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Retired Files of Nicole Rabner Special Assistant to the President & Senior Policy Advisor to the First Lady Box #15 of 16 Various Files - Accomplishments, Correspondence, Etc. FILES HRC- Accomplishments HRC- Accomplishments/ Website HRC- Columns HRC- Entertainment Book HRC- Issue Grid (2 Files) HRC- Issue Memos- General HRC-Scheduling HRC- White House Book Nicole Rabner- Misc. Floppy Disks Nicole Rabner- Nicole Rabner Correspondence ENCLOSURES FILED OVERSIZE ATTACHMENTS 15422 This boxfiled 3/22/2000 NARA 12895 THE WHITE HOUSE WASHINGTON July 3, 1997 Mr. Ron Aaron Executive Director The Rape Crisis Center 5835 Callaghan Road Suite 260 San Antonio, TX 78228 Dear Mr. Aaron: Thank you very much for sharing with me a copy of your informative video, Teens Talk to Teens about Rape. I look forward to watching it and learning more about your important work. With best wishes, I am Sincerely yours, Vicole Rabne Nicole Rabner Associate Director for Domestic Policy THE Rape Crisis CENTER ADVOCACY CRISIS INTERVENTION COUNSELING PUBLIC EDUCATION Abby June 6, 1997 Pls R Ms. Nicole Rabner Special Assistant For Policy The White House West Wing, 2nd Floor Washington, D.C. 20500 Dear Ms. Rabner: Talk about a small world. Liz suggested I send a copy of our Teens Talk To Teens About Rape video to you. I hope you have a chance to screen it and possibly show it to the First Lady, as well. As Liz may have mentioned, the video is a first of its kind in the nation. We produced it to specifically target teens because they are at such high risk as potential victims and as perpetrators of crimes of sexual violence. Of the more than 5,000 people who are raped each year in Bexar County (San Antonio), more than 60% are under the age of 17. Overall, 95% of the victims are women. Also enclosed is a copy of the special teacher's guide we prepared. I would welcome your comments or reactions to both the video and the guide. For your information, we've made the video available to rape crisis centers, schools, YWCA and YMCA's and other groups across the country. The video already has won a gold medal at the Houston International Film Festival (April '97) and a Regional Addy (March '97) from the Association of American Advertising Agencies. It is currently being judged at the national ADDY competition. Best wishes. Sincerely, RAsion Ron Aaron Executive Director 5835 Callaghan Road Suite 260 San Antonio, Texas 78228 24-hour hotline: (210) 349-7273 Business: (210) 521-7273 Fax: (210) 521-7278 TDD: (210) 521-7279 San Antonio Express-News Saturday, March 1, 1997 HONOR Yerkes wins statewide award BY ELAINE AYALA Rape Crisis Center nominated EXPRESS-NEWS STAFF WRITER Yerkes for a series of columns on Susan Yerkes, rape. In the first one, which ran in whose column Express-News columnist Susan September, Yerkes revealed she runs in the S.A. Yerkes, a 20-year journalism vet- had been raped as a college stu- Life section, eran, received a statewide award dent. was honored Friday from the Texas Associa- "The impact of that, we thought, Friday by the tion Against Sexual Assault for a was extraordinary," Aaron says. Texas series of columns about rape. Both Yerkes and the center re- Association She was one of eight honorees ceived scores of calls from rape Against Sexual representing a wide range of survivors. Assault. fields. She received the award in Aaron says Yerkes' openness Austin at the group's 15th annual helped other women "talk about She writes a general-interest col- convention. The organization in- something they could never talk umn but has specialized in wom- cludes professionals who work in about before." en's issues. rape crisis, child abuse and child That was why Yerkes was honor- She was a columnist with the sexual assault. ed, he says. now-defunct San Antonio Light and The four-day conference, called "The whole purpose of the award came to the Express-News in 1993. "Strong Voices: Advocacy Today is to recognize a journalist who She is a graduate of the University and Tomorrow," is co-sponsored by has made a significant impact in of Texas at Austin. the Sexual Assault and Prevention the field of sexual assault and in- A contingent from the San Anto- Service and the Crime Victims fluenced the lives of survivors." nio Rape Crisis Center attended Compensation Office, both of the Yerkes, the only San Antonio the convention. Mary Wynn, the Texas Attorney General's Office. winner, has worked in television, center's education director, was Ron Aaron of the San Antonio radio, magazines and newspapers. one of the speakers. San Antonio Express-News Sunday, September 8, 1996 Susan Yerkes Rape Crisis video speaks to all ages In the spring of 1971, I was 19, a Last week, my friend Dan junior at UT-Austin. Prashner, who lived next door that That was the spring I was raped. year, was in S.A. We recalled that It was about 10:30 on a warm night, when I went straight to his February night - Valentine's Day house, sat on the floor with my was ahead. I'd been fretting about arms around my knees and cried. whether I'd have a valentine. It took a long time to get over it. I was walking home to the It didn't feel like sex. It felt like apartment on Salado Street from a someone had sneezed on me in a waitressing job at Scholz Garden, filthy, degrading way that I could where politicos like Ann Richards never completely wipe away. and Jim Mattox hung out with I never told my mother. college kids and cowboys. This week, when Ron Aaron The street was dark and quiet, showed me the Rape Crisis and I felt carefree. Center's powerful new video, Then I spotted a lone figure on a "Teens Talk to Teens About Rape," corner a couple of blocks away. He I knew those kids aren't just was wearing a busboy's white coat, talking to teens. They speak to us probably leaving a job, too. But all. something scared me. Maybe it When the girl says, "My brother's was the way he was standing still, friends gang-raped me. One of and when he saw me he suddenly them gave me HIV. Now I bet they started to move. all have AIDS," I thought I could I walked faster. So did he. The understand her rage and pain. trees and bushes that lined the That was the gift of my rape. street muffled the sound of steps, Understanding. I didn't get but I heard them quickening. pregnant, HIV-positive or VD. I I began to run and scream. was luckier than many. Then he caught me roughly from At the uplifting close of the behind. I felt a knife in my back. video, when one young woman He pushed me down in the bushes. says strongly: "I called the police. "Open your eyes, bitch, and I'll That fool didn't know who he was kill you," he hissed. I squeezed messing with," and when stark, them shut. beautiful young faces chant: "It's The man was nervous. He your body. It's your right. It's your slapped my face, punched me, LIFE," I felt a great surge of hope, cursing, fumbling, forcing himself. to know there's comfort for others He held the knife at my ribs. I who live the nightmare of rape. hoped if I died, my mother would never know how it happened. The video is great. But what's Then a jingling noise - and the critical is the message. Today, rapist was gone, running. there is help. A man was walking his dogs, The Rape Crisis hot line is 349- coming closer. I lay in the bushes, 7273. I wish it had been there 25 dazed, until he reached me. years ago. Thank God it's there He walked me home and told me today. to call the police. I didn't. They'd never catch the man. I hadn't even seen his face close-up. A guy in a busboy jacket. Great Austin ID. They might blame me. Monday, September 9, 1996 San Antonio Express-News Rape Crisis Center hopes to aid teens with sexual assault video By CHRISTINA RAMIREZ EXPRESS-NEWS STAFF WRITER Kids today can tend to go too far to have Using teen volunteers and im- fun. Hopefully, other men who watch this will ages geared toward the MTV gen- also take it seriously (and) see the truth of eration, the Rape Crisis Center of San Antonio has created a new tool rape. in. its effort to combat sexual as- JARANDY MANIDU, sault among young people. teen volunteer on video On Sunday, the Rape Crisis Cen- ter of San Antonio held a screening of its new video, "Teens Talk to Teens about Rape," the first of its In the video, Blaufarb's charae- kind in the country to be aimed at ter points out that only 10 percent teen-agers. of rape victims report the crime. "When I started working here, it Manidu, a senior at Lee, said struck me how large the number of working on the video gave him rape victims that are 17 and un- new insights. der," said Ron Aaron, executive di- "As a young man, I see it as a rector of the Rape Crisis Center. "Many don't understand what rape problem in high school and as you go on to college," he said. "Kids to- is. It's a violent, vicious crime day can tend to go too far to have against women and children, and fun. Hopefully, other men who sometimes men." Nearly 60 percent of rape vic- watch this will also take it serious- ly (and) see the truth of rape." tims are age 17 or younger, accord- ing to statistics provided by the The video was screened by stu- center, and rapists themselves are dents at Madison High School ear- lier in the week. getting younger. A cast of 20 volunteers under the "After students see the video, I direction of Bobby Livingston pre- discuss the facts brought up in the sent various rape scenarios in the scenarios," said Mary Wynn, pub- four-minute, MTV-style, high-ener- lic education director with the gy video. Rape Crisis Center. "Sixty percent Lindsey Blaufarb and Jarandy of them either know someone who Manidu co-lead the video, cast as has been raped, or have been raped." the voices of reason. Blaufarb, a sophomore at the In- Wynn said the lack of education ternational School of America at concerning rape sometimes cre- Lee High School, said working on ates an obstacle for getting the the video was a learning experi- video in the classroom. ence. "There are people who will "Rape is a form of violence that, wrongly interpret this to be a sex like a robbery, robs a person of education video," she said. "This their security and can happen to has nothing to do with sex; this is anyone," Blaufarb said. a video about violence - it's a vio- "It does happen in high school, lence (prevention) video." especially at parties," she said. On Friday the video will be "Girls get drunk and the guys take shown to about 300 students at Jef- advantage of them. Then, the girl ferson High School. thinks it was her fault for being drunk and SO she never tells." THE WHITE HOUSE WASHINGTON October 28, 1997 Dr. Susan Aronson 605 Moreno Rd. Narbeth, PA 19072 Dear Dr. Aronson: We cannot thank you enough for your participation in the White House Conference on Child Care. Your contributions during the panel discussion and your expertise made the Conference a phenomenal success and we think, helped to start a national discussion on Child Care. On a personal note, it was an honor to work with you. As soon as we receive the transcripts and photographs from the Conference, we will forward them to you. In the meantime, please feel free to call either of us at (202) 456-6266. Sincerely, jemfer Kler Whole Rubur Jennifer Klein Nicole Rabner Special Assistant Associate Director to the President for for Domestic Policy Domestic Policy THE WHITE HOUSE WASHINGTON October 17, 1997 Dick J. Batchelor Dick Batchelor Management Group, Inc. 201 South Orange Avenue Suite 1017 Orlando, FL 32801 Dear Mr. Batchelor: Thank you very much for following up on our conversation last month and for forwarding the article on child care in Florida. As you may know, while in Miami, Mrs. Clinton met with Governor Chiles' Executive Board of the Executive Partnership on Child Care and it was an engaging discussion. Final preparations are being made for the White House Conference on Child Care. I do hope you will be involved in one of Florida's satellite conferences. There will be one in Miami at Miami Dade Junior College (contact is Ophelia Brown at 305/347-4615) and one in St. Petersburg at the University of South Florida (contact: William Fillmore at 813/547-5925). Thank you for your counsel. Sincerely yours, Weole Robne Nicole Rabner Associate Director for Domestic Policy Faxed 10/20/97 0 11:30 To: 407 841 4313 DBMG October I, 1997 Ms. Nicole Rabner Assistant Director for Domestic Policy The White House Washington, D.C. 20050 Dear Nicole: As a follow up to our recent conversation and my correspondence to you, please find enclosed an article from Florida Trend (Florida's state wide business magazine), which highlights some of the private companies that provide day care for the children of their employees. This is one issue that we discussed and I thought you might find the article of interest and possibly a good reference source. You will note that in particular companies like Barnett Bank and Baskersville-Donovan have outstanding programs. As you continue to plan for the First Lady's Child Care Conference, let me know if I can be of any assistance. Sincerely, :CL Dick\. Batchelor DJB/mei enclosure DICK BATCHELOR MANAGEMENT GROUP, INC. 201 S. Orange Ave., Suite. 1017 Orlando, Florida 32801 Tel: 407-841-4311 Fax: 407-841-4313 Florida THE MAGAZINE OF FLORIDA BUSINESS OCTOBER 1997 You, Your Company And Baby Makes Three Why Child Care Is TI e Hot Trend In Er ployee Benefits LSO IN THIS ISSUE Better Business Bureaus Fight For Survival D'sney Tackles Healthcare Boomers Turn To #BXBJCJB CAR-RT SORT .. C010 #06100008337646# 9710 JAN99 Private Banking DICK BATCHELOR MGT GRP INC ZE SUITE 1017 15 201 S ORANGE 12 ORLANDO, FL 32801-3477 $2.95 10 > 63171 0 132127 2 5000 BA TXXXXXX CANADA (Clockwise from top left) 1993 Australian 10-dollar note. 1992 West African States 5,000-franc note. U.S military payment certificate. 1992 Albanian 1,000-leke note. 1992 Bahamian dollar bill. Icelandic 5,000-kronur note. 1986 CFP 10,000-franc note. HOW MANY HATS DOES A SMALL BUSINESS OWNER WEAR? 01/00- hist Smonthip 7:30 A.M. 8:00 A.M. 9:30 A.M. Donald Young and Evan Evan at play. Donald works across the parking lot arrive at For Kids Only. at Baskerville-Donovan COVER STORY And Baby Makes By Mary Ellen Klas During the past 11 years, the firm has guar- anteed enrollment, backed the day care with t's 7:30 a.m. and downtown Pensacola is rent subsidies and paid 25% of employees' Children are still half-asleep except for the unassum- day care tuition. Says company President ing entrance to For Kids Only, a child playing an Fred C. Donovan: "If you're going to have a care center nestled between a law office company that lasts, you have to have re- increasingly and a travel agency. Donald Young is sponsible people. And responsibility starts among a steady stream of arriving parents. with taking care of your kids." important role in He has a diaper bag over one shoulder and Baskerville-Donovan, the largest engi- his 10-month-old son, Evan, on the other. neering firm in northwest Florida, is still a the relationship Up the wood-paneled stairway, he strides relatively small company, with $10 million past the kitchen where the aroma of freshly in revenues and 140 employees. But its ex- between baked cinnamon biscuits follows him to a perience is instructive. room with eight cribs. There, he hangs up As more mothers return to the work force employees and the diaper bag, puts a handful of baby bot- after giving birth and men assume more re- their companies. tles into the nearby refrigerator and unloads sponsibilities at home, employees are trad- Evan onto the carpet, next to a basket of toys. ing salaries and titles for programs that Why some "You can play now," says Young, 36, as he mend their increasingly frazzled home lives. hands his son a rattle and pulls apart some Companies faced with a shrinking labor pool businesses see nesting cups. He goo-gaws with Evan until have discovered they must do more to attract 8 a.m. Then, as the baby is buckled into a and retain good workers in the prime of child care as tiny chair for breakfast, father waves good- their child-rearing years. bye and walks across the parking lot to his Employees, too, are increasingly drawn to essential to job as a coastal engineer. He will return, as programs that relieve the pressures of fam- successful he does every noon, for more playtime. ily routines - by helping parents be parents Welcome to the world of the family- and, in the case of child care, helping moms operations. friendly business environment. Young's em- and dads find a good substitute for them- ployer, the engineering and architectural selves. Research shows that the more time firm of Baskerville-Donovan, not only en- working parents spend with their child dur- Paul Brou top dorses this daily interaction, it subsidizes it. ing the day, the more satisfied parents feel Florida Trend 100 October 1997 Read, Follow Or Get Out Of The Way. Florida Floridak the real 1997 1997 1997 the associations 2nd Pr rest KPMG Presenting TopRank Florida™ The Only Statewide Book of Lists. Only from FLORIDA TREND. Now you can get your hands on the business tool loaded with the information you need to put you ahead of the pack. Information you can use for developing new business. Researching the competition. Finding investment opportunities. From cover to cover, TopRank Florida" is packed with the vital names, numbers and rankings for more than 60 industry segments, including 24 additional lists never before published in FLORIDA TREND. Not just for one city. Not just for one region. But for the entire state of Florida. Copies are available for just $19.95. Plus, TopRank Florida is available on computer disk for just $99.95. So why get left behind? To order the book for $19.95, or disk for $99.95, call 1-813-821-5800. lag- Trend THE MAGAZINE OF FLORIDA BUSINESS 12:00 Noon 5:30 P.M. 6:00 P.M. Sharing a lunch break. Time to go. Arriving home to a greeting from Mom. employees find back-up child care for businesses ranging from $98 per week Three emergencies and school holidays, after- for infants to $40 a week for after-school school care or care for sick children. care. Then there is the high-end investment: The alliance has been so successful that establishing a child care center on or near this year, with the support of the Hills- the company offices, subsidizing employ- borough County school district, it opened ees to help them with child care costs or a public elementary school for the children helping an existing child care center boost of employees working in the Westshore and the better adjusted the children tend its quality by raising its standards and ob- business district. The school district sup- to be. That's good for families, but to em- taining national accreditation. In each plies the building and the teachers while ployers who have done it, it also translates case, the programs are designed to be the alliance supplies the children and col- to their bottom line: less absenteeism, partnerships between parents and em- laborates in choosing staff and setting lower turnover and better job perfor- ployers, with the major difference being school policy (the children wear uniforms). mance. how much the employer contributes. "There's no secret to it," says Ron "It's not a question of whether more For small businesses with limited in- Rotella, director of Westshore Alliance. companies will start doing this or not," come, resources and space, assisting em- "The state requires certain standards and says Paul Kerins, human resources execu- ployees with child care is challenging but guidelines; what you need is the willing- tive for Barnett Banks in Jacksonville, a not impossible. In Tampa, West- ness of businesses to support it." national leader in work-family programs. shore Alliance Partnership In Tallahassee, a group of law "It's just a question of pace." opened a child care center in firms and small businesses com- The pace has been glacial. A survey by 1992 with $60,000 by pooling bined efforts with a Barnett Bank FLORIDA TREND of the top public and pri- the resources of 13 corpora- branch to open a child care cen- vate companies in Florida found that most tions. The center started with ter in the basement of its office respondents considered child care assis- 80 students but has since ex- building two blocks from the state tance important but ranked their child panded to 255, with waiting lists Capitol. Calhoun Street Down- care benefits inadequate (see page 106). for every age group and an an- town Babies opened last spring Most companies are not aware of the ar- nual budget of $600,000. It with less than 10 children, ages ray of options available, according to gets a yearly grant of six weeks to three years, and Donna Hefner, employer family services $8,500 from the city of plans to open a preschool coordinator for the Florida Children's Fo- Tampa and modest in- next year. The start-up rum, a Tallahassee-based resource and re- kind contributions costs were less than ferral service with 25 offices statewide. from affiliated busi- $50,000, and it oper- Employers can make a modest investment, nesses, but it sup- ates on a projected such as establishing a pre-tax spending ac- ports itself almost budget of less than Jettrey Camp bottom count for employee child care expenses or entirely from $80,000 annual- directing employees to child care referral tuition paid ly, paid for pri- services that will help them find quality by employees marily by child care. Other options include helping of Westshore parent fees October 1997 101 Florida Trend Some larger companies have made substantial investments in helping and nominal corporate contributions. to raise the money first," says Joan some financial commitments to helping The secret to its success has been coop- Nabors, the child care consultant who ini- employees with child care needs and sev- eration. The building manager arranged tiated the project to help employees in her eral have made substantial investments. for several contractors to remodel the site husband's law firm, Nabors, Giblin & According to a 1995 study by the Florida to meet state build- Nickerson. Children's Forum, only 9% of small com- COVER STORY ing and code re- There are less costly options. Small panies surveyed had an account that allows quirements at be- companies whose low-income employees employees to pay for dependent care with low-market costs. The bank donated the qualify for state child care subsidies can pre-tax dollars. That compares to 46% of air conditioning unit. Law firms con- help their employees through a little- the larger companies that included the tributed legal assistance to set up the cen- known state program that matches com- child care deduction option as part of their ter's non-profit status. And dozens of em- pany contributions to existing child care standard benefits package. ployee/parents contributed time, hanging facilities dollar for dollar. Called the Child Baptist Hospital of Miami is one that wallpaper, painting woodwork, building a Care Partnership Act, the program began has made a significant investment. It op- playground sandbox and climbing gym, or with $2 million last year and was expand- erates an employee child care center that's conducting fund-raisers. ed this year to $4 million. open until 8 p.m., offers summer and af- "We decided we didn't want to get a In sharp contrast to small businesses, a ter-school programs for employees with loan to get started and really worked hard number of larger companies have made school-age children, and sells "meals to at Wayne State University in Detroit and one Patterns Of Behavior of the leading researchers on the brain. Even more alarining are findings that chil- dren who are neglected or exposed to re- peated trauma will have cognitive and emo- New research into hild care is more than a handful of C tional defects that may never be fully re- the brain has crackers and a nap. That's the mes- versed. An impoverished childhood envi- sage child advocates in Florida are ronment can permanently and irrevocably underscored the trying to spread with urgency. New diminish brain capacity for learning and research into the brain has underscored the importance of quality memory, researchers say. importance of quality child care in the first "We have a lot of control over early child- child care in the first few years of life and has prompted experts to hood experiences based on our policies," says years of life. warn that not all child care is good. Dorothy Routh, coordinator of the Florida Scientists have discovered that brain de- Starting Points initiative at FSU, a program velopment that occurs before age three is sponsored by the Carnegie Corporation in more rapid and extensive than at any other New York City to convince the public and time in life and much more vulnerable to state policymakers that early childhood de- environmental influence. A child is born velopment is critical to the future of the state. with 100 billion cells and 50 trillion con- "These are the future taxpayers and the fu- nections among them that lay the ground- ture prisoners," she says. work for how the child feels, learns and re- Routh has traveled the state presenting lates to other people. By the end of the third dozens of crash courses on early brain de- year, the child has 1000 trillion rapid con- velopment and repeating the mantra that ba- nections - more than any other time in life bies must "use it or lose it." She has trained and, if not used, they will be lost. more than 200 people in Florida to be disci- The research is a welcome affirmation ples of the brain research. Implicit in her pre- that parents who instinctively talk gibberish sentations is the notion that children who en- to their babbling babies, read and explore ter kindergarten unable to learn because of with their inquisitive toddlers, and snuggle a stagnant early childhood, will have trouble and comfort their uneasy preschoolers are overcoming their learning gap and are at risk doing exactly the right thing. But the stud- for becoming dropouts, delinquents, drug ies have also sounded a warning that if chil- addicts, teenage parents or criminals. dren in the first few years of life are not "Patterns of behavior get established that stimulated to allow their minds to thrive, become, over time, increasingly resistant to they will never reach their full potential. change," explains Craig Ramey, a leading "You may be genetically endowed to be a child development researcher at the Univer- Mozart, but if you never get exposed to mu- sity of Alabama in Birmingham. "Turn- sic, you'll never become a musician," says arounds are SO rare that if it were a lottery, Jeffrey Camp Dr. Harry Chugani, a pediatric neurologist you'd never bet on it." 102 October 1997 employees with their child care needs. go" from the cafeteria especially prepared been operated by Barnett Banks. for the families of busy employees. While the future for Barnett em- Honeywell Space Systems in Clearwa- ployees remains uncertain since the ter spent $175,000 to construct a satellite Florida bank was acquired by Na- school, which operates as part of the tionsBank, which said it must make school district but serves only its employ- a 55% cut in Barnett's cost base, ex- ees' children in kindergarten to third ecutives at the Charlotte, N.C., grade, and $225,000 over three years bank assert they plan to expand, not building a child care center on its campus reduce, Barnett's benefits package. for children ages eight weeks to five years. "Their strategy is not inconsistent The company also offers work-at-home with ours," says Kim Hains, senior arrangements that supply the employee vice president of Work and Family with a home computer, and it encourages Programs at NationsBank. "My as- parents of elementary school children to sumption is that their programs will volunteer at the school and make up the stay." "What started in Jacksonville became time on evenings and weekends. Both Barnett and NationsBank contagious," says Paul Kerins, human resources But the Cadillac of such programs has have been listed by Working Motbers executive at Barnett Banks. The pattern continues into adult- vest enormous public resources in edu- staff is paid the salary of school custodi- hood. More than 65% of Florida's cation when clearly half of education ans ($6.50 per hour, plus benefits), the prison inmates are functionally illiter- success is hubbed at age zero to five?" deficit would be $3,500. ate, meaning they cannot read a map or asks Jack Levine, executive director of As a result, many child care workers a menu. the Florida Center for Children and rarely make much more than minimum Ramey's research has shown the path Youth, a Tallahassee-based child advo- wage, have little training and rarely col- of hope. High risk children exposed to cacy group. lect benefits, a factor that contributes to high quality early childhood care from But quality is not cheap. The Florida high staff turnover. Notes Routh of age one to kindergarten were not only Children's Forum estimates that a FSU: "We pay more to board our pets better prepared to start school but worker earning a minimum wage of than we do to care for our children." raised their IQs by 15 to 20 points. High quality care in Ramey's study, and "These are the many others, means high staff-to-child ratios, smaller group sizes, higher lev- future taxpayers els of staff education, low staff turnover, and the future administrative stability, higher levels of staff compensation and, ideally, parent prisoners," says participation. The respected High/Scope Perry Preschool Study Dorothy Routh of showed that nationwide for every $1 Florida Starting spent on quality preschools, the public saves $7.16 on special education, crime, Points. welfare and other costs. These findings have sparked new in- $4.75 an hour spends 42% of her gross Legislators are trying to help business terest among policymakers and business annual salary of $9,880 on infant child play more of a role. A bill pending be- executives who recognize today's chil- care. Subsidized child care is available fore the Florida House sponsored by dren are tomorrow's employees, parents from the state, but the waiting lists are Rep. Evelyn Lynn, R-Ormond Beach, and consumers. "Quality developmental long and a family of four is not eligible would give companies up to $50,000 in child care is the necessary ingredient, if it makes $22,000. tax credits if they enhanced an existing and we must find a way to make that While child care may be expensive, child care center, started their own or available in a cost-effective way," says child care operations operate on a shoe- gave subsidies to their employees. Gov. Lawton Chiles, who convened the string. A child care center with 60 chil- "The state of Florida is spending Kelly LaDuke top: Ray Stanyard bottom Child Care Executive Partnership dren, ranging from infants to age five, more on a part-day kindergarten than Board to increase business involvement. and a staff of 12 has annual revenues of parents are spending on eight to 10 The board has concluded that much of about $228,000, according to the Flori- hours of child care," says Susan Muen- the $371 million the state now spends da Children's Forum. If the staff is paid chow of the Florida Children's Forum. on pre-kindergarten programs comes the equivalent of a starting kindergarten "If enough parents begin asking for this, too late for many high risk children. teacher ($20,000 plus benefits), the cen- maybe enough employers will be will- "Why do we wait until age six to in- ter would run a deficit of $96,000. If ing to demand it." October 1997 103 Florida Trend Why are companies that aggressively reduced work forces magazine as one of the top 10 companies kids to be baby-sat on Friday to work for because of its work and fami- nights. Barnett also offers child ly programs. Among the programs that care subsidies and a package of have won Barnett recognition are its flex- perks ranging from adoption leave ible benefits, alternative work arrange- to financial grants for personal ments, child care emergencies. COVER STORY subsidies as well as When word spread throughout four child care cen- Barnett's branch system about the ters, in Jacksonville, Miami Lakes and programs begun in Jacksonville in Clearwater, and a public elementary the late 1980s, many branch man- school in Jacksonville. The several build- agers began to adapt the concepts ings of the Jacksonville site known as the to their communities. "What start- Family Center offer programs run by an ed in Jacksonville became conta- outside management company, Nashville- gious," recalls Kerins, the human based Corporate Family Solutions. In ad- resources chief. The company's top dition to child care and a school, the Fam- officials soon understood the value ily Center has a place for parents to drop of the investments and established Linda Vann, director of children's services for American off their laundry, buy milk, rent a video, an award for CEOs of the various Bankers Insurance Group, says "You're in the business check out parenting books or leave their Barnett affiliates across the state, of child care if you have employees with children." So You Want To Offer Child Care To Your Em Assess the need strongest needs and to avoid getting employ- control over quality of care; hours of operation "Some companies just plunge in and plan ees' hopes up by asking several questions can be adjusted to meet employee needs; the to offer one service when that may not be the about, say, an on-site child care center. service reduces absenteeism, tardiness and best program to serve their employees," says helps in recruitment and retention. But on-site Donna Hefner, employer family services On-site child care centers are not for everyone. The employer coordinator for the Florida Children's Forum. The advantages to on-site centers are many must retain a large enough work force to fill Most companies begin by surveying employ- - employees appreciate eliminating the day the center, start-up costs can be high (ranging ees. Hefner recommends a detailed survey care stop on the way to work and enjoy being from $50,000 to $3 million) and it may with many options to best determine the close to their children; employers have greater cause friction among employees at other company locations or among those who do not have young children. Existing centers Employers may choose to support existing child care centers with training grants, facili- ty upgrades and subsidies to help them improve quality, such as attaining accredita- tion from the National Association for the Education of Young Children (NAEYC), con- sidered the highest rated. The majority of company-sponsored child care centers in Florida are NAEYC-accredited. Operating costs The major child care center costs are salaries and benefits, food, educational materials, staff enrichment, classroom sup- plies, insurance and rent. Typically, 75% of the operational costs are for staff and 25% for overhead. Tax benefits Pedro Portal top; Jeffrey Camp bottom If a company contributes to a tax exempt Tampa's Westshore Alliance Partnership School: From child care to grade school. child care center, it may deduct the contribu- Florida Trend 104 October 1997 in the '90s showing such concern about families? recognizing their commitment to work- ferent. The company operates near-site child care; 28% of workers with children family issues. The award, handed out at child care centers in Charlotte and Atlanta under age 13 would trade salary to find the company's annual meeting, is highly but has focused elsewhere on improving quality child care and another 38% would coveted. "It has equal value in their minds existing child care operations and assist- give that up for on- or near-site child care. as profitability," Kerins explains. ing lower-wage employees with subsidies. "Too many people have spent their lives That's a major leap of faith for execu- Last fall, NationsBank joined with five giving up their family life for their jobs. tives trained to eye all investments with in- other firms in Tampa to help 35 child care With downsizing, they lost both and so tense scrutiny and a substantial cost-ben- centers used by their employees improve there are different priorities now," explains efit analysis. But a measure of Barnett's their quality with training grants, staff Shirley Smith, Honeywell administrator success has been not only the support of scholarships and financial assistance. for schools in Clearwater. very top executives but that the work-fam- What's going on here? Why are com- American Bankers Insurance Group in ily programs rarely have been challenged panies that slashed work forces in the ear- Miami understands these dynamics better by its financial managers. "When it came ly '90s (and in costly takeovers like the Na- time to expand the center, it was never a tionsBank-Barnett deal continue to do so) debate because they saw the value in it," and have squeezed more work out of few- Kerins says. "We haven't had to waste en- er people showing such concern about ergies building cases around the need." families? The answer may come down to At Barnett's acquirer, NationsBank, the simple economics. As the labor market philosophy is similar but the emphasis dif- tightens and the competition for trained workers intensifies, many see the cost ad- vantage of reducing recruiting and train- ing costs by keeping employees longer. According to the Families and Work In- ployees stitute, a non-profit, business-supported research group in New York, employers who have developed programs that respect family obligations have a more satisfied tion up to 10% of its taxable income. work force, reduced absenteeism and Company-sponsored child care centers turnover, better public relations, improved may be established as a tax-exempt morale and increased productivity. "The organization only if the center is also more satisfied a parent is with his or her open to the general public. Costs incurred child care arrangements, the less stressed for acquiring, building and remodeling a he or she feels on the job," says Ellen child care center may be deducted over a Galinsky, co-founder and president of the five-year period. And employers that offer Families and Work Institute. vouchers or subsidies to offset their In study after study, the Families and employees' child care expenses may Work Institute has documented how em- deduct them as necessary business ployees' home lives affect their jobs. Its "This is a child development center," expenses because the services reduce 1993 National Study on the Changing enthuses Tom Doughty, here with wife absenteeism and turnover and aid re- Workforce found that 40% of employed Ann and daughter Katie. cruitment and retention of employees. parents reported experiencing work-fam- ily conflict at least some of the time dur- than most. Twenty-two years ago, the Licensing ing the previous three months. The study company opened a child care center across The state requires child care centers to also found that companies lost an average the street from its downtown office to meet a host of requirements for sanita- of four days a year from employed moth- serve 17 children of employees. The once- tion, safety, staff-to-child ratios, building ers with child-related problems such as ill- modest center was an immediate success. codes, zoning, staff background screen- ness or a breakdown in child care, and em- Today it is housed on the company's new ing, outdoor and indoor space, and age- ployed fathers missed an average of two 84-acre corporate campus and enrolls 130 appropriate furniture, equipment and days a year for the same reasons. infants and preschoolers with another 100 toys. Talk to the Department of Children According to studies by the Florida on the waiting list. Many of those kids will and Family Services or, in south Florida, Children's Forum, 60% of children in continue to ride to work with their Amer- the local licensing authority to get more Florida under age six have a single parent ican Bankers parents for years to come. information. or both parents working, 49% of those The company was the first in the U.S. to parents were in need of full-day child care, build a public school on its corporate cam- Referral services another 33% sought a family child care pus and now is the only one to serve Help in finding child day care providers arrangement, while the other 18% sought kindergarten through fifth grade. and early childhood education. Every school-based care. "We wouldn't do it if it weren't worth community has this service in place It is no surprise that one survey by the the investment," says Philip Sharkey, head Ray Stanyard through the state's Community Coordinat- Families and Work Institute found that of American Bankers' human resources ed Child Care agencies, and many private 37% of workers would forfeit raises or department. While the school and pre- agencies augment these services. other benefits for vouchers to purchase school cost the company $2.4 million, he October 1997 105 Floridand "We see a return of about $2 to $2.50 for every $1 we invest. considers it an investment the company He now spends his lunch hour with his served a space near its obstetrics ward for will recoup in reduced training costs in just daughter and delights in seeing her a program called "Bearly Sick." Unlike over 10 years. The turnover rate for em- wheeled past his office window in the child rooms in the rest of the hospital, this place ployees throughout the company is about care center's "Bye Bye Buggy" on her way is child-size. Nurses serve lunch, breakfast 17%, but for the employees with children to a play area. "It sends a and snacks on Lilliputian in the schools it is 7%. And the company chill down your spine to chairs and tables and di- is so committed to the future of child care see that cart pass by with rect art projects and play programs that it has made children's ser- her in it every day," he games throughout the vices a separate department. says. "We get the feeling day. Children rest in sin- At Honeywell in she's very excited, too." gle beds in five rooms, COVER STORY Clearwater, the com- Child care programs each equipped with its pany was SO convinced are becoming more com- own VCR. that its on-site child care center built in mon at high tech compa- Bearly Sick is used not 1989 gave it a competitive advantage that nies where workers are only by hospital staff but when the recession forced the company to mostly of child-rearing by companies such as the lay off nearly 3,000 of its 5,000 workers in age. Tech Data in Clear- St. Petersburg Times, the early 1990s, executives didn't touch the water, for example, two which contracts with the annual operating budgets for the child years ago began offering hospital to have employ- care center and the satellite public school. employees a voucher of ees bring their mildly ill "This program allows us to reduce over- $70 a month to offset the children to the center for time, replace some labor costs, reduce cost of child care because the day. Hospital em- some training and recruitment costs," says it was a major priority for ployees pay $12 a day Charlie Peters, Honeywell human re- most of their employees, Ron Dickerson and Maurya: while newspaper staffers sources manager. "We see a return of whose average age is 32. He took a salary cut to work pay $2.50 an hour. about $2 to $2.50 for every $1 we invest." The company plans to near his daughter. "The kids love it," says While those numbers sound good, Ron offer lunch-and-learn Janan Talafer, senior Dickerson is proof that there is something programs on topics such as sibling rivalry writer at Bayfront and a mother of two. to them. He was working evenings and and parenting basics. "For years, the minute my son felt mildly weekends selling men's suits at a Tallahas- Linda Vann, director of children's ser- sick, he'd ask to go to Bearly Sick." see mall SO he could stay home during the vices for American Bankers, predicts this Caring for sick children is one way com- day with his infant daughter while his wife is the benefits wave of the future. "You're panies curb employee absenteeism but an- worked. When he applied for a job at Bar- in the business of child care if you have other is offering back-up child care. The nett Banks' downtown Tallahassee branch employees with children," she says. Miami Herald created "Playspace," a tem- at the urging of one of his clients, he was According to employee surveys by com- porary child care center at the company's ready to turn it down. The pay would be as panies that have gotten into the child care Miami headquarters. Several sitters are on much as $7,000 less than he was making on business, some of the most popular offer- call to serve the center when parents' nor- salary and commissions. Then the recruiter ings are those that help employees in mal child care arrangements break down. mentioned Downtown Babies, the child emergencies and school holidays. The sitters are paid a minimum of $5.50 care center in the basement of the building. For the past seven years, Bayfront Med- an hour and can be retained by the same "Boom, that was it," recalls Dickerson, 32. ical Hospital in St. Petersburg has re- family for up to two weeks. Employees pay SURVEY Child Care Is Important, But FLORIDA TREND surveyed 50 public and 50 private Florida-based companies to determine the extent of child care assistance offered to employees by Florida companies. The survey elicited a 41% response rate. Those companies responding, while claiming child care assistance is important to their business, do relatively little to provide it. Specifically, TREND'S survey found: 73% of respondents regard child care assistance as being important to their employees. 68% provide some form of child care assistance. 2% provide on-site child care centers. 41% provide the most common form of assistance: flexible scheduling. 36% have made changes in their child care assistance programs during the past five years. 31% provide benefits which exceed federal mandates. Florida businesses responding to FLORIDA TREND'S survey cited costs, logistical problems and liability Ray Stanyard top: Jeffrey Camp bottom considerations as reasons for not providing more extensive child care assistance. - Davis Kilgroe 106 October 1997 the sitters, but the Miami Herald subsi- dizes the cost based on the employee's pay: the lower the pay, the higher the subsidy. Child advocates stress that if employers are going to supply child care, it had bet- ter be quality care. New research into the brain has shown that children who are de- prived of the nurturing and stimulation they need in the critical early years will be bereft of the emotional and cognitive roots needed to succeed in school and become productive citizens (see sidebar page 102). "We need child development centers, not child warehouses," says Joe Chapman, CEO of People's First Bank. As chairman of the Governor's Child Care Executive Partnership Board, Chapman is among a growing contingent of top executives who believe employers must take a more active role in the welfare of children if our com- munities are going to be strengthened. Parents know this too, either intuitive- ly or from the explosion of publicity over new research on child development and the brain. Observes Tom Doughty as he drops off his six-month-old at Downtown Babies, the Tallahassee child care facility: "This is a child development center. They are more up on technology and what's "The kids love it," says Janan Talafer, senior writer at Bayfront, with daughter Laura. needed to keep their brains active than other day care centers." child care concerns. "You get the line: go to that school, then we'll be upset," says With such potential for social good, These women show up for work. They did Donovan, who has three grown children many trail blazers are baffled that SO few something with their children. So, what's and four grandchildren of his own. The companies have followed their lead. Says the problem?" observes Dana Friedman, a company's soft touch does not mean work Peters of Honeywell: "Eight years ago I co-founder of the Families and Work In- goes undone. "We don't have any time would have said this is going to be as com- stitute and now senior vice president of clocks or definite requirements for work mon in the standard benefits plan as health Corporate Family Solutions in Nashville. hours, but we have a substantial portion of insurance, but today I'm still scratching Management's attitude can also stifle em- the salary based on productivity," he says. my head wondering why the other com- ployees. Child care experts warn that many There's one small problem. The com- panies don't understand." employees, although anxious about their pany's formula of mutual trust has been so As worthwhile as child care assistance is, children, are reluctant to be candid about successful that nobody wants to leave. it takes effort, it can be costly and, if you their needs if they fear venture into sponsoring your own child they will be perceived to care center, it will involve dealing with gov- be less dedicated or com- "If a teacher calls and ernment requirements. But the one issue mitted to their jobs. (an employee) needs to go many employers cite as the greatest stum- "There are employees bling block to on-site child care - liabili- in every company listed in to school and they don't ty exposure - - is dismissed by those in- Working Mothers Best stop what they're doing volved as an exaggerated concern. "Our li- 100 who are incredulous ability is perhaps no less or no more than their company is on the and go to that school, when we open the facility for an open house list because they work for then we'll be upset," says or bring people through on tours, and there an individual who is not has never been a claim filed against us," says supportive or whose prac- Fred Donovan. a Peters. "It's a fallacious argument." tices are not aligned with Most companies obtain insurance cov- the policy," says Friedman of Corporate Baskerville-Donovan has retention erage through their existing umbrella poli- Family Solutions. records of between five to 20 years for Jeffrey Camp top: Pual Brou bottom cies or purchase additional liability insur- No such confusion exists at Baskerville- most of its 140 employees. Today there are ance at low rates, says Susan Muenchow, Donovan. The family-first philosophy is more people with children who've gradu- executive director of the Florida Children's not written in any employee manual, but ated from the child care center than are us- Forum. Researchers say another reason for it is central to the company's corporate ing it, and the company finds its aging resistance is that many executives came up culture. Employees know "if a teacher calls work force is less in need of child care than through the ranks with stay-at-home wives and (an employee) needs to go to school elder care. and simply deny their employees have and they don't stop what they're doing and That may be on the horizon. October 1997 107 Florida Trend CONSUMERS We Be CLOSED The Better Business Bureau has for AWHILE fallen on hard times. Can the consumer-protection group find SAT CLOSED salvation on the World Wide Web? SUN CLOSED Watch Turns Lap Dog up firing its managers and taking dling customer complaints, over the troubled office. But not among other things. Dues typi- before the bureau racked up cally start at $200 a year and go nearly $500,000 in debts and in- up into the thousands for large BBB BETTER calculable bad will among local companies. BUSINESS consumers. The pitch has been that the fa- BUREAU The implosion of the south miliar plastic membership signs Florida bureau, whose territory attract customers seeking a guar- stretches as far north as Char- antee of good and honest service. lotte County, comes at a bad In the past, bigger companies, time for the 81-year-old watch- particularly banks and depart- dog group. Once the bedrock of ment stores, joined out of com- business ethics, the Better Busi- munity spirit. But today's com- ness Bureaus may be losing their panies want proof that better franchise. On the one hand, they business really translates into are having trouble persuading bigger business. "People are businesses to join while, on the looking for the bottom line." other, consumers, particularly in says Ron Berry, who heads up fast-growing states like Florida, bureau affairs for the national are calling in complaints in Council of BBBs. record numbers. The Miami Better By Lisa Gibbs To be sure, they've lost some Clearinghouse Business Bureau was so members to mergers, while oth- The bureaus' value to con- poorly run that the south Florida company ers ended up on the corporate sumers seems more obvious. national Council for fired its managers and A generates hundreds of scrap heap. Competition from Better Business Bureaus aim to Better Business Bureaus customer complaints the chamber-run Better Business be a clearinghouse for consumer about poor service. Sup- Councils, which offer similar ser- complaints against local compa- took over the office. pliers aren't much hap- vices for less money, also has hurt nies and charities. They also pier as bills go unpaid. Finally membership rolls at Florida's six contract with automakers to me- the landlord evicts the company BBBs. But the problem seems diate and arbitrate lemon law for not paying rent. Sounds like a more fundamental than any of disputes with car buyers. case for the Better Business Bu- that. Today's BBB is simply no Still, Monte Belote, executive reau. Except that the deadbeat longer as relevant to companies director of the Florida Con- company is the Better Business or to consumers as it once was. sumer Action Network, a con- Bureau. Better Business Bureaus mar- sumer lobby, finds that govern- The Miami-based bureau, ket legitimacy. Membership in a ment-run agencies like the state's which is supposed to blow the bureau means you have been op- Division of Consumer Services whistle on incompetent and cor- erating for six months (a year for are more effective because they rupt companies, was itself SO in- home improvement companies), have access to staff attorneys and ept that the national Council for have a clean regulatory record have enforcement powers. The Brian Morris Better Business Bureaus ended and formal procedures for han- problem with the Better Business Florida Trend 108 October 1997 THE WHITE HOUSE July 3, 1997 Dr. Elizabeth Bates Professor of Cognitive Science Professor of Psychology University of California, San Diego 9500 Gilman Drive, 0526 La Jolla, CA 92093-0526 Dear Dr. Bates: Thank you for sharing with me a copy of your book, Rethinking Innateness, and particularly for your kind inscription. I very much look forward to reading it. Thank you also for your kind words about my work and about the White House Conference on Early Childhood Development and Learning in your recent lecture in Washington, D.C. With best wishes for your continued success, I am Sincerely yours, Hillary Rodham Clinton Hillary Rodham Clinton UNIVERSITY OF CALIFORNIA, SAN DIEGO UCSD OF BERKELEY DAVIS IRVINE LOS ANGELES RIVERSIDE SAN DIEGO SAN FRANCISCO THE FORNIA SANTA BARBARA SANTA CRUZ (1868) CENTER FOR RESEARCH IN LANGUAGE 9500 GILMAN DRIVE, 0526 LA JOLLA, CALIFORNIA 92093-0526 June 18, 1997 Ms. Nicole Rabner Special Assistant to the Deputy Chief of Staff Office of the First Lady 2nd Floor/West Wing The White House Washington, D. C. 20502 Dear Ms. Rabner: As I promised when we met at the Human Capital Investment Workshop at the National Academy of Sciences earlier this month, I am enclosing copies of the two main overheads that you asked for from my talk, together with a copy of our book "Rethinking innateness." First author Jeff Elman and I have inscribed the book to Hillary Clinton, and we would be most grateful if you could see to it that she receives this copy personally. Of course we have no illusions that she will have time to read it in her busy schedule, but we admire Mrs. Clinton's work on behalf of children, and would be very pleased to know that she has it in her library. We are fighting many of the same dragons regarding the role of experience in brain development, so it is possible that one of her research staff will find it useful at some point. Please let me know if I can provide you with any additional information. It was a pleasure to meet you, and thank you again for your kind words about my talk. Sincerely, SNRO Elizabeth Bates Professor of Cognitive Science Professor of Psychology Director, Center for Researchin Language Director, Project in Cognitive and Neural Development INSIGHTS ABOUT BRAIN DEVELOPMENT AND EXPERIENCE IN HUMAN CHILDREN: THE GOOD NEWS -- Substantial brain development takes place after birth in humans -- Especially between 0 - 3 years (e.g. overproduction of synapses) -- Experience/Activity play a major role in "sculpting" the brain (both additive and subtractive events) -- Fundamentals of language development take place from 0 - 3 (during this "neural firestorm") -- Experience/Input have a major effect on language development, interacting with endogenous variation -- Massive evidence for plasticity in brain organization for language in childhood (e.g. recovery from injury) -- The "right" interventions for early language development are cheap and accessible: talk and read to children!! INSIGHTS ABOUT BRAIN DEVELOPMENT AND EXPERIENCE IN HUMAN CHILDREN: SOME CAVEATS -- All learning changes the brain (Where else would it be?) -- Activity-dependence includes events that are invariant across almost all developmental contexts (e.g. light, gravity, sound, and especially temporal/spatial information from the rest of the body) "The brain is the captive audience of the body" A. Damasio -- Plasticity does not end at age 3 (e.g. experience-induced synaptogenesis and cortical remapping in adult animals) -- Developments after age 3 are important (including language) -- "Critical periods" have been massively oversold, based on slim evidence, especially in humans, especially in language -- Windows of opportunity may close and open again THE WHITE HOUSE WASHINGTON July 2, 1997 Jeanette Betancourt, Ed. D. Community Education Services Children's Television Workshop One Lincoln Plaza New York, N.Y. 10023 Dear Ms. Betancourt: Thank you very much for you letter and for sharing with me materials about the Sesame Street Preschool Educational Program. I was pleased to learn that your forum, Sesame Street Celebrates "Ages 0-3 Learn Along With Me!," was a success. I have enclosed a transcript of the White House Conference on Early Childhood Development and Learning for your review. I believe many of the themes discussed at the Sesame Street Forum were raised at the White House Conference, as well. Best wishes for continued success. Sincerely yours, Vicole Path Nicole Rabner Associate Director for Domestic Policy THE WHITE HOUSE WASHINGTON April 9, 1997 Dr. T. Berry Brazelton Professor of Pediatrics Harvard Medical School 300 Longwood Avenue Boston, MA 02163 Dear Dr. Brazelton: Thank you for agreeing to participate in the White House Conference on Early Childhood Development and Learning: What New Research on the Brain Tells Us About Our Youngest Children. It has been a pleasure to work with you and develop the morning agenda of the Conference by telephone. Enclosed for your review are the White House press releases on the Conference, as well as a recent speech that the First Lady gave to the Society for Research in Child Development, in which she outlines the themes and purpose of the Conference. I have also enclosed the bios of all the morning session participants. I very much look forward to meeting you on the 17th. Please do not hesitate to call me at (202) 456-6266 with any questions. Sincerely, Nicole Rabner Associate Director for Domestic Policy Encl. THE WHITE HOUSE July 3, 1997 The Hon. Conrad Burns United States Senate Washington, D.C. 20510 Dear Senator Burns, Thank you for your thoughtful letter and words of support for the White House Conference on Early Childhood Development and Learning. I share your belief that the new scientific findings on brain development make more urgent our mission to support parents, both by thoughtful policy-making and by disseminating information to equip parents to best respond to the needs of their children. I agree that all levels of government have important roles to play, and I am gratified that you are considering holding a congressional conference on child development. I look forward to working with you. With warm regards, I am Sincerely yours, Hillary Hillary Rodham Rodham Clinton Claimton CONRAD-BURNS COMMITTEES: MONTANA APPROPRIATIONS DEPUTY WHIP COMMERCE, SCIENCE, AND TRANSPORTATION United States Senate ENERGY AND NATURAL RESOURCES WASHINGTON, DC 20510-2603 SMALL BUSINESS (202) 224-2644 SPECIAL COMMITTEE ON AGING April 18, 1997 Hillary Rodham Clinton The White House Washington, DC 20500 Dear Mrs. Clinton: Not long ago, while home in Montana, I had the opportunity to discuss with the media the importance of a child's first three years of development. In light of the need for greater awareness of this issue, I want to commend you for hosting the White House Conference on Early Childhood and congratulate you on its success. The conference has done a great service to working parents and their children across America. The conference participants confirmed and put into scientific perspective what you and I, as attentive parents, already knew: in their earliest years children are most receptive to sensory stimuli, and that stimuli will literally shape the child's brain. Once the early brain patterns are established, future brain development will follow those early patterns. When our own children were growing up, Phyllis and I could see experiences shape their young minds like building blocks, and early on a blueprint emerged which outlined their future personalities. As you pointed out at the conference, the significance of these findings is enormous and should make every parent reassess how they interact with their children. As policy-makers, we must re-evaluate how the federal government influences the practice of parenting in areas such as tax policy, wage and hour laws, health care, and education. We must re-shape federal policy to help parents take an active part in the early development of their children while encouraging parental education as to the importance of early involvement. Congress can build on the momentum of the conference by working with you to develop policy priorities. With our common purpose I believe we can forge broad support among members of both parties, and toward that end a congressional conference on child development would be very helpful and worth pursuing. I appreciate your comments and suggestions and look forward to working with you. OR United States Senator HELENA MISSOULA BUTTE BOZEMAN GLENDIVE KALISPELL GREAT FALLS BILLINGS TOLL FREE (406) 449-5401 (406) 329-3528 (406) 723-3277 (406) 586-4450 (406) 365-2391 (406) 257-3360 (406) 452-9585 (406) 252-0550 1-800-344-1513 THE WHITE HOUSE WASHINGTON April 14, 1997 Dr. T. Berry Brazelton Professor of Pediatrics Harvard Medical School 300 Longwood Avenue Boston, MA 02163 Dear Dr. Brazelton: The White House Conference on Early Childhood Development is around the corner, and I want to take this opportunity to thank you once again for your advice and suggestions in developing the agenda, and for your willingness to participate in the Conference. We are all very excited for the Conference and have high expectations for what it will represent and produce. I wonder if I could ask you to send to me by fax an outline of what you intend to say at the Conference, preferably by the end of today. I know we have asked a great deal in terms of the brevity of your remarks, and I appreciate the efforts you are taking to work within these time guidelines. In addition, please send by fax three to four lines of a professional bio of yourself that you would feel comfortable with our releasing, along with the longer bio you have forwarded, to the press and the guests attending the Conference. Please expect later today or tomorrow morning another note with specifics in terms of logistics and our meeting earlier in the morning on Thursday. Enclosed for your review and information are a transcript of the President's radio address on Saturday, April 12, in which he framed the themes and purpose of the Conference, and a press release of the satellite sites around the country that will be watching the White House Conference. Please do not hesitate to call me at 202/456-6266 with questions, or fax to me at 202/456-6244. I look very much forward to receiving the outlines of your comments. Sincerely yours, niole Nicole Rabner Associate Director for Domestic Policy 10/29 ORLANDO REGIONAL HEALTHCARE oundation October 15, 1997 Ms. Nicole Rabner Assistant Director of Domestic Policy The White House 100 OEOB Washington, DC 20050 Dear Ms. Rabner: Nicole- It's time for us to make a difference in the lives of children in dire need. Right now, in the Orange County area there are a number of children between the ages of two and six years old who have been sexually abused and they are not being treated. Because of the severe problem we have with child abuse, particularly that of a sexual nature, there are simply not enough dollars to treat even the documented cases. However, there is a light of hope for these children in our community - The Center for Children and Families at the Arnold Palmer Hospital for Children & Women. I know that child abuse, particularly of a sexual nature, is hard to face. It's almost impossible to imagine there's such a long line of children who are waiting to be mended. The number of recent child abuse cases in our community that have resulted in death cannot go unnoticed. Once again, people from around Central Florida are joining together to help. On behalf of the Sexual Abuse Treatment Program at the Arnold Palmer Hospital for Children & Women, I am asking you to join me and a number of individuals in our community as we raise money to mend the lives of these small infants and children. The 17th Annual Dick Batchelor Run for the Children will take place on Saturday, October 25, 1997. This run attracted almost 2,000 runners last year making it the largest 5K run in Central Florida. This year our goal is to raise more than $100,000, which will be used to provide psychological services for these precious little ones. The race has strong corporate support, but the contributions from individuals like yourself are very critical to the success of this year's race in addition to the well being of these children. I am, in the strongest of terms, requesting on behalf of these children that you make a contribution of $1,000, $500, $250 - or any substantial amount. As you consider your gift, please take a moment to read "A Typical Day at the Center for Children & Families" to see just how you will make a difference. "Benefiting the Orlando Regional Healthcare System" 1414 KUHL AVENUE ORLANDO, FLORIDA 32806 (407) 841-5194 Your contribution will absolutely make a difference in the lives of these children. Please make your gift to: Sexual Abuse Treatment Program c/o The Dick Batchelor Run ORH Foundation 1414 Kuhl Avenue Orlando, FL 32806 Thank you for stepping in to help these defenseless victims. Sincerely just for Dick J. Batchelor Chairman, Dick Batchelor Run for you the Children P.S. New this year to the Dick Batchelor Run as a means of educating people on the Center for Children & Families and gathering people together to help raise even more money for this much- needed cause, is a reception and silent auction at the hospital on the night preceding the run from 5:00 p.m. - 7:00 p.m. In addition to your gift, if you would like to attend this function we would like to see you there. Please call 841-5111, x8796 if you would like to attend. Palmer FOR CHiLDREN WOMEN The Center for Children & Families Child Protection Team Sexual Trauma Recovery Center Neonatal Parent/Infant Education Program Healthy Families Orange Developmental Center for Infants & Children HUG Me Program A Typical Day at The Center for Children & Families On a typical day, staff of The Center for Children & Families can be found engaged in the following work: Interviewing on videotape a child alleged to have been sexually abused, thereby capturing in the child's own words the events that took place, leading to the arrest of the perpetrator. Visiting the home of a family who has just taken their 4-month premature baby home from the hospital for the first time after a six month stay in the neonatal intensive care unit. During on-going home visits, offering the family information and support regarding the baby's special needs and what they can do to positively impact the baby's development. Facilitating a therapy group comprised of children as young as three years of age who have been sexually molested, most by family members. Encouraging the children to share their fears, anger, shame and feelings of isolation, to re-establish their sense of self worth, learn to set boundaries, and move on to lead happy, productive lives. Sending a former teenage mother, now a staff member of The Center, to the home of a new teenage mother who recently delivered a low birthweight baby. Serving as a mentor to the new mother, encouraging her to set goals for herself and the baby, showing her that others have "been there too" and have been able to overcome the obstacles. Role modeling positive parenting skills for the young mother because she never received encouragement or praise from her own parents. Offering the services of a physician specially trained in child abuse, to perform a medical examination of a child with large bruises on his face and back. Determining that the child's injuries are not consistent with the story told to police, that the injuries could not have been accidental but must have been intentionally inflicted. Making a recommendation that the child be removed to a safe environment. Facilitating a support group comprised of mothers of children who have been sexually traumatized. Teaching them how to be effective parents. Encouraging them to share their feelings of fear and rage and helping them improve their ability to communicate and function effectively as a family unit. Assembling a team of child development experts, including a pediatrician, child psychologist, occupational and speech therapist in a room together with the family of an 18 month old, concerned because their toddler seems to be falling far behind other children her age. Assessing the toddler's abilities, answering parent's questions and working with them to address their concerns and meet their child's special needs. Meeting with parents to discuss and plan the implementation of new and more effective ways to serve families. Being the first person a young woman has confided in after being sexually assaulted by a stranger several months earlier. Offering her the opportunity to meet with other women, also victims of sexual assault. Helping her tell her husband and providing him with supportive counseling as well. Giving AZT to a young pregnant woman infected with the HIV virus, thereby preventing the transmission of AIDS to her unborn child. Helping her to work out the legal and financial issues involved in arranging for someone to take care of her baby once she dies. Making sure a child who has AIDS receives appropriate medical care and social support. Taking a group of children who have AIDS on a once-in-a-lifetime camping trip. 1717 South Orange Avenue, Suite 200 Orlando, Florida 32806 407-317-7430 Affiliated with ORLANDO REGIONAL HEALTHCARE SYSTEM The Arnold Palmer Hospital Center for Children & Families gratefully acknowledges the following organizations which provide funding for our programs: ORANGE COUNTY SUCCESS HOMAN GOVERNMENT FLORIDA United Way BY 6 HEALTH The Ounceof Prevention Fundof Florida THE HEART OF FLORIDA FLORIDA DEPARTMENT OF STORNEY GENERAL ORANGI-COUNIY CHILDREN STATE CITY GRLANDO LICRION FLORIDA DEPARTMENT OF & FAMILIES STATE STATE or THE $ Healthy Start HEALTH (0) THE CITY THE CITY DEAUTIFUL JUST FOR YOU Hyatt Regency Grand Cypress two night/three day stay deluxe room Value $500 Clarion Plaza Hotel two night/three day stay Value Mears Transportation Group 3 hour charter Value $180 The Spa at Buena Vista Palace Royal Sampler Spa Package Value $140 Walt Disney World Village Kinkz Salon hair cut & blow dry Value $35: manicure Value $16 Jacobson's gift certificate Value $25 Gayfers - Elizabeth Arden large gift basket of products Panacheri Thanksgiving gift basket (Value $75.00) Gift Baskets & Such large holiday gift basket DINNER ON US Wild Bills Dinner Extravangaza dinner for two Value $30 King Henry's Feast dinner for two Value $30 The Civic Theatres two tickets 1997-1998 Civic Theatre Season Value $75.00 Lec's Lakeside Restaurant gift certificate Value $25.00 Maison & Jardin champagne Sunday brunch for two Value $40.00 Race Rock gift certificate Value $40 Lido's Italian Restaurant dinner for two Value $30 Finn's Grill - Hilton at WDW dinner for two Value $50 Houston's Restaurant gift certificate Value $25 Max's Cafe-Celebration gift certificate Cafe D'Antonio-Celcbration gift certificate Red Lobster gift certificate $25 Hemisphere Restaurant-Airport Hyatt dinner for two $100 FAMILY FUN Sca World 6 one day passes Value $234 Ripley's Believe It or Not 2 passes Value $21 Brevard Zoo 6 one visit passes Value $30 Splendid China 6 admission tickets Value $175 Jungle Adventures 6 VIP Pass Orlando Science Center 2 Single Adventures Passes Value $16 SPORTS & ENTERTAINMENT Orlando Predators - four tickets home opening game Orlando Magic Basketball - autographed 1996-1997 team Valuc$300 Isleworth Foundation. Inc. Round of golf for four/with cart Valuc$480 Grand Cypress Resort Round of golf for two Value $260 SOMETHING SPECIAL Powers Drive Animal Hospital Annual cat exam (complete) Value $72 Powers Drive Animal Hospital Annual dog exam (complete) Value $88 Great Western Boot Company Black wool felt cowboy hat Value $125 Run for the Children Spaghetti Dinner / SILENT AUCTION PRIZES Victoria Gardner-Silver Jewelry Blue denim lapis/black onyx/silver necklace Value $125.00 Forever Framing pencil portrait of Mr. Arnold Palmer Value $1,000 Echo Art Framed piece of artwork Martinez. Manglardi & Diez-Agruelles large gift basket with wine, etc. M's Fashions - Celebration. FL gift certificate $100 Iron Horse Vacations 2 gift certificates for rental of Harley-Davidson value $580 Plant Hollywood one reversible leather jacket Value $300 (pending) The Christmas Collection large holiday wreath value $85.00 Private Donation- 3' Nocl Santa - Value $70 Ruff Thomas & Company one executive chair $500 Jeff Hawkins Photography one on-site sitting - Value $150 Plastic Surgery Center of Lake County BioMedics complete skin care kit - Value $200+ "M & M"s - Mary Kay & Massagegift basket & massage certificate $65 Pediatric Package & Office Visit Dr. Belton & group T.O. Mahaffey Greenhouses Ivy Sculpture Value $250 Victoria's Attic surprise IN THE WORKS. BUT NOT A SURE THING: Lighthouse Cruises one weekend cruise Target gift certificate Fibber Magee's holiday item Pebble's & Harvey's Bistro gift certificate Sports Authority sports equipment (running) Timicuan Golf golf & private lesson Pieces of Eight antique item Universal Studios VIP pass for family (500 value) The Sexual Trauma Recovery Center The Sexual Trauma Recovery Center at the Arnold Palmer Hospital for Children and Families provides an essential Non-Profit Organization service within our community; quality counseling for child U.S. POSTAGE PAID Permit No. 3459 Orlando, Florida 17th Annual Dick Batchelor and adult victims of sexual abuse and their families. We pride ourselves in serving sexual abuse victims regardless of their inability to pay for services. The daily sexual assault of children by adults-often care- takers- adults by strangers and acquaintances in an unfortunate reality in our world. To assist these victims of sexual assault and their families, the Sexual Trauma Recovery Center requires extensive financial support. Saturday October 25 The Dick Batchelor Run for the Children provides critical funds to meet the needs of these victims, today and tomorrow. The children and families in our community need your support. If you would like to help the Sexual Trauma Recovery Center with other fundraising events, please call the Orlando Regional Healthcare Foundation at For the Children (407)841-5194. Benefiting The Center For Children And Families At The Amoid Palmer Hospital For Children And Women See Dick run. D LLAR Run. Dick, run. A Triumph Track Shack RENTACAR Grand Prix Event! CIRENT TheNEMOURS SEMIC ONDUCTOR CHILDREN'S VISTANA RESORT CLINIC Saturday, October 25, 1997 Lake Eola, downtown Orlando Avco ORLANDO REGIONAL 8:00am 5k 9:15am Kids Run Financial HEALTHCARE SYSTEM Services R All proceeds to benefit the Barnett 2NK Sprint. Ideas For TheWay You Live. WESH PruCare nic of Orlando RESTAURANTS WARNER COMMANY 17th Annual Dick Batchelor Sexual Trauma Recovery Center at the DARDEN Run for the Children 5k Orlando Regional Healthcare System 1414 Kuhl Avenue, Orlando, Florida 32806 Arneld Palmer Hospital FOR CHiLDReN WOMEN HÜGGIES Rural/Metro Ambulance Health Help fight child abuse! Date & Time Corporate Teams Saturday, October 25, 1997 Consist of 4 divisions (Mens, Womens, Mixed and Masters). Each team consists 8:00am: 5k 9:15am: Kids Run of four employees, all of which must complete the event. The mixed division consists of at least 2 women. A masters team is made up of any combination Location (male /female) of runners age 40 over. Team entry forms must be turned in OFFICIAL USE ONLY 5k Wheelchair together to Race Headquarters team entries cannot be accepted on race day. Lake Eola, downtown Orlando. Staging area on Central Blvd. (There is no extra fee for corporate teams.) (Entry fees are non-refundable.) Open House & Pasta Reception In appreciation of your support of the 7th Dick Batchelor 5k Run for the $13 October 20-24 Cash Check Amount Enclosed: $11 thru Oct.18 $13 Oct.. 20-24 $20 Day of race Master's Entry Fees XL $11 through October 18 L Children, participants and their families are invited to an open House and- pasta reception on the eve on the run at Arnold Palmer Hospital for The kids run is free to all children. Children must register at the event in T-shirt Size Mixed $20 Day of the race M Children and Women. We hope you will join us for a good time that will S order to participate. The first 75 registered participants on race day will feature a silent auction, entertainment and a pre-race pasta dinner. receive a T-shirt. All children will receive a race number, goodie bag and a Reservations are required and seating is limited to the first 300 respondents. MI finisher's ribbon. Please call (407)896-1160 to RSVP your attendance. /Suite Apt./Suite # Age (On Race Day) Women's Triumph Rebate Offer ATTENTION RUNNERS Buy 5 or more bottles of Triumph Sport Energy Drink at any Chamberlin's This race will be scored using the ChampionChip. All participants must location and receive a $2 discount off of your entry in the Dick Batchelor pick up their Chip on the morning of the event prior to the race. 5k Run for the Children. Mail in or bring in your Chamberlin's receipt with Please arrive early. Your entry fee includes rental of the ChampionChip Female completed entry form. (Discount not valid with any other discounts and Men's not applicable on race day. Maximum one discount per entry.) for accurate "real time" scoring. Male RESTRICTIONS: For safety reasons, baby joggers/strollers, in-line skates. skate- Registration boards and dogs will not be allowed in the race. Deliver or mail completed entry form with entry fee to race head- quarters: Track Shack 1104 N. Mills Ave.. Orlando, FL 32803 1997 1998 Grand Prix Series Sponsors Make check or money order payable to: Track Shack Foundation Packet Pick-up Please pick up your T-shirt, race number and information Wednesday, October 22, through Friday, October 24, from 10 am to 7 pm at race Triumph! OFFICIAL ENTRY FORM 17th Annual Dick Batchelor Run for the Children to the Sexual Abuse Treatment Program at the Arnold Palmer Hospital Mail completed form with entry fee to: Track Shack, I 1104 North Mills Avenue, Orlando, Florida 32803. (898-1313) Internet Address: Zip Code headquarters or on race day at the site beginning at 6:30am. T-Shirts All entrants in the 5K race receive a specially designed T-shirt. Sizes are not WARKET&CIFE PowerBar GRAND PRIX SERIES First Name State guaranteed on the day of the race. 20th INCOMPLETE OR UNSIGNED ENTRY FORMS WILL NOT BE ACCEPTED Awards Plaques and merchandise prizes awarded in each age group of the 5k. EINSTEIN BROS Mountain Ribbons to all finisher's of the Kids Run. Valley" Spring The top three overall male and female, top three male and female wheel- / BAGELS chair, top male and female master, top three male and female in each age group, overall male and female race walkers and the top three male and BROOKS female age group walkers will receive awards. In consideration of my entry being accepted. I intend to be legally bound, and The do hereby for myself, Orlando my heirs, and Healthcare executors. waive all Foundation, rights WESH, and Rual claims Metro for damages Ambulance. which EMMI may or hereafter subsidiary accrue or to polit- me ical against division ORHS, thereof. its PruCare of or their Orlando, Avco respective Financial, officers, agents, Sprint-United Telephone, representatives. Home successors, Depot, assigns and sponsors Regional from all claims or liabilities of any kind arising out of my any participation in the Run for the Children 5k even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. If should suffer injury or illness, authorize the officials of the race to use their discretion to have me transported to medical facility, and take full responsibility for this action. attest and verify that am physically fit and have sufficiently trained for the completion of this event. hereby grant full permission to any and all of the foregoing to use any photographs. videotapes. motion pictures. recordings, or any other record of this event for any purpose whatsoever. HAVE READ Connection Openiced GULI TREAM indicational ALINES 11-13 25-29 40-44* 55-59 14-18 30-34* 40-49 60-64 70-over M *Awards will be given to the top five places in these men's age groups. foxkids AM 950 club Make check or money order payable to: Track Shack Foundation Day Phone Area Code Age Groups Continental 8-10 19-24 35-39* 50-54 65-over F Wheelchair PEPPERIDGE FARM 65-69M Year I'm unable to run, but would like to make a donation of $ THE ABOVE EASE AND UNDERSTAND THAT IAM ENTERING THIS EVENT AT MY OWN RISK. Race Walkers DAIRY NEI Day FARMERS the has STOPES INTERNET SERVICES WEB WORKX for Children & Women. (Please enclose.) Signature (If under 18, parent's signature required) *2 - Age group: 39-under, 40-49, 50-59 and 60-over. INTERNET ESIGN This is a judged racewalking competition. Those who wish to compete in the racewalking division need to register at the Central Florida Walkers WLOQ CENTRAL booth on race day. (Normal entry fees and registration procedures apply.) BELLSOUTH Mobility CCN COMMUNICATIONS Last Name Address (street) City Date of Birth Month Team Name: NETWORK, INC THE WHITE HOUSE To whom it may concern: This letter is verification that the White House grants you permission to reproduce your official White House photo(s) for your personal use only. Thank you for contacting us for permission to reprint the photo. Should your photo lab have any further questions, feel free to contact the White House Photo Office at (202) 456-6709. The White House Photo Office NOV-26-1997 08:55 MEI 3013149462 P.01/02 Wednesday, November 26, 1997 TO WHOM IT MAY CONCERN: Please give the attached picture request to Nicole Rabner or whoever has authority to honor my request. THANK YOU VERY MUCH!! Paula Broglio 301-405-8634 (w) 301-937-2122 (h) 3013149462 P.02/02 NOV-26-1997 08:55 MEI Wednesday, November 26, 1997 Dear Nicole, Thank you for sending me the wonderful picture of Mrs. Clinton and me. My Aunts really would like a picture so I am asking you if you would send me the negative or if that isn't done, please fax me a note giving me permission to have the picture copied. I want to be able to send to my relatives for Christmas. In case you are able to send me the negative the number on the back of the picture is 23 Oct 97- SF-PO57431-003. If that isn't policy, would you please fax me a note (today if possible) giving me permission to have copies made of the beautiful picture. My fax number at work today is 301-314-9462. My work number is 301-405- 8634. I left a message on your machine Friday or Monday of this week, but rather than waiting for a call back I thought a faxed request would be better. Thank you in advance for your help!! Sincerely yours, Paula Broglio 11012 Cherry Hill Road Adelphi, Maryland 20783 TOTAL P.02 202 965 6115 P.01 OCT-14-1997 14:09 CHALLINOR FAX TRANSMITTAL FROM JOAN R. CHALLINOR October 14, 1997 DATE: TO: John Poling ? J dearey Juanne of ORGANIZATION: First Lady's Office FAX NUMBER: 456-6244 NUMBER OF PAGES INCLUDING THIS PAGE: two (2) COMMENTS: Dine 14/2/19 3117 HAWTHORNE STREET. N.W. WASHINGTON, D.C. 20008 PHONE: 202-965-9447 FAX: 202-965-6115 OCT-14-1997 14:10 CHALLINOR 202 965 6115 P.02 French-America- Foundation 41E. 72 st 2nd Fl JOAN R. CHALLINOR NY, NY 10021 288-4400 October 14, 1997 Mr. John Poling First Lady's Office fend her at me in White House Washington, D.C. 20500 kench amenan Foundation NYC Dear Mr. Poling: I am writing to ask if I could be invited to attend the White House Conference on Child Care on October 23rd at the Jefferson Auditorium (not at the White House itself). I am on the Board of the French-American Foundation (FAF) and have long worked with Susan Watts on the Foundation's Maternal and Child Health Care Project. The FAF has been recognized for its studies of French child care and family policy and has held meetings in several U.S. cities to inform U.S. policy makers how to better American practices. As the Board member most closely allied with this program, it would be of great help to the Foundation were I to attend and listen to what will undoubtedly be a very fine program on a subject which is of extreme importance to every American. Sincerely, Joan R. Challinor did include Suran watts event. & beveryning this averant I'd 3 April cap add although 80mg- overthetts to co Te / my 3117 HAWTHORNE STREET. N.W. WASHINGTON, D.C. 20008 TELEPHONE 202/965-9447 FAX 202/965-6115 TOTAL P.02 THE WHITE HOUSE WASHINGTON October 7, 1997 James P. Comer, M.D. Yale University Child Study Center 230 South Frontage Rd. P.O. Box 207900 New Haven, CT 06520-7900 Dear Dr. Comer: Thank you very much for sharing with the First Lady and me material from your book, Waiting For A Miracle. I look forward to seeing the concept paper soon. Attached please find a photo from your visit to Washington. It was an honor to meet you. I look forward to working with you in the future. Sincerely yours, Nicole Retner Nicole Rabner Associate Director for Domestic Policy Yale University Child Study Center Campus address: School Development Program IG 82 Sterling Hall of Medicine 230 South Frontage Road Telephone: 203 785-2548 P.O. Box 207900 Fax: 203 785-3359 New Haven, Connecticut 06520-7900 August 14, 1997 Ms. Nicole Rabner Associate Director for Domestic Policy 2ⁿᵈ Floor/West Wing The White House Washington, DC 20502 Dear Ms. Rabner: In our conversation of August 5, 1997 Mrs. Clinton indicated an interest in my idea of an education extension service. I have enclosed material from my book, WAITING FOR A MIRACLE, that outlines the idea, as well as suggest other school improvement mechanisms. Our staff is flushing out the concept this summer and we will prepare a concept paper in the fall. I will share it with you at that time. Thank you. Sincerely yours, James James P. Comer, P. M.D. Comer, (Egb) S. D. Maurice Falk Professor of Child Psychiatry Yale Child Study Center Associate Dean Yale School of Medicine JPC:egb Enclosures [Dictated but not read by Dr. Comer.] WAITING FOR A MIRACLE WHY SCHOOLS CAN'T SOLVE OUR PROBLEMS-AND HOW WE CAN JAMES P. COMER, M.D. UNCORRECTED PROOFS PUBLICATION DATE: October 1997 PAGES: 256 TRIM SIZE: 5½ X 8½ TENTATIVE PRICE: $23.95 IMPRINT: DUTTON ISBN: 0-525-94144-4 WARNING: IF ANY MATERIAL IS TO BE QUOTED, IT MUST BE CHECKED AGAINST THE BOUND BOOK. Schools and the American Future 187 Current School Improvement Activities Some of the popular school reform initiatives now being proposed and implemented can be successful-choice (voucher, magnet, and charter are forms of choice) and pri- vatization. There are some very thoughtful, dedicated people supporting these approaches-charter schools in particular. I know parents and school people who are very pleased with the outcomes in certain choice schools. Nonetheless, these approaches do not address any of the fundamental education problems discussed above. They are simply organizational rearrangements. They improve schools where the necessary combination of people is brought to- gether or exists in the first place, and they often do not include the students most in need. Our SDP approach, and other child-centered and school- based programs, can't address basic problems-staff selec- tion, preparation, and support. Replication and large-scale school improvement cannot take place through school- and district-based interventions alone. Underperforming schools can't simply learn from or be motivated by successful proj- ects and alternative schools and do better themselves. Our system of education must produce enough teachers and administrators who can create effective child-centered orga- nizations at every school. This can only be done by carefully selecting, preparing, and supporting school staff-which in turn can only be done by making an adequate financial investment in education everywhere. Some argue that this can be done best by by-passing gov- ernment bureaucracies and contracting with eduation entre- preneurs, with the companies and local elected officials held accountable. But bureaucracy is only a part of the problem, and is as much a problem in the private sector as it is in the 188 WAITING FOR A MIRACLE public. And the profit motive creates other problems. I know of a company that just walked away from one college and signed a contract with its competitor without prior notice. The schools serving the most vulnerable could be hurt the most in such situations. Anyway, local officials have always been charged with holding public school people accountable. There is little reason to believe that they would be more successful with the private sector. I hear almost no discussion about this among proponents of choice, public or private. Besides, with privatization there is a very good possibility that public money will prepare educators and management for private schools and private profit-and leave the public with the most challenging education problems, the tab for finding a way to address them, and the consequences of not doing so. Also, using choice approaches would further fragment an already wildly fragmented education system, making it even less likely for a legislature to formulate coherent education policies. And because most schools of choice are using tradi- tional education approaches, they too would leave behind those students most in need. And remember, students in states and communities with less traumatic social histories are already doing as well on international achievement tests as students in other coun- tries. No form of choice can overcome the complex effects of social trauma on students, families, or education systems. This will require attention to community and family func- tioning and support for student development. None of the successful education programs in other post- industrialized nations is moving toward privatization. And what is called private is almost entirely public-supported, and designed to provide learning alternatives to already very effective public systems. With school reform that addresses fundamental problems, the public sector can and should do the job. It is government's responsibility to promote the common good, to pay attention to the needs of all. Public can be good. Our other large public system, the military, Schools and the American Future 189 is one of the best and most respected organizations in the world. The military provides our national defense. Public educa- tion is a large part of our national offense. We spend almost as much on education as we spend on the military. But we spend almost nothing on education leadership and over- sight, and we are haphazard about the preparation and con- tinuing support of education personnel. We can't create a world-class education system while this is so. How We Can Change Our Schools We can improve our schools most by addressing the prob- lems I have just outlined. School staff must understand child development and learning and how to promote it. The financial support of schooling must be adequate every- where. The selection, preparation, and support of staff must be based on student needs only. Great attention must be given to providing the best school leadership possible. What would comprehensive change look like? We would have a large pool of caring and competent edu- cators and then enhance the conditions that keep them in the field. This would require changing many aspects of the preparation and support of new educators-teachers and administrators-and the retooling and better support of many current practitioners. Also districts with a low tax base would have to gain the stability that educators and students need to succeed. Implementing the 1996 recommendations of the Na- tional Commission on Teaching and using the 1995 National Council for Accreditation of Teacher Education guidelines for leadership programs would go a long way toward pre- paring the education workforce we need. These call for administrator preparation that will lead to effective strate- gic, organizational, instructional, political, and community leadership. 190 WAITING FOR A MIRACLE The Commission on Teaching recommendations are keyed to the year 2006: 1. All children must be taught by teachers who have the knowledge, skills, and commitments to teach chil- dren well. 2. All teacher-education programs must meet professional standards, or they will be closed. 3. All teachers must have access to high-quality profes- sional development and regular time for collegial work and planning. 4. Both teachers and principals must be hired and re- tained based on their ability to meet professional stan- dards of practice. 5. Teacher salaries must be based on knowledge and skills. 6. Quality teaching must be the central investment of schools. Most education dollars will be spent on class- room teaching. To improve teacher education and retraining, I have five proposals that, collectively and in time, could bring about the kind of coherence and quality assurance seen in central- ized systems, while maintaining the flexibility of a decen- tralized system: 1. Professional-development schools 2. An Education Extension Service 3. Leadership academies 4. A Board of Education Masters 5. A human capital-development movement These proposals would help modify or eliminate problematic underlying conditions. The first three would help many edu- cation practitioners work differently and more effectively. The final two would help stop the blaming and enable us to begin to address the root causes of our education problems. Schools and the American Future 191 These are sustainable, supportive, and proactive mechanisms for improving schools-not reactive and punitive. Professional-Development Schools The Commission on Teaching report strongly endorses professional-development schools. A 1990 report on this new approach, Tomorrow's Schools, was issued by the Holmes Group, a consortium of one hundred research universities, after significant study and deliberation. The major goals are to help make educator preparation both more rigorous and more connected to good practice in schools. In their model the college educator preparatory program is combined with schools in an organic way-much like the medical school-hospital arrangement. This promotes the integration of theory, research, and practice. Some of the Holmes Group recommendations and those made by the Task Force on Teaching and America's Future are the same. They are (1) that university teachers prepare their students to teach by spending more time with them and with selected supervisory teachers in actual schools; (2) that future teachers learn to teach students how to think and solve problems, and learn how to help students over- come the barriers created by an unequal society; and (3) that future educators be taught in such a way that they them- selves become students of learning, and learn to create schools that are learning communities for students. In short, they call for replacing what amounts to pouring information into the heads of students with engaging them in inquiry and problem solving. This is the kind of work- force preparation that employers are calling for. It is the kind of preparation young people need, to be responsible family members, consumers, and citizens. The recommendations also call for time for classroom teachers to plan, supervise, and reflect with colleagues, as is more often the case in European and Asian schools. And 192 WAITING FOR A MIRACLE they ask for class scheduling that permits teaching and learn- ing for deep understanding, which is difficult to achieve when the class periods are rigidly scheduled. These changes would promote accountability among students, staff, and parents much more than rules and tests do. Selection, preparation, retention and promotion standards should be based on the ability of teachers and administrators to work in these ways. All of this is needed to promote the kind of staff professionalism that students need. Coaching or counseling in school-based teacher prepara- tion programs can help future teachers understand that analysis, planning alone and with colleagues, implementa- tion, review of outcomes, and consultation are desirable processes-not a sign of incompetence. Counseling can help some choose another career before they hurt students, as well as their own sense of worth. This is done routinely in arts programs in higher education, and it is very much needed in teacher education. Professional-development schools could help reduce the isolation of the university and the school from the larger world and make learning more meaningful for students and staff. This would lead to the kind of connections between students and the world of work, future family, and citizenship roles that can make education, and the value of personal excellence, more immediate and important to stu- dents. Involving organizations and the public in the work of the school would increase knowledge about and support for public education. Also, improved preparation in general, and develop- ment schools in particular, would put educator expertise at the center of the enterprise. I was an early advocate of parent and community participation in support of student development, and I still support such involvement. But I am concerned that in some cases participation has amounted to an adversarial or takeover-of-power mentality. Educa- tors understand that their knowledge must be expanded, Schools and the American Future 193 that they need to know more about child development and how to promote it. But they still know vastly more than most of us. Parents can provide wisdom and knowledge about their children and the community. And business and other partici- pants can provide support and access to community re- sources. And with school staff they can help create a climate that promotes development and desirable performance. But the responsibility for leading the education mission must remain with the educator. And to be effective, educators must promote genuine involvement of these groups. Education Extension Service This mechanism is needed to help existing practitioners retrain. The model for the Education Extension Service is the Agricultural Extension Service which was established in the early part of the twentieth century when agriculture was key to the American economy. It was and still is a federal, regional, and state program that provides a range of services to local farmers. The AES has always had access to federal and state funds for the promotion of agriculture. The county agent and associates interact with the local commu- nity in ways that inform, support, and "sell" more effective ways of farming. They are often a part of or connected to universities or research institutions where new knowledge is being developed. The work of the Service has helped America to become the breadbasket of the world, and has greatly aided the economy. Today, improved education is needed to maintain the strength of the American economy. An Education Extension Service could work in a similar way. This could create the coordination needed among federal, state, and district edu- cation authorities and other institutions. Indeed, in the past some state departments worked with districts primarily through program support activities. But many have become 194 WAITING FOR A MIRACLE bogged down in enforcing mandated program regulations, testing, and other administrative operations. An EES could support teams made up of researchers and successful practitioners in helping other practitioners up- grade themselves. This should include helping local authori- ties pay greater attention to the careful selection and support of staff-including how to help teachers in need, and how to help them leave with minimal hurt to themselves and others when indicated. In Denmark teachers work in teams, new teachers learn and are supported by, and also have a senior teacher helper. They have ongoing discussions and reviews with the school head, also a teacher. With this kind of support and coun- seling, teachers who are not effective often leave on their own. Counseling of staff who are still not effective after rea- sonable support efforts is an expected and accepted prac- tice. And much of the help is provided by the local teachers' union. Because of careful selection and strong support, pro- longed difficult situations are rare. Accomplishing these tasks here would require many interactions of all parts of a local community-school per- sonnel, parents, students, and leaders from the full social and economic spectrum. Spontaneous and organized forums and projects are bringing these groups together across the country. An EES could inform these discussions, and some- times even initiate them. Informed public discussion would point up intolerable inequities among districts and make denial difficult. This could challenge us to begin to create acceptable learning opportunities and performance standards. Interaction and knowledge sharing would enable local communities to pro- mote and protect public education and to begin to move schools in the right direction. An EES would be in a position to advise policymakers about the kinds of policies needed. Such a service could help to streamline bureaucracy and spend the considerable amount of money already available in a more efficient and Schools and the American Future 195 effective way. Indeed, the National Commission estimates that implementing all of its recommendations would cost one percent of what we are paying to bail out the savings and loan associations. Leadership Academies The impact of efforts to support schooling can be sharply limited by poor leadership. Obviously, the well-prepared leader has the best chance of being effective. Thus, in ad- dition to university leadership degree programs, a post- graduate program for newly appointed and practicing administrators is needed. This academy could be sponsored by the state and/or federal government. In cooperation with extension services and professional-development schools, it could provide knowledge about effective practices and an opportunity to continue to learn and grow with colleagues. Our Yale School Development Program conducts a one- week Principals' Academy for participating districts each summer. Recent participants commented about how two issues addressed during the week better prepared them for their demanding jobs. The first was the "human factor": how to create conditions that enable the many different people in a school-students, custodians, teachers-to interact well. The second was "pulling it all together": organizing and managing to do all the things a modern school must do- child rearing and development, preparation for testing, drug prevention, and so on. These participants also said the op- portunity to get together with peers facing the same chal- lenges in a give-and-take environment was extremely helpful and provided spiritual renewal, learning, and growth. Because leadership is critical, no superintendent, prin- cipal, or school board member should serve without having had an opportunity to learn about both of these factors, and how their performance, good and bad, facilitates or inter- feres with outcomes for children. For example, case studies of 196 WAITING FOR A MIRACLE the effects on students of conflicting policies like those of the Western states described in this chapter, could be helpful. Required attendance in such a program would almost immediately raise the quality of leadership. If all leaders had to participate in training in which they shared and exam- ined their responsibilities in the presence of people from other districts and their own training staff, local authorities would be much more likely to select candidates capable of carrying out child-centered leadership. Leadership academy recognition of localities that greatly improve effective orga- nization building would do more to improve education- and test scores-than rewards for high test scores that are sometimes due largely to the student's family background and social and economic advantages. Our national defense is so important that the nation built several military academies across the country to find and prepare people for carrying out this mission. The military academies have multiple ongoing activities akin to leader- ship academies to provide continued development and readiness. Indeed the armed forces do more training than fighting. The academies are hotbeds and transmitters of the values and ways of the military, and, like principals and school superintendents, military leaders are responsible to elected officials. In order to produce the highest level of order and effective- ness, the military must operate with a clear chain of command even though, at the highest level, deliberation and appro- priate questioning is a part of the process. But clearly leader- ship preparation for the military is less complicated than for education. To carry out the education mission-teaching and learning-openness, challenge, and deliberation must per- meate the entire system. It must take place among the commu- nity, district, state, and national authorities. Before the information explosion there was less ques- tioning. Today, school leaders must be able to maintain their organizations as learning environments and at the Schools and the American Future 197 same time promote order and the effective growth and development of all involved-in an ethos of questioning. Education academies need to be structured in line with the mission and needs of education, different from the mili- tary's. But they must be given the same kind of attention. While the task if far more difficult, the outcome is no less important. Board of Education Masters Finally, we need a way to make such changes happen. Deeply rooted in past tradition, the way we educate our chil- dren is not going to change unless it can be protected from some of the most harmful influences-extreme funding inequities and poor preparation, selection, and support of educators. At the same time, in a democracy, education legislation must come from elected officials. But again, it should not be constrained by their limited knowledge of the complex enterprise called education, or their political interests. Existing state and local elected and appointed school boards are largely political entities. We need a way to main- tain coherence and continuity of educational practice in the face of the swinging pendulum of political ideologies. Flexi- bility in the system should be in the interest of meeting edu- cational needs, not political and economic interests. A useful model here is the way the Board of Governors of the Federal Reserve System serves to promote the economy. We need a Board of Education Masters. The role of this board would be to make certain that education is carried out in a way that is fair for all districts and achieves national and state objectives. State departments of education often have the incom- patible tasks of support to local districts and regulatory, per- formance audit, and sanction activities. These functions need to be separated. State departments of education need 198 WAITING FOR A MIRACLE to have a collaborative relationship with institutions that can help local school districts, especially university partners and extension services. The audit and sanction functions could become the work of the Board of Education Masters. As envisioned, the Board would have the power to insist that states and localities meet particular standards. Its mem- bers must be highly respected and trusted (even, when not liked). Besides possessing a thorough knowledge of educa- tion, the Board would have to be selected in a way that pro- tects members from political and economic pressures, even as they are responsible to elected officials. This is how the judicial branch of government was designed. I would suggest that the Board should be under the jurisdiction of the state supreme court, but should be appointed by the court, not elected, through a review process that ensures appropriate expertise and scrutiny by parents and educators. Such an approach is by no means less democratic than the present process. It actually protects the democratic pro- cess. The danger to democracy in the information age, and in turn to children, is the ability of a well-organized few, with a great amount of money and access to technology, to mani- pulate the facts and promote policies that do not serve the interests of all children well. In order to provide timely information to the Board about all aspects of the conditions and needs of districts, a survey research group, collaborating with state departments of education, could conduct audits to determine whether or not schools are meeting their responsibilities. Finally, it is impossible to address the education crises fully without changes in financial support of public schools. The great inequities cannot stand. The Supreme Court de- clined involvement in this matter when it said, essentially, that education was not protected by the constitution in its 1973 ruling on San Antonio School District U. Rodriguez. But it is now clear that education is related to the attainment of most other rights protected by the Constitution. As my "no formal education" mother would have said, "That's just common Schools and the American Future 199 sense!" Inadequate support for education needs to be recon- sidered by the Court. But to be realistic, because our present way of doing things has been so effectively rationalized, the Supreme Court is not likely to act. And not even education masters could change the present financial support arrangement. Indeed, none of the changes necessary to create and support a large pool of educators so that they can effect development and improve levels of learning can happen without a na- tional consensus about what is needed and a call on policy- makers to make it happen. It is for this reason that we need the fifth proposal. Human Capital-Development Movement. The cultural inertia that undergirds the present ap- proaches can only be overcome by a sustained movement that taps deep into our concerns about the kind of future we want for ourselves and all our children. Through a human capital-development movement that rejects scapegoating and insists on problem solving, we would have a chance to make the necessary adjustments to create a world-class edu- cation system-which is clearly essential to our goal of the Good Society. THE WHITE HOUSE WASHINGTON March 26, 1997 Ms. Jean Shapiro Cantu Member, Advisory Board Tourette Syndrome Association of the Greater Washington, DC Area 14667 Fox Glove Court Woodbridge, VA 22193 Dear Ms. Cantu: Thank you very much for your thoughtful letter and the materials which will be helpful as planning continues for the upcoming White House Conference on Early Development and Learning. While we are constrained by space limitations for the Conference, we are thankful for your interest and your obvious commitment to early childhood development issues. Best wishes. Sincerely, Incole Pur Mcole Pur Nicole Rabner Associate Director of Domestic Policy mon 11.1V ГАЛ 202 428 0110 ED MEDIA FAX COVER SHEET Date: 3/17/97 Number of pages (including cover page): 12 To: Nicole Rabner Domestic Policy CounciL Fax # 456-6244 From: Jean Shapiro Cantu, Member, Advisory Board Tourette Syndrome Association of the Greater Washington, DC Area 14667 Fox Glove Court, Woodbridge, VA 22193 Phone #: (202) 857-7014 (7-3:30 M-F) (703) 583-6419 (after 5, evenings and weekends) Fax: (202) 429-5770 (weekdays) Email: [email protected] Attached material in response to your letter about the White House Conference on Early Learning+ Brain Development. I look forward to hearing from you soon. Thank you ! Sean C 03/17/97 MON 11:11 FAX 202 429 5770 ED MEDIA 002 Jean Shapiro Cantu Member, Advisory Board TOURETTE SYNDROME ASSOCIATION OF THE GREATER WASHINGTON, DC AREA 14667 Fox Glove Court, Woodbridge, VA 22193 (703) 730-2169 home; (202) 857-7014 office March 17, 1997 Ms. Nicole Rabner Domestic Policy Council Old Executive Office Building, Suite 100 Washington, DC 20502 Dear Ms. Rabner: Thank you very much for your letter requesting material for the upcoming White House Conference on Early Learning and Brain Development. For the past four years I have worked with the Tourette Syndrome Association on behalf of early diagnosis and treatment for children with neurobiological disorders (NBD's). Serving on their Professional Advisory Board, I wrote to members of Congress, as well as to the White House, to support legislation mandating equitable health insurance for individuals with neurobiological disorders. The recent passage of the Domenici/Wellstone "Mental Health Parity Act" is a historic first step in the recognition that "mental Illnesses" (which affect children as well as adults) are in fact disorders of the brain which should be treated on a par with other physical illnesses such as cancer and heart disease. I am pleased to send (under separate cover) material on this subject which I have accumulated over the past several years. In the meantime, I am attaching copies of my advocacy and lobbying work on behalf of the Domenici/Wellstone Amendment. I very much hope that I will be invited to the White House Conference, as I believe that T can make a contribution on behalf of children with NBD's. Let me add that I am the mother of a ten year old daughter who has been successfully treated for three NBD's (Tourette Syndrome, attention deficit hyperactivity disorder, and obsessive compulsive disorder); she is an honor roll student and a gifted artist. I would like to share her story with members of the Conference as an example of the importance of early medical intervention for children with these illnesses. Attached please find two samples of Rosalynn's artwork. Again, thank you for contacting me about this very important Conference. I look forward to hearing from you. Sincerely, Jean Cantu Jean Shapiro Cantu 03/17/97 MON 11:11 FAX 202 429 5770 ED MEDIA TUESDAY EDITION March II, 1997 Potomac news 35 Cents Published by Virginia Newspapers Inc., a Media General company PRINCE WILLIAM STAFFORD MANASSAS MANASSAS PARK Congress has chance to help children By JEAN SHAPIRO CANTU During the last days of the 104th LOCAL VOICES session. members of the Senate unan- A n excerpt from "It's Nobody's imously endorsed the inclusion of this Fault: New Hope and Help for legislation in the Kennedy-Kassebaum Difficult Children and Their Par- Health Reform Act: unfortunately the ents." by Dr. Harold S. Koplewicz. bill was not included in the final bill MD. says. Over the last 20 years Our current health insurance sys- approved by President Clinton. there has been a major breakthrough in the understanding of emotional and tem discriminates against people Now the members of the 105th Congress have the unique opportunity behavioral disorders in children and with NBDs by calling their disor- to leave a gift to the children of the adolescents. In the past. childhood ders (which are diseases of the 21st century - health coverage that psychiatric disorders were thought to be caused by early childhood traumas brain) mental and psychiatric ill- will enable their parents to afford the or bad parenting or sometimes both. nesses, and by offering only a por- early screening, diagnosis, and med- Ical intervention that are essential in Today we recognize the vital rolc of tion of the coverage afforded to oth- treating NBDs such as Tourette Syn- the brain itself. Children have er physical illnesses drome. attention deficit disorder. these disorders largely because of the obsessive-compulsive disorder. bipolar way their brains work. The fact that disorder, major depressive disorder. the symptoms of these disorders are schizophrenta, autism and other per- behavioral doesn't change the fact robiological disorders has come a long vasive developmental disorders. that there is a neurobiological basis to way since the 19th century when According to a recent study by the them." reformer Dorothea Dix petitioned Institute of Medicine, 7.5 million chil- One of the fruits of the 1990s, The state legislators to build state hospi- dren and teen-agers (at least 12 per- Decade of the Brain" is the knowledge tals for "insane persons confined in cent of those under 18) have what Dr. that neurobiological disorders of cages. closets, stalls, pens." But even Koplewicz calls a "diagnosable brain young people can be treated very suc- back in the 1840s, according to Dix's disorder." cessfully by medication prescribed by recent biography by David L. Gollaher. President Clinton and members of qualified child psychiatrists and neu- she suspected that "the underlying the 105th Congress are encouraged to rologists. condition in mental disorders was a seize this opportunity to enact legisla- However, our current health insur- biological malfunction of the brain." tion mandating parity for insurance ance system discriminates against During the 103rd and 104th ses- coverage for neurobiological disorders. people with NBDs by calling their dis- sions of Congress, several visionary Passage of parity will go a long way to orders (which are diseases of the members of the House and Senate ensuring that our kids with NBDs brain) mental and psychiatric illness- proposed legislation mandating equi- lead fulfilling and productive lives in es. and by offering only 2 portion of table health insurance coverage (pari- the 21st century. the coverage afforded to other physt- ty) for individuals with neurobiological cal illnesses such as heart disease, disorders. They include Rep. DeLau- Cantu is member of the Professional Advisory cancer and diabetes. ro, and Senators Domenici and Well- Treatment for individuals with neu- Board, Tourette Syndrome Association of Washing- stone. lon. D.C. She lives in Woodbridge. 03/11/81 MUN 11:12 FAA 202 429 5770 ED MEDIA Jean Shapiro Cantu Member, Advisory Board Tourette Syndrome Association of the Greater Washington, DC Area 14667 Fox Glove Court Woodbridge, VA 22193 (703) 730-2169 home (202) 857-7014 office April 18, 1996 Ms. Anne McCaw Women's Policy Inc. 409 12th Street, SW, #705 Washington, DC 20024 Dear Anne: Thank you very much for contacting me about background material supporting Representative DeLauro's "Neurobiological Disorders Act," to be included in the Women's Health Equity package. Enclosed please find the following: - copies of proposed House and Senate legislation mandating equitable health insurance for neurobiological disorders - copies of state legislation (passed and proposed) mandating equitable health - insurance for neurobiological disorders - newspaper articles on the above topics - material showing that "mental illnesses" are indeed neurobiologal disorders on a par with other physical illnesses - newspaper articles showing how NBD's affect individuals and society -articles on Rosalynn Carter's advocacy of non-discriminatory health insurance for people with NBD's - copies of letters I sent to state and national officials on this topic - articles on Attention Deficit Disorder, which affects adults as well as children - letters I sent to the Washington Post I would like to mention the pioneering efforts of Dr. Richard Peschel and his late wife, Dr. Enid Peschel (both of Yale University School of Medicine) to change society's attitudes toward NBD's, and to recognize these disorders for what they are, disorders of the brain. Thank you again for the opportunity to contribute to the passage of Representative DeLauro's legislation. Sincerely, Jean Shapiro Cantu 03/17/97 MON 11:12 FAX 202 429 5770 ED MEDIA 005 Urge Congress to improve health care for afflicted a Legislation recently introduced In the U.S. Senate and House of Represen- tatives is of great interest to Prince William families affected by neurobiolog- ical disorders. House Resolution 1797 (introduced by Rep. Rosa DeLauro) and Senate Bill 288 (introduced by senators Pete Domentci and Paul Wellstone) recognize. the physical base of many conditions affecting mood and behavior such as Potomac news Tourette Syndrome, obsessive- compulsive disorder, bipolar disorder, major depressive disorder, schizophrenia, attention deficit dis- order, auttsm, and pervasive develop- ment disorders. The DeLauro bill would "require employer health benefit plans to meet September 9, 1995 standards relating to the nondiscrimi- natory treatment of neurobiological dis- orders in a manner that is not more restrictive than coverage provided for other major physical illnesses. Currently, Insured Individuals with neurobiological disorders receive much less coverage than those with illneases such as cancer. heart disease or dia- betes. This Inequity contributes to the myth that such disorders are "psychi- airic" conditions. somehow the fault of the patient I urge Prince William residents to write and/or phone their representa- tives in Congress, urging them to co- sponsor and/or vote for H.R. 1797. "Equitable Health Care for Neurobiolog- ical Disorders Act of 1995," and S. 298, "Equitable Health Care for Severe Mental Illnesses Act of 1995.") It's also crucial to write the chairper- sons of subcommittees to which the leg- islation has been sent: Sen. Nancy Kassebaum. Chatr. Senate Labor and Human Resources Committee. Room 302. Run. sell Building. lat and C streets, NE, Washington, DC 20510 M Rep. Bill Archer, Chair, Ways and Means Com- millic. Room 1238, Longworth House Office Butlding, Washington, C20515 . Rep. Thomas J. Billey Jr., Chair, Commetes Committee. Room 2241. Rayburn House Office Budding, Washington, DC 20518. . Rep. Wilkom F. Goodling. Chair. Economic and Educational Opportunities Committee, Room 2263. Rayburn House Office Budding. Washington. DC 20315 . Rop. Michael Billrakis. Chairman. Commerce Subsammiltes an Health and Environment, Room 2240, Rayburn House Office Building. Washington. DC20515. These bills. introduced in 1993, never made It out of subcommittee. Now H.R. 1797 and S. 298 have a second chance, and It la crucial that those of us who are allected make our voices heard in Congress. These bills are cost-effective, since these Illnesses costs society billions of dollars each year. According to a study by the Mas- sachusetts Institute of Technology and The Analysis Group. workers' clinical depression causes corporate America to lose $23.8 billion from absenteelsm and lost productivity. And according to a survey cited by USA Today, 62 percent of surveyed voters agree with the state- ment "Mental-health treatment should be covered to the same extent as phys- leal treatment under health-care reform." Finally, In regard to S.298, why not suggest that "severo mental Illnesses" be called their less stigmatizing (and more scientifically correct) name. "neu- robiological disorders"? Jean Shapiro Cantu Date City 03/17/97 MON 11:13 FAX 202 429 5770 ED MEDIA 006 14667 Fox Glove Court Dale City, VA 22193 June 22, 1993 3/96 Letters to the Editor The Washington Post 1150 15th Street NW Washington, DC 20071 As the mother of a child with Tourette Syndrome, I was very disappointed by the cavalier tone of Courtland Milloy's column entitled "What So Proudly He Assailed." His description of Mahmoud Abdul Rauf's neurological problem contains several inaccuracies, such as "there is speculation that Tourette's is incurable because it's just a manifestation of deep-seated anger." Tourette Syndrome is a neurobiological disorder of the brain (not the human psyche), caused by an imbalance of brain chemicals, not nerve impulses. I would be very interested to know which doctors he consulted for this article; he would have been better served by contacting the Washington, DC branch of the Tourette Syndrome Association (301-681-4133), or Dr. Harvey Singer, who works with Tourette patients at Johns Hopkins. Mahmoud Abdul Rauf and other individuals who deal with TS on a daily basis deserve compassion, not satire. Sincerely, Jean Shapiro Cantu Member, Advisory Board Tourette Syndrome Association of the Greater Washington, DC Area 00/11/81 MON 11:13 FAA 202 429 0770 ED MEDIA 14667 Fox Glove Court Woodbridge, VA 22193 July 19, 1995 Letters to the Editor The Washington Post 1150 15th Street, NW Washington, DC 20071 After reading Serge Kovaleski and Lorraine Adams' interview with Theodore Kaczynski's mother and brother (June 16, 1996), I hope that they will come to the realization that they are not at fault for Kaczynski's actions as the Unabomber. Perhaps he suffered a brain injury (stemming from his allergic reaction at the age of one) which affected his ability to relate to other people; certainly his family tried to provide him with love and support as he grappled in a wilderness inside his mind, which ultimately turned deadly to many other people. During the nineteen fifties, when he was growing up, a stigma against mental illness (which unfor tuna tely persists to this day) as well as a lack of scientific knowledge about neurobiological disorders would have prevented his family from seeking help (or even understanding how serious his problem was). Although scientists now know that many disorders of behavior and mood stem from brain abnormalities, socieity's stigma against "mental illness" still persists. How else can we explain how eager some of our elected representatives are to throw the Domenici/Wellstone amendment for parity in mental health insurance out of the Kennedy/Kassebaum health reform bill? Perhaps we can learn a lesson from the tragedy of the Unabomber's victims and his own family--if a child's mood or behavior are obviously troubled, it is important for his family to seek help immediately, and it is imperative that we as a society remove the stigma that prevents many families from doing SO. It is still not too late for the passage of the Domenici/Wellstone amendment (which has also been introduced by Rep. Rosa DeLauro in the House of Representatives). The long and tragic saga of the Unabomber should spur others in Congress to support this legislation, and to support it now. Other tragedies can, and should, be averted. Sincerely, Jean Shapiro Cantu 03/17/97 MON 11:14 FAX 202 429 5770 ED MEDIA 008 Jean Shapiro Cantu Member, Advisory Board Tourelte Syndrome Association of the Greater Washington, DC Area 14667 Fox Glove Court Woodbridge, VA 22193 (703) 730-2169 home (202) 857-7014 office May 2, 1996 Letters to the Editor USA Today 1000 Wilson Boulevard Arlington, VA 22229 FAX: 703-247-3108 Your editorial "Bill to reform insurance has too much baggage" (May 2, 1996) supports dropping mental health parity (the Domenici/Wellstone amendment) from the Kennedy/Kassebaum health reform legislation. I would submit to your readers that the time is long overdue for mental health equity in a national health bill, since scientists have proven that the physical basis of mental illness is as concrete a reality as that of other illnesses. Certainly no one would debate whether measles, heart disease, or cancer should be covered by a health insurance policy; why, then, should not neurobiological disorders be provided for on an equal basis? Treatment for individuals with neurobiological conditions has come a long way since the 19th century when reformer Dorothea Dix petitioned state legislators on behalf of "Insane Persons confined in cages, closets, stalls, pens! Chained, naked, beaten with rods, and lashed into obedience!" But even back in the 1840's, according to Dix's recent biography by David L. Gollaher, she suspected that "the underlying condition in mental disorders was a biological malfunction of the brain." Scientists now have data to back up Dix's belief-"mental" and "psychiatric" illnesses such as bipolar disorder, major depressive disorder, obsessive compulsive disorder, attention deficit disorder, Tourette Syndrome, autism, schizophrenia, and pervasive developmental disorders, are caused by malformations and malfunctions of the brain. As a result, most psychiatrists focus more on psychopharmacology than on traditional talk therapy. The Domenici-Wellstone amendment is cost-effective, since lost productivity due to neurobiological disorders costs society billions of dollars each year; according to a study by the Massachusetts Institute of Technology and The Analysis Group, workers' clinical depression causes corporate America to lose $23.8 billion due to absenteeism and lost productivity. In addition, according to a survey cited in USA Today (March 8, 1994), sixty-two percent of surveyed 03/17/97 MON 11:14 FAX 202 429 5770 ED MEDIA voters agree with the statement "Mental-health treatment should be covered to the same extent as physical treatment under health-care reform." In addition, according to a 1995 Virginia Senate Joint Resolution, "It is estimated that nearly 80 percent of students identified as having ADD (attention deficit disorder) drop out of school. If ADD is identified at an early age, steps may be taken to prevent students from dropping out of school." The memo goes on to say that, according to several studies of adolescent and adult outcomes of ADD: 50% have significant social interaction problems 18% have contact with police 46% have auto accidents in adolescence 30% have substance abuse problems, and 10% attempt suicide Currently our medical system is taking an ill-advised economic shortcut by offering only partial coverage for conditions such as ADD. In the end, society will have to deal with, and pay for, the social, legal, and criminal problems caused by individuals who do not receive adequate medical treatment of their neurobiological disorders. Surely, as the 20th century comes to a close with "The Decade of the Brain," the time has come to end discrimination by the health insurance industry against those of us with NBD's. If Dorothea Dix were alive today, I believe she would ask "If not now, when?" Sincerely, SeanConth Jean Shapiro Cantu 03/17/97 MON 11:15 FAX 202 429 5770 ED MEDIA Important Legislation in Congress Needs Citizens' Support Representative Rosa DeLauro (CT), Senator Pete Domenici (NM), and Senator Paul Wellstone (MN) have introduced legislation into the House of Representatives and the Senate that is of great interest to families affected by neurobiological disorders. H.R. 1797 (House of Representatives) and S. 298 (Senate) recognize the physical base of many conditions affecting mood and behavior such as major depressive disorder, bipolar (manic-depressive) disorder, obsessive-compulsive disorder, attention deficit disorder, Tourette Syndrome, schizophrenia, autism, and pervasive developmental disorders. The DeLauro bill would "require employer health benefit plans to meet standards relating to the nondiscriminatory treatment of neurobiological disorders. in a manner that is not more restrictive than coverage provided for other major physical illnesses." Currently insured individuals with neurobiological disorders receive much less coverage than those with illnesses such as cancer, heart disease or diabetes. This inequity contributes to the myth that NBD's are "psychiatric" conditions, somehow the fault of the patient. Please take the time-NOW--to write and/or phone your representative in Congress, urging him or her to co-sponsor and/or vote for H.R. 1797, Equitable Health Care for Neurobiological Disorders Act of 1995, and S. 298, Equitable Health Care for Severe Mental Illnesses Act of 1995.' Also, it is crucial to write to the Chairpersons of the House and Senate committess and subcommittees to which the legislation has been sent. - Senator Nancy Kassebaum (KS), Chair, Senate Labor and Human Resources Committee, Room 302, Russell Building, 1st and C Streets, NE, Washington, DC 20510 --Congressman Bill Archer (TX), Chair, Ways and Means Committee, Room 1236, Longworth House Office Building, Washington, DC 20515 --Congressman Thomas J. Billey, Jr. (VA), Chair, Commerce Committee, Room 2241, Raybum House Office Building, Washington, DC 20515 --Congressman William F. Goodling (PA), Chair, Economic and Educational Opportunities Committee, Room 2263, Rayburn House Office Building, Washington, DC 20515 --Congressman Michael Bilirakis (FL), Chairman, Subcommittee on Health and Environment (Commerce Committee), Room 2240, Rayburn House Office Building, Washington, DC 20515 These bills were originally introduced in 1993 and never made it out of subcommittee. Now H.R. 1797 and S. 298 have a second chance, and it is crucial that those of us who are affected by neurobiological disorders make our voices heard in Congress. Please stress that these bills are cost-effective, since lost productivity due to these illnesses costs society billions of dollars each year; according to a study by the Massachusetts Institute of Technology and The Analysis Group, workers' clinical depression causes corporate America to lose $23.8 billion due to absenteeism and lost productivity. In addition, according to a survey cited in USA Today (March 8, 1994), sixty-two percent of surveyed voters agree with the statement "Mental-health treatment should be covered to the same extent as physical treatment under health-care reform." **In regard to S. 298, why not suggest that "Severe Mental Illnesses" be called their less stigmatizing (and more scientifically correct) name, "Neurobiological Disorders"? antio 3 member 1101 ED MEDIA 5770 429 202 PAX 91:11 NOW 03/17/67 THE WHITE HOUSE WASHINGTON sent September 15, 1997 Reverend James J. Close President, Mercy Home for Boys and Girls 1140 W. Jackson Blvd. Chicago, IL 60607 Dear Reverend Close: Thank you very much for your letter to Melanne Verveer and for sharing your invaluable advice on the upcoming White House Conference on Child Care as well as your experience at Mercy Home. We greatly appreciate your guidance and expertise as we continue to develop the themes and the direction of the conference. We look forward to working with you in the future as we continue to plan the conference. Sincerely yours, Nicole Rabner Associate Director for Domestic Policy R SINCE 1887 to: nicole MERCY August 13, 1997 HOME FOR BOYS & GIRLS Ms. Melanne Verveer Chief of Staff to the First Lady The White House 600 Pennsylvania Avenue Washington, D.C. 20006 Dear Ms. Verveer: Last year, you were formally introduced to Mercy Home for Boys & Girls by Brian McPartlin and then by Mark Mroz of my staff. I very much appreciate your recognition of our work and concern for this generation of youth, and the one that is to follow. Any other national issue, in my estimation, pales in comparison to what is at stake for the future of our country when understanding the risks that beset youth and families presently. Our generation's legacy will be lived out through the preparedness of our youth to continue in the ideals and traditions that have made us a people filled with opportunity and promise of something better. It is my understanding that on October 23, the President and First Lady will sponsor a conference on child care. Let me first say that I am encouraged to witness the power of the Presidency understanding and acting upon this grave concern: the future of our country -- our greatest resource and hope -- our youth. I have led Mercy Home for the past 25 years. I have witnessed thousands of our youth struggle day after day to learn, to grow, to change, to seek love and acceptance, to develop a lifestyle that's founded in the core principles of respect, honesty, responsibility and care for one another. At Mercy Home, we have constantly changed to meet present challenges and, may I say, we've learned a few things about raising children. We've learned as much through our mistakes as we have by our perceptiveness and success. Above all, we promise our youth care and consistency which unfortunately is often lacking. Reverend James J. Close, President 1140 W. Jackson Boulevard Chicago, IL 60607 312/738-7560 FAX 312/738-0484 Ms. Melanne Verveer August 13, 1997 Page 2 Thankfully, there are many Mercy Homes who reach out and do miraculous things. Altogether however, kids need more help, and we have to take our case to those who can create change and support for our kids. It's not just about money, it's mainly about good parenting and the role each and every one of us plays and our willingness to contribute. This is the philosophy that brought success to Mercy Home in Chicago. I very much wish to be involved in the national discussion on solutions and ideas to save a generation of American youth. For years Mercy Home has reached all over the United States for support and thousands have responded. I firmly believe with conviction, substance and compassion, we can all make a difference. We've proven in a small way that people respond to worthy efforts and we can effect change. Therefore, there is a way I can contribute now, and in the future, I am very interested in helping your efforts become all of our successes. Please call on me if I can be of further assistance. My direct phone is 312.738.7563. God bless you, James Reverend James J. Close J. Close President cc: Mr. Brian McPartlin SINCE 1887 MERCY R SINCE 1887 to: nicale MERCY August 13, 1997 HOME FOR BOYS & GIRLS Ms. Melanne Verveer Chief of Staff to the First Lady The White House 600 Pennsylvania Avenue Washington, D.C. 20006 Dear Ms. Verveer: Last year, you were formally introduced to Mercy Home for Boys & Girls by Brian McPartlin and then by Mark Mroz of my staff. I very much appreciate your recognition of our work and concern for this generation of youth, and the one that is to follow. Any other national issue, in my estimation, pales in comparison to what is at stake for the future of our country when understanding the risks that beset youth and families presently. Our generation's legacy will be lived out through the preparedness of our youth to continue in the ideals and traditions that have made us a people filled with opportunity and promise of something better. It is my understanding that on October 23, the President and First Lady will sponsor a conference on child care. Let me first say that I am encouraged to witness the power of the Presidency understanding and acting upon this grave concern: the future of our country -- our greatest resource and hope -- our youth. I have led Mercy Home for the past 25 years. I have witnessed thousands of our youth struggle day after day to learn, to grow, to change, to seek love and acceptance, to develop a lifestyle that's founded in the core principles of respect, honesty, responsibility and care for one another. At Mercy Home, we have constantly changed to meet present challenges and, may I say, we've learned a few things about raising children. We've learned as much through our mistakes as we have by our perceptiveness and success. Above all, we promise our youth care and consistency which unfortunately is often lacking. Reverend James J. Close, President 1140 W. Jackson Boulevard Chicago, IL 60607 312/738-7560 FAX 312/738-0484 Ms. Melanne Verveer August 13, 1997 Page 2 Thankfully, there are many Mercy Homes who reach out and do miraculous things. Altogether however, kids need more help, and we have to take our case to those who can create change and support for our kids. It's not just about money, it's mainly about good parenting and the role each and every one of us plays and our willingness to contribute. This is the philosophy that brought success to Mercy Home in Chicago. I very much wish to be involved in the national discussion on solutions and ideas to save a generation of American youth. For years Mercy Home has reached all over the United States for support and thousands have responded. I firmly believe with conviction, substance and compassion, we can all make a difference. We've proven in a small way that people respond to worthy efforts and we can effect change. Therefore, there is a way I can contribute now, and in the future, I am very interested in helping your efforts become all of our successes. Please call on me if I can be of further assistance. My direct phone is 312.738.7563. God bless you, James Reverend James I Close J. Close President cc: Mr. Brian McPartlin SINCE 1887 MERC HO SINCE 1887 UNITED 806 1391 ...... MERCY HOME FOR BOYS & GIRLS Ms. Melanne Verveer Chief of Staff to the First Lady The White House 1600,Wating Ave. D.C. 20006 20003/4316 00 THE WHITE HOUSE WASHINGTON April 9, 1997 Dr. Donald Cohen Irving B. Harris Professor of Child Psychiatry, Pediatrics and Psychology Yale University Medical Center Director Yale University Child Study Center Yale University P.O. Box 207900 New Haven, CT 06520-7900 Dear Dr Don Cohen: Thank you for agreeing to participate in the White House Conference on Early Childhood Development and Learning: What New Research on the Brain Tells Us About Our Youngest Children. It has been a pleasure to work with you and develop the morning agenda of the Conference by telephone. Enclosed for your review are the White House press releases on the Conference, as well as a recent speech that the First Lady gave to the Society for Research in Child Development, in which she outlines the themes and purpose of the Conference. I have also enclosed the bios of all the morning session participants. I very much look forward to meeting you on the 17th. Please do not hesitate to call me at (202) 456-6266 with any questions. Sincerely, Nicole Rabner Associate Director for Domestic Policy Encl. THE WHITE HOUSE WASHINGTON April 14, 1997 Dr. Donald Cohen Director Yale University Medical Center Yale University P.O. Box 207900 New Haven, CT 06520-7900 Dear Dr. Cohen: The White House Conference on Early Childhood Development is around the corner, and I want to take this opportunity to thank you once again for your advice and suggestions in developing the agenda, and for your willingness to participate in the Conference. We are all very excited for the Conference and have high expectations for what it will represent and produce. I wonder if I could ask you to send to me by fax an outline of what you intend to say at the Conference, preferably by the end of today. I know we have asked a great deal in terms of the brevity of your remarks, and I appreciate the efforts you are taking to work within these time guidelines. In addition, please send by fax three to four lines of a professional bio of yourself that you would feel comfortable with our releasing, along with the longer bio you have forwarded, to the press and the guests attending the Conference. Please expect later today or tomorrow morning another note with specifics in terms of logistics and our meeting earlier in the morning on Thursday. Enclosed for your review and information are a transcript of the President's radio address on Saturday, April 12, in which he framed the themes and purpose of the Conference, and a press release of the satellite sites around the country that will be watching the White House Conference. Please do not hesitate to call me at 202/456-6266 with questions, or fax to me at 202/456-6244. I look very much forward to receiving the outlines of your comments. Sincerely yours, WeoleRah Nicole Rabner Associate Director for Domestic Policy THE WHITE HOUSE WASHINGTON June 30, 1997 Mr. William G. Cunningham Old Dominion University Darden College of Education Department of Educational Leadership and Counseling Norfolk, VA 23529-0157 Dear Mr. Cunningham: Thank you very much for your letter to Alice Pushkar, Director of Correspondence for the First Lady, and for your words of support for the White House Conference on Early Childhood Development and Learning. I was gratified to learn that you found the conference informative and that the conference catalyzed your new desire to be more involved in improving children's early years. Enclosed please find a transcript of the conference proceedings. The conference report will be forwarded to you when completed. Best wishes in completing your book. Sincerely yours, Weole Rahn Nicole Rabner Associate Director for Domestic Policy OLD DOMINION UNIVERSITY Darden College of Education Department of Educational Leadership and Counseling Norfolk, Virginia 23529-0157 Phone: (757) 683-3326 FAX: (757) 683-5756 April 22, 1997 Alice J. Pushkar Director of Correspondence for the First Lady Old Executive Office Building Washington, D.C. 20502 Chairperson 757-683-3288 Dear Ms. Pushkar: Educational Leadership 757-683-3326 Thank you for bringing my attention to the White House Conference on Early Counselor Education Childhood Development and Learning and for the arrangements made to invite me to 757-683-3221 attend this very significant conference. I learned a great deal and enjoyed myself enormously at both the conference and reception which followed. The conference was a catalyst for my increased involvement in improving the intellectual and emotional well-being of children, particularly in their early years of development. I am working on a book on educational reform and will now add a section on early childhood development. I also plan to take on a greater leadership role regarding programs for young children in the Hampton Roads area. I would very much like to be further involved in the important work of the President and First Lady regarding education and the general well-being of our citizens. Thank you again for your assistance in obtaining my participation in this exceptional conference. Sincerely yours, Bill William G. Cunningham Curring WGC:dh cc: Ms. Nichole Rabner Old Dominion University is an equal opportunity, affirmative action institution. SUPPORTING HAMPTON ROADS YOUNGEST CHILDREN: A NO BRAINER by William G. Cunningham Educational Leadership and Counseling Old Dominion University I had the good fortune to have been invited to attend the White House Conference on Early Childhood Development and Learning. I had planned to learn about this important subject and come away with some ideas and contacts for the future. Somewhere during the conference it began to sink in how important this topic really was and that I now had a responsibility to the young children of Hampton Roads that I could not ignore. In creating a number of Puns, Rob Reiner, an entertainer, founder of the "I am Your Child" Campaign, and panel participant, stated that the needs of and response to children is a no-brainer. He said citizens would have to be stupid not to respond. Since he was talking about the latest brain research, his comments drew laughter along with a recognition that he was on-target. A Carnegie Corporation report entitled Starting Points suggests that half of our infants and toddlers start life at a disadvantage and do not have the supports necessary to grow and thrive. Todays children to often confront inadequate parental care, isolation, substandard child care, and generally insufficient attention and social interaction. Infants and early toddlers seem to get the poorest care of all. This is most concerning today since the latest brain research tells us that intellectual and emotional development is much more vulnerable to these environmental influences than we ever suspected. A combination of biology and culture brings about the evolution of the brain. Our brains are not connected at birth and the environment effects not only the number of brain cells and the number of connections among them but also the way these connections are wired. The impact by age four seems permanent. Research has found that the experience of children in the first four years has a strong influence on the development of the brain and lays down the patterns for all future development. For example, if a child has a cataract in an eye during this crucial development period they will be blind in that eye because the needed stimulation did not occur during this critical period. This is not true if Grandma develops a cataracts. A lack of positive stimulation of infants and toddlers results in a legacy of impairment. There is some potential for later recovery, however, early maladaptive practices are very hard to overcome. President and Mrs. Clinton, recognizing the importance of positive experiences during the earliest years of life, convened the April 17, 1997 White House conference. A second conference on "The Family and Learning" will occur in June and a third "Child Care" later in the year. The first conference included leading researchers, child development experts, and successful practitioners who provided knowledge and direction. Parents and community members are hungry for information on how they can stimulate their children and this outstanding conference began filling this need. At the same time President Clinton announced the Early Childhood Learning Kit entitled America Reads Challenge: Ready, Set, Read available from the U.S. Department of Education or the Department of Health and Human Services. In addition, he asked Rear Admiral Larry Marsh, who is in charge of the meritorious Military Early Childhood Development program, to share information and partner with civilian providers. Programs are needed across the nation and in Hampton Roads to provide awareness and training for parents, day care-providers, teachers, pediatricians, police officers, social service workers and others who deal with parents and children. It is important that we all become nurturing, stimulating care givers and child advocates. This care giving process can be 2 facilitated by information through the print media, television, community forums, hot lines, advertising, seminars, direct mail, etc. There is strong evidence that early stress has a very negative impact on brain function. As a result, Community Oriented Policing, through programs such as Safe Start, are being developed in a number of cities. Police are taught how to help children who have been traumatized calling upon clinicians who serve as assist teams. This is to replace stereotypes of "too late, too little, leave too soon." Other programs include early head start and early childhood PTA programs. These type programs sponsor pre-kindergarten activities; hospitals visits, providing learning gifts, literature and information to new parents; infant child care programs; and, high quality child care. Corporations are also becoming involved. For example, Kelloggs is placing awareness materials on the back panels of many of it's cereals, Johnson and Johnson is providing a video on early childhood development and entertainers and the President and First Lady have volunteered to be part of a program entitled "I am Your Child" which will appear on ABC. There is a planned CEO Summit in the Fall to discuss what business can do. My hope is that the effect of this conference might inspire others as it has me to become more committed to our youngest citizens. Certainly, there are many important issues that we face, but how could any of them be more important than this one. You may now understand why I could not walk away from this conference without doing something, no matter how small. All of us in Hampton Roads must work together in our homes, workplaces, and communities to ensure that all children, beginning with children under the age of three-out most vulnerable citizens-are given the care and protection they need and deserve. Nothing less than the well-being of our society and its vital institutions is at stake. 3 OLD DOMINION UNIVERSITY Darden College of Education Department of Educational Leadership and Counseling Norfolk, Virginia 23529-0157 Phone: (757) 683-3326 FAX: (757) 683-5756 April 22, 1997 First Lady Hillary Rodham Clinton White House 1600 Pennsylvania Avenue Washington, D.C. 20500 Dear Mrs. Clinton: Chairperson 757-683-3288 Educational Thank you and President Clinton for inviting me to attend the White House Leadership Conference on Early Childhood Development and Learning and the reception which 757-683-3326 followed. This important conference was both informative and motivational. As a Counselor Education result, I plan to expand my efforts to exert leadership regarding the enhancement of 757-683-3221 childhood development in the Hampton Roads region of Virginia. I am also working on a book on educational reform and will now add a section on early childhood development. It was an honor and a thrill to have been invited to this conference and to have met you personally at the reception. Your work in behalf of the American people is exceptional and meritorious as you are as a person. I would be proud to assist you in anyway in your work regarding education and the general well-being of our citizens. Thank you again for increasing my knowledge and providing inspiration and direction related to improving the emotional and intellectual well being of our children. This was a very special day for me. Sincerely yours, Bill William G. Cunningham WGC:dh Old Dominion University is an equal opportunity, affirmative action institution. SUPPORTING HAMPTON ROADS YOUNGEST CHILDREN: A NO BRAINER by William G. Cunningham Educational Leadership and Counseling Old Dominion University I had the good fortune to have been invited to attend the White House Conference on Early Childhood Development and Learning. I had planned to learn about this important subject and come away with some ideas and contacts for the future. Somewhere during the conference it began to sink in how important this topic really was and that I now had a responsibility to the young children of Hampton Roads that I could not ignore. In creating a number of Puns, Rob Reiner, an entertainer, founder of the "I am Your Child" Campaign, and panel participant, stated that the needs of and response to children is a no-brainer. He said citizens would have to be stupid not to respond. Since he was talking about the latest brain research, his comments drew laughter along with a recognition that he was on-target. A Carnegie Corporation report entitled Starting Points suggests that half of our infants and toddlers start life at a disadvantage and do not have the supports necessary to grow and thrive. Todays children to often confront inadequate parental care, isolation, substandard child care, and generally insufficient attention and social interaction. Infants and early toddlers seem to get the poorest care of all. This is most concerning today since the latest brain research tells us that intellectual and emotional development is much more vulnerable to these environmental influences than we ever suspected. A combination of biology and culture brings about the evolution of the brain. Our brains are not connected at birth and the environment effects not only the number of brain cells and the number of connections among them but also the way these connections are wired. The impact by age four seems permanent. Research has found that the experience of children in the first four years has a strong influence on the development of the brain and lays down the patterns for all future development. For example, if a child has a cataract in an eye during this crucial development period they will be blind in that eye because the needed stimulation did not occur during this critical period. This is not true if Grandma develops a cataracts. A lack of positive stimulation of infants and toddlers results in a legacy of impairment. There is some potential for later recovery, however, early maladaptive practices are very hard to overcome. President and Mrs. Clinton, recognizing the importance of positive experiences during the earliest years of life, convened the April 17, 1997 White House conference. A second conference on "The Family and Learning" will occur in June and a third "Child Care" later in the year. The first conference included leading researchers, child development experts, and successful practitioners who provided knowledge and direction. Parents and community members are hungry for information on how they can stimulate their children and this outstanding conference began filling this need. At the same time President Clinton announced the Early Childhood Learning Kit entitled America Reads Challenge: Ready, Set, Read available from the U.S. Department of Education or the Department of Health and Human Services. In addition, he asked Rear Admiral Larry Marsh, who is in charge of the meritorious Military Early Childhood Development program, to share information and partner with civilian providers. Programs are needed across the nation and in Hampton Roads to provide awareness and training for parents, day care-providers, teachers, pediatricians, police officers, social service workers and others who deal with parents and children. It is important that we all become nurturing, stimulating care givers and child advocates. This care giving process can be 2 facilitated by information through the print media, television, community forums, hot lines, advertising, seminars, direct mail, etc. There is strong evidence that early stress has a very negative impact on brain function. As a result, Community Oriented Policing, through programs such as Safe Start, are being developed in a number of cities. Police are taught how to help children who have been traumatized calling upon clinicians who serve as assist teams. This is to replace stereotypes of "too late, too little, leave too soon." Other programs include early head start and early childhood PTA programs. These type programs sponsor pre-kindergarten activities; hospitals visits, providing learning gifts, literature and information to new parents; infant child care programs; and, high quality child care. Corporations are also becoming involved. For example, Kelloggs is placing awareness materials on the back panels of many of it's cereals, Johnson and Johnson is providing a video on early childhood development and entertainers and the President and First Lady have volunteered to be part of a program entitled "I am Your Child" which will appear on ABC. There is a planned CEO Summit in the Fall to discuss what business can do. My hope is that the effect of this conference might inspire others as it has me to become more committed to our youngest citizens. Certainly, there are many important issues that we face, but how could any of them be more important than this one. You may now understand why I could not walk away from this conference without doing something, no matter how small. All of us in Hampton Roads must work together in our homes, workplaces, and communities to ensure that all children, beginning with children under the age of three-out most vulnerable citizens-are given the care and protection they need and deserve. Nothing less than the well-being of our society and its vital institutions is at stake. 3 THE WHITE HOUSE WASHINGTON October 28, 1997 Kathryn Carliner Golin/Harris Communications 405 Lexington Avenue 16th Floor New York, NY 10017 Dear Kathryn: We cannot thank you enough for your participation in the White House Conference on Child Care. Your contributions during the panel discussion and your expertise made the Conference a phenomenal success and we think, helped to start a national discussion on Child Care. On a personal note, it was an honor to work with you. As soon as we receive the transcripts and photographs from the Conference, we will forward them to you. In the meantime, please feel free to call either of us at (202) 456-6266. Sincerely, Jennifer Ken Vicole Rabur Jennifer Klein Nicole Rabner Special Assistant Associate Director to the President for for Domestic Policy Domestic Policy The Welfare to Work Partnership I Cecilia Calvo 1250 Connecticut Avenue, N.W., 6th Floor (202) 955-3005 Ext. 304 Washington, D.C. 20036 Fax: (202) 637-9195 Nicale Pls call + her, had masky 9/11/97 we No Melanne, pls talk to me. Please excuse the rushed note, but Since / am at the OEOB for meetings / Thought / would get IU touch. / am following up on a conversation that Eli had with you concerning my interest in helping with the child care conference and working with your staff After leaving national service for the campaign and inaugural, / agreed to help Eli get the welfare to work Partnership up and running Since we've had a successful national and regional launch, / am ready to focus on children and family issues. / would like to follow upwith you on any openings on the Furst cady's staff / can he reached at 202-955-3005x 304 at work or at nome at 202-363-5668. Thanks. Cecilia Calvo CECILIA CALVO 2903 Forty-fourth Street. N.W. Washington, D.C. 20016 (w): 202-887-6304 (h): 202-363-5668 (f): 202-363-7543 PROFESSIONAL EXPERIENCE THE WELFARE TO WORK PARTNERSHIP, Washington, D.C. March 1997-present. Senior Manager, Office of the CEO. Responsible for policy, start-up operations, business outreach and special projects as requested by the CEO. Policy: Co-authored successful proposal for funding from the Annie E. Casey Foundation for national database project. Served as liaison to Vice President Gore's welfare-to-work mentoring initiative. Represented the Parmership before federal agencies. major non-profits, state governments and the White House. Interviewed, hired and managed research staff of 6. Start-Up Operations: Selected vendors and negotiated contracts for national database project, national call center and WTWP logo. Managed and designed operational plan for national call center, coordinated with senior management at Sprint. Business outreach: Recruited over 25% of the Partnership's original business partners for national launch at White House and over 100 small businesses for St. Louis regional launch. Coordinated business recruitment with the White House, Office of the Governor (MO), Office of the Mayor (St. Louis and East St. Louis), major business associations, and area chambers of commerce. CORPORATION FOR NATIONAL SERVICE, Washington, D.C. August 1994-September 1996. Office of Federal Partnerships and Special Projects, Federal Liaison, promoted to Deputy Director. Developed policy on youth, health, mentoring, childcare and early childhood development. Reviewed federal grantee proposals for renewal funding and expansion. Acted as liaison to HHS and White House Domestic Policy Council. Supervised the planning and implementation of national forums and seminars on community service. Briefed Hillary Rodham Clinton and drafted final report on the National Service Forum on Child Health. Represented the Corporation on White House policy groups and national coalitions. Responsible for budgeting, strategic planning and staff management Managed a $100,000 budget and supervised staff of 5. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Washington, D.C. June 1993-August 1994. Administration for Children and Families, Office of the Assistant Secretary, Special Assistant. Monitored youth development, family violence and national service initiatives. Assisted in the compilation and roll-out of the Head Start Quality and Expansion Committee's report. Designed, drafted and acquired funding for joint Head Start/AmeriCorps national service program. Reviewed and made funding recommendations for Learn and Serve America national service programs. U.S. DEPARTMENT OF LABOR, Washington, D.C. January-June 1993. Office of the Secretary, Special Assistant. Identified, interviewed, evaluated and researched candidates for senior positions for Secretary Reich. FAIRFAX COUNTY PUBLIC SCHOOLS, Fairfax, Virginia. Fall 1989. Academia del Pueblo Program, Head Teacher. Revised and implemented bilingual enrichment program for low-income Hispanic children. POLITICAL EXPERIENCE CLINTON / GORE 53ʳᵈ PRESIDENTIAL INAUGURAL COMMITTEE, Washington, D.C. December 1996- January 1997. Office of the Finance Chairman, Regional Liaison. Responsible for marketing and sales of inaugural events to over 200 major donors. CLINTON / GORE RE-ELECTION CAMPAIGN, Washington. D.C. September 1996-November 1996. Office of Surrogate Speakers, National Deputy Director. Identified, briefed and placed surrogates in major media markets in key states. Briefed national opinion leaders, appointees and VIPs for talk radio and surrogate speaking events. Supervised drafting, editing and marketing of editorials for national and Hispanic news outlets. CLINTON / GORE '96, Manchester, New Hampshire. February 1996. New Hampshire Primary, Volunteer. Participated in visibility, literature drops, media events. and monitored election results. CLINTON / GORE TRANSITION, Washington, D.C. December 1992-January 1993. Administration Personnel, Search Manager. Identified and interviewed candidates for senior positions for Secretaries Riley and Reich. CLINTON / GORE '92 Washington D.C. June -November 1992. Vice Presidential Debate Team. Policy Researcher. Drafted issue briefs, examined voting records and answered rapid response questions during debate. National Speakers Bureau, Assistant Director. Scheduled surrogates, wrote briefings and conducted interviews for Spanish-speaking press. Opposition Research. Research Analyst. Researched financial statements, FEC records and public statements of opposition candidates. BOB MASSIE FOR LIEUTENANT GOVERNOR, Sommerville. MA. Volunteer. June-Nov. 1994. DUKAKIS FOR PRESIDENT. Raleigh, N.C. Area Coordinator. 2nd and 4th districts. Fall 1988. CONGRESSMAN J.J. PICKLE, Washington. D.C. Intern. Summer 1986. MONDALE FOR PRESIDENT. Washington. D.C. Volunteer. Summer 1984. VOLUNTEER ACTIVITIES NATIONAL CATHEDRAL SCHOOL FOR GIRLS ALUMNAE ASSOCIATION, Wash., DC. 1990-present. Member, Executive Board, Alumnae Association, special projects chair. Reunion Chair 1990 and 1995. Organized reunion weekend attended by 50% of reunion class. Class Fund-raiser. Raised class annual giving rates by more than 40%. Class Agent. Drafted a biannual column for national alumnae magazine. HARVARD UNIVERSITY COMMUNITY EDUCATION PROGRAM. Cambridge, MA. Teacher. 1990-1992. Teacher. Designed and taught creative thinking course to at-risk high school students. Mentored freshman. SKILLS Management: strategic planning, budgeting, and staff management. Languages: fluent Spanish, basic French. Communications skills: public speaking, strong written and oral communication. Writing: Grant proposal writing and review. Program Administration: program design, project management. Computer skills: Office 97, WordPerfect 6.0, Microsoft Word 6.0, Excel. EDUCATION HARVARD UNIVERSITY GRADUATE SCHOOL OF EDUCATION Ed.M. Administration, Planning and Social Policy, 1992. HARVARD UNIVERSITY DIVINITY SCHOOL Master of Theological Studies, 1992. DUKE UNIVERSITY B.A. Political Science/ B.A, Spanish, 1989. Dean's List 1987-88. NATIONAL CATHEDRAL SCHOOL FOR GIRLS, Washington, D.C. High School Diploma, 1985. The Welfare to Work Partnership Cecilia Calvo 1250 Connecticut Avenue, N.W., 6th Floor (202) 955-3005 Ext. 304 Washington, D.C. 20036 Fax: (202) 637-9195 N- help 7 Can you call Jen her and see if she means a Job \ or just wants to 9/11/97 4:05pm Jeunifer, I was here at the OEOB for meetings so I thought I'd drop you a note. AS 1 mentioned IN my voice mail, / heard that you were looking for people to help with the child cave conference among other things. 1. am interested in speaking to you about any needs you may have I am at the Welfare to Work Partnership and sigued on there with Eli shortly after the campaign and inaugural. / pronused to set him up and running which we have done With a successful launcer at The White House in May and our first regional event in St. Louis, we are off to a great Start. Eli knows that / am interested and have been for quite some time in working receiptur for the first lady. He has spoken to Melanne, who told me (via Eli) to expect a call from Nicole Rabuer Nicole and / haven t connected yet, but / did want to let you know of my continued interest 19 working with you Please give me a call at 202-955-3005x304 to let me know whether you are still in need OF people Thanks Cecilia Caloo CECILIA CALVO 2903 Forty-fourth Street, N.W. Washington, D.C. 20016 (w): 202-887-6304 (h): 202-363-5668 (f): 202-363-7543 PROFESSIONAL EXPERIENCE THE WELFARE TO WORK PARTNERSHIP, Washington, D.C. March 1997-present. Senior Manager, Office of the CEO. Responsible for policy, start-up operations, business outreach and special projects as requested by the CEO. Policy: Co-authored successful proposal for funding from the Annie E. Casey Foundation for national database project. Served as liaison to Vice President Gore's welfare-to-work mentoring initiative. Represented the Partnership before federal agencies, major non-profits, state governments and the White House. Interviewed, hired and managed research staff of 6. Start-Up Operations: Selected vendors and negotiated contracts for national database project. national call center and WTWP logo. Managed and designed operational plan for national call center, coordinated with senior management at Sprint. Business outreach: Recruited over 25% of the Partnership's original business partners for national launch at White House and over 100 small businesses for St. Louis regional launch. Coordinated business recruitment with the White House, Office of the Governor (MO), Office of the Mayor (St Louis and East St. Louis), major business associations, and area chambers of commerce. CORPORATION FOR NATIONAL SERVICE, Washington, D.C. August 1994-September 1996. Office of Federal Partnerships and Special Projects, Federal Liaison, promoted to Deputy Director. Developed policy on youth, health, mentoring, childcare and early childhood development. Reviewed federal grantee proposals for renewal funding and expansion. Acted as liaison to HHS and White House Domestic Policy Council. Supervised the planning and implementation of national forums and seminars on community service. Briefed Hillary Rodham Clinton and drafted final report on the National Service Forum on Child Health. Represented the Corporation on White House policy groups and national coalitions. Responsible for budgeting, strategic planning and staff management. Managed a $100,000 budget and supervised staff of 5. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Washington, D.C. June 1993-August 1994. Administration for Children and Families, Office of the Assistant Secretary, Special Assistant. Monitored youth development, family violence and national service initiatives. Assisted in the compilation and roll-out of the Head Start Quality and Expansion Committee's report. Designed, drafted and acquired funding for joint Head Start/AmeriCorps national service program. Reviewed and made funding recommendations for Learn and Serve America national service programs. U.S. DEPARTMENT OF LABOR, Washington, D.C. January-June 1993. Office of the Secretary, Special Assistant. Identified, interviewed, evaluated and researched candidates for senior positions for Secretary Reich. FAIRFAX COUNTY PUBLIC SCHOOLS, Fairfax, Virginia. Fall 1989. Academia del Pueblo Program, Head Teacher. Revised and implemented bilingual enrichment program for low-income Hispanic children. POLITICAL EXPERIENCE CLINTON / GORE 53ʳᵈ PRESIDENTIAL INAUGURAL COMMITTEE, Washington, D.C. December 1996- January 1997. Office of the Finance Chairman, Regional Liaison. Responsible for marketing and sales of inaugural events to over 200 major donors. CLINTON / GORE RE-ELECTION CAMPAIGN, Washington, D.C. September 1996-November 1996. Office of Surrogate Speakers, National Deputy Director. Identified, briefed and placed surrogates in major media markets in key states. Briefed national opinion leaders, appointees and VIPs for talk radio and surrogate speaking events. Supervised drafting, editing and marketing of editorials for national and Hispanic news outlets. CLINTON / GORE '96, Manchester, New Hampshire. February 1996. New Hampshire Primary, Volunteer. Participated in visibility, literature drops, media events. and monitored election results. CLINTON / GORE TRANSITION, Washington, D.C. December 1992-January 1993. Administration Personnel, Search Manager. Identified and interviewed candidates for senior positions for Secretaries Riley and Reich. CLINTON / GORE '92 Washington, D.C. June -November 1992. Vice Presidential Debate Team. Policy Researcher. Drafted issue briefs, examined voting records and answered rapid response questions during debate National Speakers Bureau, Assistant Director. Scheduled surrogates, wrote briefings and conducted interviews for Spanish-speaking press. Opposition Research. Research Analyst. Researched financial statements, FEC records and public statements of opposition candidates. BOB MASSIE FOR LIEUTENANT GOVERNOR, Sommerville, MA. Volunteer. june-Nov. 1994. DUKAKIS FOR PRESIDENT. Raieigh, N.C. Area Coordinator. 2nd and 4th districts. Fall 1988. CONGRESSMAN J.J. PiCKLE, Washington, D.C. Intern. Summer 1986. MONDALE FOR PRESIDENT. Washington, D.C. Volunteer. Summer 1984. VOLUNTEER ACTIVITIES NATIONAL CATHEDRAL SCHOOL FOR GIRLS ALUMNAE ASSOCIATION, Wash., DC. 1990-present Member, Executive Board, Alumnae Association, special projects chair. Reunion Chair 1990 and 1995. Organized reunion weekend attended by 50% of reunion class. Class Fund-raiser. Raised class annual giving rates by more than 40%. Class Agent. Drafted a biannual column for national alumnae magazine. HARVARD UNIVERSITY COMMUNITY EDUCATION PROGRAM, Cambridge, MA. Teacher. 1990-1992. Teacher. Designed and taught creative thinking course to at-risk high school students. Mentored freshman. SKILLS Management: strategic planning, budgeting, and staff management. Languages: fluent Spanish, basic French. Communications skills: public speaking, strong written and oral communication. Writing: Grant proposal writing and review. Program Administration: program design, project management. Computer skills: Office 97, WordPerfect 6.0, Microsoft Word 6.0, Excel. EDUCATION HARVARD UNIVERSITY GRADUATE SCHOOL OF EDUCATION Ed.M. Administration, Planning and Social Policy, 1992. HARVARD UNIVERSITY DIVINITY SCHOOL Master of Theological Studies, 1992. DUKE UNIVERSITY B.A. Political Science/ B.A, Spanish, 1989. Dean's List 1987-88. NATIONAL CATHEDRAL SCHOOL FOR GIRLS, Washington, D.C. High School Diploma, 1985. filed Respirated to 7AX! JOAN R. CHALLINOR FAXED 10/14/97 October 14, 1997 Mr. John Poling First Lady's Office White House Washington, D.C. 20500 Dear Mr. Poling: I am writing to ask if I could be invited to attend the White House Conference on Child Care on October 23rd at the Jefferson Auditorium (not at the White House itself). I am on the Board of the French-American Foundation (FAF) and have long worked with Susan Watts on the Foundation's Maternal and Child Health Care Project. The FAF has been recognized for its studies of French child care and family policy and has held meetings in several U.S. cities to inform U.S. policy makers how to better American practices. As the Board member most closely allied with this program, it would be of great help to the Foundation were I to attend and listen to what will undoubtedly be a very fine program on a subject which is of extreme importance to every American. Sincerely, Joan R. Challinor 3117 HAWTHORNE STREET, N.W. WASHINGTON, D.C. 20008 TELEPHONE 202/965-9447 FAX 202/965-6115 Nicole File THE WHITE HOUSE February 13, 1998 Dr. Salvador Celia IACAPAP Rua 24 de Outubro 111 conj.502 Porto Alegre-RS-Brazil 90510-002 Dear Dr. Celia: Thank you for your recent note. Enclosed please find the proceedings from the White House Conference on Child Care. Thank you for your continued interest in this very important issue. Sincerely yours, Wheole Roburn Nicole Rabner Associate Director For Domestic Policy FROM : INST LEO KANNER SCELIA NORMAB PHONE NO. : 051 222 9291 Jan. 13 1998 05:23PM P1 International Association for Child and Adolescent Psychiatry and Allied Professions IACAPAP Association Internationale de Psychiatrie de l'Enfant et de l'Adolescent et des Professions Associees Kevin- pls deaft Q wre PRESIDENT Donald J Cohen, MD NICOLE RABNER Child Study Center and send conference Yale Medical School ASSOCIATE DIRECTOR FOR DOMESTIC POLICY PO 207900 New Haven, CT 06520-7900 USA FAX: 00 1 202-456-6244 proceeding- - FAX 203 785-7402 SECRETARY-GENERAL Kosuke Yamazaki, MD, PhD Tokai University School of Medicine Boseidai, Ischara, Kanagawa, Japan Perto Alegre, january 13, 1998. FAX 81-463-94-5532 TREASURER Myron I. Belfer, MD Social Mcdicine Dear Director: Harvard Medical School 641 Huntington Avenue As you know, I am friend and colleague Boston, MA 02115, USA FAX 617 432-2565 of Donald Cohen, and it was impossible to come to PAST PRESIDENT Reimer Jensen. PhD (Denmark) the 2th White House meeting in october 97. HONORARY PRESIDENTS I would like to receive, again, the Gerald Caplan, MD (Israel) Serge Lebovici, MD (France) Albert J Solnit, MD (USA) conclusions about this meeting as you sent me VICE-PRESIDENTS before, because it was very worthwhyle for us in Ronald Foldman, PhD (USA) Pierre Ferrari, MD (France) Brasil. Ian Goodycr. MD (UK) Kari Schleimer. MD. PhD (Sweden) Martin Schmidt. MD (Germany) I hope to be invite if is possible for Herman van Engeland, MD (Netherlands) the new meeting durind this year. ASSISTANT SECRETARIES-GENERAL Thank you for all your efforts, Ernesto Caffo, MD (Italy) Miguel Cherro-Aguerra, MD Cordially, (Uruguay) Jocelyn Hattab, MD (Isract) ADJUNCT SECRETARIES Francois Ladame, MD (Switzcrland) Savita Malhotra, MD. PhD (India) Per-Anders Rydelius, MD. PhD (Sweden) John B Sikorski, MD (USA) Salvador beling Celia, MD Samuel Tyano. MD (Israel) COUNSELORS Salvador Celia, MD (Brazil) Helmut Remschmidt, MD. PhD Rua 24 de Outubro, 111 conj 502 (Germany) Porto Alegre-RS-Brasil MONOGRAPH EDITORS J Gerald Young. MD (USA) 90510-002 Pierre Ferrari. MD (France) NEWSLETTER EDITORS Cynthia Pfeffer, MD (USA) Jocclyn Hartab. MD (Israel) EDITOR EMERITUS Colette Chiland, MD, PhD (France) The 14th International Congress August 2-6, 1998 Stockholm, Sweden