1st Five Healthy Mental Development Initiative Annual Report, September 2019

1st Five is a public-private partnership between primary care and public health operating in 88 Iowa counties Of these, 74 are served by 15 implementation sites, where the initiative is fully operational. Participating health providers refer children birth to age 5 with identified social, emotional or developmental concerns to 1st Five. Developmental support specialists work with families to identify risk factors and connect them to needed services. 1st Five continues to work with the family on a regular basis and update the provider on the outcome of the referral. The other 14 counties are covered by three community planning sites, which are building community relationships and infrastructure needed to move to full implementation