Bright Futures gives priority to these topics during the 5-6 year visit.
Contents
Social determinants of health
- Assess risks: neighborhood and family violence, food security, and family substance use.
- Assess strengths and protective factors: emotional security, self-esteem, and connectedness with family.
Development and mental health
- Family rules and routines
- Concern for others
- Respect for others
- Patience and control over anger
School
- Assess readiness, established routines, school attendance, friends
- After school care and activities
- Parent-teacher communication
Physical growth and development
- Oral health: regular visits with the dentist, daily brushing, and flossing, adequate fluoride, limits on sugar-sweetened beverages and snacks
- Nutrition: healthy weight, increased vegetable, fruit, whole-grain consumption; adequate calcium and vitamin D intake; healthy foods at school
- Physical activity: 60 minutes of physical activity a day
Safety
- Car safety
- Outdoor safety
- Water safety
- Sun protection
- Harm from adults
- Home fire safety
- Firearm safety
