Standards for Canadian organizations

2020 Edition

Child and Family Development and Support Services (CA-CFD) 6: Health Services

Families are linked to health services that promote positive child development and the health and well-being of all family members.
NA The organization does not provide health services.
2020 Edition




Families participating in Child and Family Development and Support Services gain new competencies, improve child health and well-being, improve family functioning, and make family-community connections.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Community resource and referral list
  • Contracts or service agreements with community providers, if applicable
  • Educational/informational materials
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records

Fundamental Practice

CA-CFD 6.01

Children and families are linked to the following health services, as needed:
  1. diagnosis and treatment of health problems;
  2. dental care;
  3. mental health care, including information, screening, and treatment for postpartum depression;
  4. ongoing health care, including routine medical checkups;
  5. pediatric health care, including well-baby visits and immunizations; and
  6. information and education about pregnancy planning and prevention, including linkages to family planning services.

Fundamental Practice

CA-CFD 6.02

Expectant parents are linked to the following healthcare services, as needed:
  1. prenatal health care;
  2. genetic risk identification and counselling services;
  3. labour and delivery services;
  4. nutrition services;
  5. dental care;
  6. mental health care, including information, screening, and treatment for prenatal and postpartum depression; and
  7. postpartum care.
NA The organization does not serve expectant parents.


CA-CFD 6.03

Families are helped to register for health care, as needed, and receive information about other options for care, such as alternative health services.


CA-CFD 6.04

Families are educated about:
  1. health-related issues and behaviours that can impact child, individual, and family functioning; and
  2. the prevention and treatment of disease.