We are seeking fierce women with generosity of spirit who have been prevented from training due to
financial constraints and are willing to pay it forward by gifting their
services to families of need
within their communities who would not otherwise be able to afford birth support
services.
This approach may avoid running afoul of the Supreme Court's observation that, «[a] s a general rule, decisions concerning budgetary allotments for departments or government agencies will be classified as policy decisions,» because funding (or not funding) individual
services may not implicate larger budgetary decisions if the «operational decisions» are made by «lower level» actors
within the parameters — including ultimate
financial constraints — of the policy.
Compelling challenges include (1) the need for more extensive training for all health professionals on the adverse effects of excessive stress on the developing brain, as well as on the cardiovascular, immune, and metabolic regulatory systems (the technical report23 is a start); (2) the significant
constraints on existing, office - based approaches to fully address the new morbidities effectively; (3) the relatively limited availability of evidence - based strategies,
within the medical home and across the full array of existing early childhood
service systems, that have been shown to reduce sources of toxic stress in the lives of young children or mitigate their adverse consequences35; and (4) the
financial difficulties associated with the incorporation of evidence - based developmental strategies into the pediatric medical home.