BRIGHT FUTURES: GUIDELINES FOR HEALTH SUPERVISION OF INFANTS, CHILDREN AND ADOLESCENTS. 4TH EDITION

This essential resource provides key background information and recommendations for themes critical to healthy child development along with well-child supervision standards for 31 age-based visits—from Newborn through 21 Years. The result: better health care, more efficient visits, stronger partnerships with children and families, and better ability to keep up with changes in family, communities, and society that affect a child’s health.

What’s in the Bright Futures Guidelines, Fourth Edition?
Twelve health promotion themes
• Promoting Lifelong Health for Families and Communities NEW
• Promoting Family Support
• Promoting Health for Children and Youth with Special Health Care Needs NEW
• Promoting Healthy Development
• Promoting Mental Health
• Promoting Healthy Weight
• Promoting Healthy Nutrition
• Promoting Physical Activity
• Promoting Oral Health
• Promoting Healthy Sexual Development and Sexuality
• Promoting the Healthy and Safe Use of Social Media NEW
• Promoting Safety and Injury Prevention

31 age-based health supervision visits—Newborn to 21 Years
All the information and guidance that’s needed to give children optimal health outcomes
• Context
• Health Supervision
• History
• Surveillance of Development
• Review of Systems
• Observation of Parent-Child Interaction
• Physical Examination
• Medical Screening
• Immunizations
• Anticipatory Guidance

What’s NEW in the 4th Edition?
• Builds upon previous editions with new and updated content that reflects the latest research.
• Presents more recommendations supported by the U.S. Preventive Services Task Force, CDC Community Guide, Cochrane, and high-quality peer reviewed publications.
• Includes three new health promotion themes:
o Promoting Lifelong Health for Families and Communities
o Promoting Health for Children and Youth With Special Health Care Needs
o Promoting the Healthy and Safe Use of Social Media
? New screen time recommendations
o Provides greater focus on lifelong physical and mental health.
o Weaves social determinants of health throughout the Visits, allowing health care professionals to consider social factors like food insecurity, violence, and drug use that may affect a child’s and family’s health.
o Features updated Milestones of Development and Developmental Surveillance questions.
o Provides new clinical content that informs health care professionals about the latest recommendations and provides guidance on how to implement them in practice:
o Maternal depression screening, Safe sleep, Iron supplementation in breast fed infants, Fluoride varnish, Dyslipidemia blood screening
• Includes updates to several Adolescent screenings
o Cervical dysplasia, Depression, Dyslipidemia, Hearing, Vision, Tobacco/alcohol/drugs, STIs
• With Bright Futures, health care professionals can accomplish 4 tasks in 18 minutes!
• Disease detection
• Disease prevention
• Health promotion
• Anticipatory guidance

What is Bright Futures?
• A set of theory-based, evidence-driven, and systems-oriented principles, strategies, and tools that health care professionals can use to improve the health and well-being of children through culturally appropriate interventions. Bright Futures addresses the current and emerging health promotion needs of families, clinical practices, communities, health systems, and policymakers.
• The Bright Futures Guidelines is recognized by the Affordable Care Act as the blueprint for health supervision visits for all children.
• Bright Futures is the health promotion and disease prevention part of the patient-centered medical home.

Who can use Bright Futures?
• Child health professionals and practice staff who directly provide primary care
• Parents and youth who participate in well-child visits
• Public Health Professionals
• Policymakers
• Pediatric Educators
• MD Residents