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Bright Futures: Health Supervision of Infants,
Children, and Adolescents

> Back to video

The video opens with the Bright Futures sun rising to reveal the program title and scenes of healthy children. This is followed by a graphic: "What does health mean to you?"

Then we hear the following:

Floyd Joseph Martin (parent): Health. I would define health as long life.

Cody Prosser (10 year old boy): Health is like what you have to do to not be sick.

Monique Mims (parent): For me it's being able to feed your kids. Being able to put a balanced meal on the table.

Misty Joyner (parent): No colic would be good right now, not having the colic!

Robert Baldwin (parent): If they can get up every morning and go to school without hurting and complaining and all, I'm happy.

Ron Whittaker (teacher): I believe that health is the state of being interested in yourself. Being concerned about yourself, and being concerned about the well being of others.

Debbie Hubbard (parent): I think it's is an overall picture of how everyone in the community is functioning together. Not just physical wellness, but emotional and social issues too.

Narrator: Every child deserves a bright future. Every child deserves to be healthy, experience joy, have self-esteem, have caring family and friends and believe that he or she can succeed in life.

As a pediatric health professional, you are in the fortunate position of being able to positively affect your patients' futures. Bright Futures can help you do that.

Consistent with the American Academy of Pediatrics and the American Academy of Pediatric Dentistry guidelines, the Bright Futures Guidelines for Health Supervision of Infants, Children and Adolescents outline a practical developmental approach to providing health supervision for children of all ages. It includes physical, emotional and mental health, and healthy interactions between family, healthcare providers and the community.

Morris Green, MD (Indiana University School of Medicine): Health supervision is a very important responsibility for child health professionals. It means the translation of all we know about children's development, about family relationships, about the health of the community applied to an individual child over a period of time.

David Satcher, MD (US Surgeon General): It's a partnership, which has to work for children. And we are all in this partnership together. And we need to create the environment where they can have the best start in life.

Narrator: Bright Futures is designed to facilitate this partnership and the delivery of effective health supervision. Seven core concepts drive its implementation in what should be done every day for every patient in clinical practice.

Henry Bernstein, DO (Children's Hospital Boston, Harvard Medical School): The core concepts are really the key to Bright Futures. They are what bring Bright Futures alive and make it happen for patients and families.

Narrator: These core concepts are Communication, Partnership, Education, Advocacy, Health Promotion/Illness Prevention, Health, and Time Management. A Bright Futures' practitioner communicates effectively, partners with and educates children and their families as their advocate to promote health and prevent illness in a time efficient manner.

Bright Futures is based on three principles. First, prevention works. Second, families matter. And third, health promotion is everybody's business.

Judith Palfrey, MD (Children's Hospital Boston, Harvard Medical School): What we mean by "Prevention Works" is that there is enough evidence now that many of the things we do in the preventive realm, such as immunizations and safety, such as nutrition, actually don't need to be proved again and again that they work. So we need to keep putting forward to the public the fact that preventive aspects really do work.

The second, "Families Matter", tries to put families in the driver's seat, tries to emphasize the fact that families are the ones that know the most about their children and their children's health.

And then when we're talking about "Health Promotion is Everybody's Business", that's again trying to have a view of the environment, of the community, and really look at the role that we all play. What role do the schools play, what roles do the police play, the businesses, the families? How can they contribute to the health of the children?

Narrator: Of course, the regular health supervision encounter is also critical to a successful clinical practice. The Bright Futures core concepts are fully integrated into each encounter to facilitate care delivery in an effective, time-efficient manner.