Standards for public agencies

2020 Edition

Child and Family Development and Support Services (PA-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 agency 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.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
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

PA-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

PA-CFD 6.02

Expectant parents are linked to the following healthcare services, as needed:
  1. prenatal health care;
  2. genetic risk identification and counseling services;
  3. labor 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 agency does not serve expectant parents.

PA-CFD 6.03

Families are helped to sign up for health insurance when coverage is available and receive information about other options for care, such as free clinics, when insurance coverage is not available.

PA-CFD 6.04

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