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Pediatric Nurse Practitioners discuss the value of using Bright Futures in primary care. Click Here to watch the video.

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Bright Futures Activity Book
in English and Spanish


Bright Futures Tool
and Resource Kit

CD-ROM with current forms and handouts that make using the Bright Futures Guidelines easier in practice. View and download materials
Bright Futures State Programs
Some states have used Bright Futures as a guide in developing policies and programs aimed at improving the quality of children’s health care and children’s heath outcomes. Some states have used it as a barometer to gauge the state’s performance on key child health indicators. Still others have made Bright Futures the official standard for infant, child, and adolescent health supervision.
State-level leadership in adopting Bright Futures also has been essential in fostering the ability of local health departments to use Bright Futures in their own activities and to train local health department staff.
  • Louisiana — In the late 1990s, the public health system undertook a number of steps to respond to the state’s high rates of infant mortality, low birth weight, and child maltreatment. The Bright Futures prevention-focused approach and materials were used to train public health nurses, nutritionists, and other professionals to improve interviewing and counseling skills, use anticipatory guidance, and increase health promotion with families.

    As the state’s role in direct care gradually decreased, Bright Futures has been used to structure and enhance counseling and anticipatory guidance activities in other areas, principally in a training program to promote infant mental health, in a guide for revising nutrition services by local agencies through the Supplemental Food Program for Women, Infants, and Children (WIC), and in guiding child health home visits conducted as part of Louisiana’s Nurse Family Partnership Program.
  • Maine — The Bright Futures guidelines have been applied as the state’s standard of care for physicians. The guidelines also were used to revise state nursing standards. MaineCare, the State’s public health insurance program, has developed new clinical forms based on Bright Futures to be used for all recommended well-child visits. Providers who complete the forms are reimbursed at an enhanced rate.
  • South Carolina — The state has used Bright Futures as an integral component of its efforts to improve the oral health of the state’s children, especially those with low income. South Carolina established a Children’s Oral Health Coalition, developed an oral health promotion and disease prevention blueprint, filled a long-vacant State Oral Health Director position, and launched a range of staff training, education and outreach, and school curricula activities. Bright Futures in Practice: Oral Health has been the foundation and guide for all of these activities

    This oral health initiative has been carried out in conjunction with a statewide initiative led by the governor to improve school performance. This initiative explicitly recognizes the role of health in academic achievement.
  • Virginia — The Bright Futures guidelines have been adopted as the official state standard for child health. This action has led to the development of a Bright Futures Virginia Web site, designation of two Bright Futures coordinators within the State Department of Health, and convening of a Bright Futures Advisory Committee composed of public and private partners focused on spreading Bright Futures into private practice and community-level activities.

    Policymakers and child health advocates also have used Bright Futures as a standard when crafting public policies, such as requirements for school physicals and state regulations, including those for EPSDT program services. In addition, the Bright Futures approach and materials have been used extensively in training and staff development. By helping to provide consistency across multiple agencies that serve families, Bright Futures has been critical to promoting cross-departmental collaboration and cooperation in Virginia.
  • Washington — The state has used Bright Futures as a framework to improve Medicaid and EPSDT services for children from birth to age 5 years using interdisciplinary partnerships among family practice, pediatric, and other children’s services providers with a focus on early child health and development. With a grant from the Commonwealth Fund, the state launched a pilot of this project working with families in Head Start, Tribal Health Centers, and other public health venues in Whatcom County. Bright Futures also has been incorporated as part of the Title V needs assessment performance measures for the state.

States have used Bright Futures in a variety of other ways as well:

  • Arizona has used Bright Futures materials to set policies and procedures for local agencies that manage WIC clinics and to write nutrition standards for its federally funded programs.
  • Florida has used Bright Futures guidelines to revise its guidance on behavioral and mental health services.
  • Massachusetts has included Bright Futures as a reference for the delivery of comprehensive care in Medicaid, public health programs, and school-based health centers. The state developed a Child Health Diary to send to families with newborns.
  • New York has used Bright Futures to update its EPSDT/Child Teen Health Program (CTHP) Provider Manual.
  • Oklahoma uses Bright Futures family tip sheets as a resource for anticipatory guidance and follows the well-child screening guidelines.
  • Wisconsin has used Bright Futures to create a four-tiered care management program called Helping Kids Grow.
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