are conducted in the classroom or during mealtimes?

What kinds of parent participation occurs in the health education and service activities of the Head Start program?