Priorities for the 5- to 17-Year Visits
5- & 6-Year Visit:
- Social determinants of health: Risks (neighborhood and family violence, food security, family substance use), strengths and protective factors (emotional security and self-esteem, connectedness with family)
- Development and mental health: Family rules and routines, concern for others, respect for others; patience and control over anger
- School: Readiness, established routines, school attendance, friends; after-school care and activities, parent-teacher communication
- Physical growth and development: Oral health (regular visits with 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/Injury prevention: Car safety, outdoor safety, water safety, sun protection, harm from adults, home fire safety, firearm safety
7- & 8-Year Visit:
- Social determinants of health: Risks (neighborhood and family violence, food security, family substance use, harm from the Internet), strengths and protective factors (emotional security and self-esteem, connectedness with family and peers)
- Development and mental health: Independence, rules and consequences, temper problems and conflict resolution; puberty and pubertal development
- School: Adaptation to school, school problems (behavior or learning issues), school performance and progress, school attendance, Individualized Education Plan or special education services, involvement in school activities and after-school programs, parental involvement
- Physical growth and development: Oral health (regular visits with dentist, daily brushing and flossing, adequate fluoride, avoidance of sugar-sweetened beverages and snacks), nutrition (healthy weight, adequate calcium and vitamin D intake, limiting added sugars intake), physical activity (60 minutes of physical activity a day, screen time)
- Safety/Injury prevention: Car safety, safety during physical activity, water safety, sun protection, harm from adults, firearm safety
9- & 10-Year Visit:
- Social determinants of health: Risks (neighborhood and family violence, food security, family substance use, harm from the Internet), strengths and protective factors (emotional security and self-esteem, connectedness with family and peers)
- Development and mental health: Temper problems, setting reasonable limits, friends; sexuality (pubertal onset, personal hygiene, initiation of growth spurt, menstruation and ejaculation, loss of baby fat and accretion of muscle, sexual safety)
- School: School attendance, school problems (behavior or learning), school performance and progress, transitions, co-occurrence of middle school and pubertal transitions
- Physical growth and development: Oral health (regular visits with dentist, daily brushing and flossing, adequate fluoride, avoidance of sugar-sweetened beverages and snacks), nutrition (healthy weight, disordered eating behaviors, importance of breakfast, limits on saturated fat and added sugars, healthy snacks), physical activity (60 minutes of physical activity a day, after-school activities)
- Safety/Injury prevention: Car safety, safety during physical activity, water safety, sun protection, knowing child’s friends and their families, firearm safety
11- to 14-Year Visits:
- Social determinants of health: Risks (interpersonal violence, living situation and food security, family substance use), strengths and protective factors (connectedness with family and peers, connectedness with community, school performance, coping with stress and decision-making)
- Physical growth and development: Oral health, body image, healthy eating, physical activity, and sleep
- Emotional well-being: Mood regulation and mental health, sexuality
- Risk reduction: Pregnancy and sexually transmitted infections; tobacco, e-cigarettes, alcohol, prescription or street drugs; acoustic trauma
- Safety/Injury prevention: Seat belt and helmet use, sun protection, substance use and riding in a vehicle, firearm safety
16- to 17-Year Visits:
- Social determinants of health: Risks (interpersonal violence, food security and living situation, family substance use), strengths and protective factors (connectedness with family and peers, connectedness with community, school performance, coping with stress, and decision-making)
- Physical growth and development: Oral health, body image, healthy eating, physical activity and sleep
- Emotional well-being: Mood regulation and mental health, sexuality
- Risk reduction: Pregnancy and sexually transmitted infections; tobacco, e-cigarettes, alcohol, prescription or street drugs; acoustic trauma
- Safety/Injury prevention: Seat belt and helmet use, driving, sun protection, firearm safety