U.S. Children's Bureau
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The United States Children's Bureau is a federal agency founded in 1912, organized under the
United States Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the US federal government created to protect the health of the US people and providing essential human services. Its motto is ...
'
Administration for Children and Families The Administration for Children and Families (ACF) is a division of the United States Department of Health and Human Services (HHS). It is headed by the assistant secretary of health and human services for children and families. It has a $49 bill ...
. Today, the bureau's operations involve improving
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
prevention,
foster care Foster care is a system in which a minor has been placed into a ward, group home ( residential child care community or treatment centre), or private home of a state- certified caregiver, referred to as a "foster parent", or with a family mem ...
, and
adoption Adoption is a process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfer all rights and responsibilities, along with filiation, fro ...
. Historically, its work was much broader, as shown by the 1912 act which created and funded it:
The said bureau shall investigate and report to he Department of Commerce and Laborupon all matters pertaining to the welfare of children and child life among all classes of our people, and shall especially investigate the questions of
infant mortality Infant mortality is the death of an infant before the infant's first birthday. The occurrence of infant mortality in a population can be described by the infant mortality rate (IMR), which is the number of deaths of infants under one year of age ...
, the birth-rate, orphanage,
juvenile court Juvenile court, also known as young offender's court or children's court, is a tribunal having special authority to pass judgements for crimes committed by children who have not attained the age of majority. In most modern legal systems, chi ...
s, desertion, dangerous occupations, accidents and diseases of children,
employment Employment is a relationship between two party (law), parties Regulation, regulating the provision of paid Labour (human activity), labour services. Usually based on a employment contract, contract, one party, the employer, which might be a cor ...
, legislation affecting children in the several states and territories.
During the height of its influence, the Bureau was directed, managed, and staffed almost entirely by women—a rarity for any federal agency in the early 20th century. It was most influential in bringing the methods of reform-oriented
social research Social research is research conducted by social scientists following a systematic plan. Social research methodologies can be classified as quantitative and qualitative. * Quantitative designs approach social phenomena through quantifiable ...
and the ideas of
maternalist reform Maternalist Reforms in the United States were a series of progressive social reform laws passed beginning in the late 19th and early 20th centuries, focused on providing state assistance to mothers with young children lacking the financial sup ...
ers to bear on federal government policy.
New Deal The New Deal was a series of wide-reaching economic, social, and political reforms enacted by President Franklin D. Roosevelt in the United States between 1933 and 1938, in response to the Great Depression in the United States, Great Depressi ...
legislation, including the
Fair Labor Standards Act The Fair Labor Standards Act of 1938 (FLSA) is a United States labor law that creates the right to a minimum wage, and " time-and-a-half" overtime pay when people work over forty hours a week. It also prohibits employment of minors in "oppre ...
and
Aid to Dependent Children Aid to Families with Dependent Children (AFDC) was a federal assistance program in the United States in effect from 1935 to 1997, created by the Social Security Act (SSA) and administered by the United States Department of Health and Human Servi ...
programs, incorporated many reforms that the Children's Bureau and its network of grassroots women's organizations had supported for years. By the time the Children's Bureau was folded into the Social Security Administration in 1946, it began to assume more of its modern role.


Organization

The United States Children's Bureau is a federal agency founded in 1912 under the
Department of Commerce and Labor The United States Department of Commerce and Labor was a short-lived United States Cabinet, Cabinet department of the United States Government of the United States, government, which was concerned with fostering and supervising big business. It ...
, folded into the
Social Security Administration The United States Social Security Administration (SSA) is an Independent agencies of the United States government, independent agency of the Federal government of the United States, U.S. federal government that administers Social Security (United ...
in 1946 and now organized under the
United States Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the US federal government created to protect the health of the US people and providing essential human services. Its motto is ...
'
Administration for Children and Families The Administration for Children and Families (ACF) is a division of the United States Department of Health and Human Services (HHS). It is headed by the assistant secretary of health and human services for children and families. It has a $49 bill ...
.


History


Creation

Most accounts of the Children's Bureau's origins point to three people,
Lillian Wald Lillian D. Wald (March 10, 1867 – September 1, 1940) was an American nurse, humanitarian and author. She strove for human rights and started American community nursing. She founded the Henry Street Settlement in New York City and was an early ...
,
Edward Thomas Devine Edward Thomas Devine (May 6, 1867 – February 27, 1948) was a professor at Columbia University and American University who advocated for social welfare. Background Edward Thomas Devine was born on May 6, 1867, on a farm near Union, Iowa to Joh ...
, and
Florence Kelley Florence Molthrop Kelley (September 12, 1859 – February 17, 1932) was an American social and political reformer who coined the term wage abolitionism. Her work against sweatshops and for the minimum wage, eight-hour workdays, and children's ...
, who began to discuss the idea around 1903. Their proposal (with colleagues) to President
Theodore Roosevelt Theodore Roosevelt Jr. (October 27, 1858 – January 6, 1919), also known as Teddy or T.R., was the 26th president of the United States, serving from 1901 to 1909. Roosevelt previously was involved in New York (state), New York politics, incl ...
in 1905 reflected the
Progressive Era The Progressive Era (1890s–1920s) was a period in the United States characterized by multiple social and political reform efforts. Reformers during this era, known as progressivism in the United States, Progressives, sought to address iss ...
's generally heightened concern for social welfare issues, as well as the influence of the
Settlement movement The settlement movement was a reformist social movement that began in the 1880s and peaked around the 1920s in the United Kingdom and the United States. Its goal was to bring the rich and the poor of society together in both physical proximity an ...
, of which all three were members. Also in 1905, the recently formed
National Child Labor Committee The National Child Labor Committee (NCLC) was a private, non-profit organization in the United States that served as a leading proponent for the national child labor reform movement. Its mission was to promote "the rights, awareness, dignity, well ...
(NCLC) agreed to make the establishment of a federal children's bureau its primary legislative goal. The NCLC's effort was supported by women's groups such as the
National Consumers League The National Consumers League, founded in 1899, is an American consumer organization. The National Consumers League is a private, nonprofit advocacy group representing consumers on marketplace and workplace issues. The NCL provides government, bu ...
, the
General Federation of Women's Clubs The General Federation of Women's Clubs (GFWC), founded in 1890 during the Progressive Movement, is a federation of approximately 2,300 women's clubs in the United States which promote civic improvements through volunteer service. Community Serv ...
, the National Congress of Mothers, and the
Daughters of the American Revolution The National Society Daughters of the American Revolution (often abbreviated as DAR or NSDAR) is a lineage-based membership service organization for women who are directly descended from a patriot of the American Revolutionary War. A non-p ...
. The proposal also was endorsed by attendees of the first
White House Conference on Children and Youth The White House Conference on Children and Youth was a series of meetings hosted over 60 years by the President of the United States of America, and the first White House conference ever held. Under the leadership of Presidents Theodore Roosevelt, ...
in 1909. The bill establishing the Children's Bureau was passed in 1912 following a lengthy legislative effort, and it was signed by President
William Howard Taft William Howard Taft (September 15, 1857March 8, 1930) served as the 27th president of the United States from 1909 to 1913 and the tenth chief justice of the United States from 1921 to 1930. He is the only person to have held both offices. ...
on April 9 of that year. The Children's Bureau became the first national government office in the world that focused solely on the well-being of children and their mothers. Taft appointed
Julia Lathrop Julia Clifford Lathrop (June 29, 1858 – April 15, 1932) was an Americans, American social reformer in the area of education, social policy, and children's welfare. As director of the United States Children's Bureau from 1912 to 1922, she was th ...
as the first head of the Bureau. Lathrop, a noted
maternalist reform Maternalist Reforms in the United States were a series of progressive social reform laws passed beginning in the late 19th and early 20th centuries, focused on providing state assistance to mothers with young children lacking the financial sup ...
er also active in the Settlement Movement, was the first woman ever to head a government agency in the United States. At its founding, the bureau was part of the Department of Commerce and Labor; when the two departments' functions were separated in 1913, it became part of the Department of Labor.


1912–1920

The Children's Bureau's first efforts focused on decreasing
infant mortality Infant mortality is the death of an infant before the infant's first birthday. The occurrence of infant mortality in a population can be described by the infant mortality rate (IMR), which is the number of deaths of infants under one year of age ...
by determining ''how many'' babies were dying, through expanded
birth registration A birth certificate is a vital record that documents the birth of a person. The term "birth certificate" can refer to either the original document certifying the circumstances of the birth or to a certified copy of or representation of the en ...
efforts, and understanding ''why'' so many babies died before their first birthday. The Bureau completed birth registration campaigns and conducted infant mortality studies in 10 cities between 1914 and 1921. These studies revealed strong connections between poverty and infant deaths. The Bureau's commitment to fighting infant mortality resonated with the proliferation of "baby-saving" campaigns throughout the country at this time. The Bureau endorsed activities such as prenatal care, infant health clinics, visiting nurses, public sanitation, certified milk stations, and education of mothers. It proclaimed a "Children's Year" beginning April 6, 1918, to protect children from shortages of milk, food, and public health nurses during
World War I World War I or the First World War (28 July 1914 – 11 November 1918), also known as the Great War, was a World war, global conflict between two coalitions: the Allies of World War I, Allies (or Entente) and the Central Powers. Fighting to ...
. As part of this effort, volunteers weighed and measured millions of children, resulting in the publication of the nation's first age, height, and weight standards. In its first few years, the Children's Bureau published several pamphlets about prenatal, infant, and child care. These booklets were soon in high demand. By 1929, the Bureau estimated that the information in its pamphlets had benefited one-half of all U.S. babies. In 1914,
Emma Octavia Lundberg Emma Octavia Lundberg (October 8, 1881 – November 17, 1954) was a Swedish-American child welfare advocate. Biography Lundberg was born in Tranegärdet, Humle Socken, Västergötland, Sweden on October 26, 1881, to Frans Vilhelm Lundberg and An ...
became the first Director of the Social Services Division of the Children's Bureau.
National Baby Week National Baby Week was an event first observed in the United States in March 1916, at the joint suggestion of the United States Children's Bureau and the General Federation of Women's Clubs. The purpose was to stimulate interest in the proper care ...
was first observed in March 1916, at the joint suggestion of the Children's Bureau and the
General Federation of Women's Clubs The General Federation of Women's Clubs (GFWC), founded in 1890 during the Progressive Movement, is a federation of approximately 2,300 women's clubs in the United States which promote civic improvements through volunteer service. Community Serv ...
. The purpose was to stimulate interest in the proper care of infants and by means of exhibits and conferences, to bring to the attention of parents the standards of infant welfare which had been developed by experts who had studied the subject. In order to promote the success of this work, the Bureau prepared a pamphlet entitled Baby Week Campaigns, describing the methods used in the earlier urban baby-week observances whose success had encouraged the belief that a nation-wide observance would be practicable. This pamphlet was revised to include the best original ideas and devices developed during the campaign of 1916. A similar movement was carried on in 1917. The work begun in these campaigns was developed even more extensively in 1918 in connection with Children's Year activities.
Child labor Child labour is the exploitation of children through any form of work that interferes with their ability to attend regular school, or is mentally, physically, socially and morally harmful. Such exploitation is prohibited by legislation w ...
became a focus of the Children's Bureau's efforts beginning around 1915. Between 1915 and 1930, the Bureau published 31 studies examining children's working conditions by visiting child laborers in their homes and workplaces. These studies helped to reveal the prevalence and nature of child labor in the United States. In 1916, Congress passed the Keating-Owen Act, which discouraged child labor. Congress assigned the Children's Bureau the responsibilities of administering and enforcing this law. Chief Lathrop hired noted child-labor reformer
Grace Abbott Grace Abbott (November 17, 1878 – June 19, 1939) was an American social worker who specifically worked in improving the rights of immigrants and advancing child welfare, especially the regulation of child labor. She served as director of the ...
to lead the Bureau's newly created Child Labor Division in April 1917; however, the law was short-lived. The
Supreme Court of the United States The Supreme Court of the United States (SCOTUS) is the highest court in the federal judiciary of the United States. It has ultimate appellate jurisdiction over all Federal tribunals in the United States, U.S. federal court cases, and over Stat ...
ruled it unconstitutional in June 1918.


1921–1929

In August 1921, Lathrop stepped down as Chief, and
Grace Abbott Grace Abbott (November 17, 1878 – June 19, 1939) was an American social worker who specifically worked in improving the rights of immigrants and advancing child welfare, especially the regulation of child labor. She served as director of the ...
was appointed to succeed her. The Children's Bureau played a major role in the passage and administration of the Sheppard–Towner Act. This law, passed in 1921, authorized the first federal grants-in-aid for state-level children's health programs. Projects in most states included some or all of the following: *
Midwife A midwife (: midwives) is a health professional who cares for mothers and Infant, newborns around childbirth, a specialisation known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughou ...
training programs, licensing, and enforcement * Parent education through traveling health demonstrations, health centers, home visits, correspondence courses, and classes * Establishment of standards and licensing procedures for maternity homes * Data collection on maternal and infant mortality The program ended in 1929, having helped an estimated 4 million infants and preschool children and approximately 700,000 pregnant women. Maternal and infant care and child labor were the Bureau's primary focus during its first two decades. However, other topics of research included
juvenile delinquency Juvenile delinquency, also known as juvenile offending, is the act of participating in unlawful behavior younger than the statutory age of majority. These acts would be considered crimes if the individuals committing them were older. The term ...
, mother's aid,
illegitimacy Legitimacy, in traditional Western common law, is the status of a child born to parents who are legally married to each other, and of a child conceived before the parents obtain a legal divorce. Conversely, ''illegitimacy'', also known as ''b ...
,
foster care Foster care is a system in which a minor has been placed into a ward, group home ( residential child care community or treatment centre), or private home of a state- certified caregiver, referred to as a "foster parent", or with a family mem ...
, and children's diseases. Notably: * In 1923, a Children's Bureau-appointed committee established the first-ever standards for effective
juvenile court Juvenile court, also known as young offender's court or children's court, is a tribunal having special authority to pass judgements for crimes committed by children who have not attained the age of majority. In most modern legal systems, chi ...
s. * A 1926 bulletin summarizing the history and current state of mothers' aid legislation helped lay the groundwork for the
Aid to Dependent Children Aid to Families with Dependent Children (AFDC) was a federal assistance program in the United States in effect from 1935 to 1997, created by the Social Security Act (SSA) and administered by the United States Department of Health and Human Servi ...
provisions in the 1935
Social Security Act The Social Security Act of 1935 is a law enacted by the 74th United States Congress and signed into law by U.S. President Franklin D. Roosevelt on August 14, 1935. The law created the Social Security (United States), Social Security program as ...
. * The 1920s saw an increased focus on state and county child welfare services. The Bureau published ''Foster-Home Care for Dependent Children'' in 1923. * The Children's Bureau conducted a study of
rickets Rickets, scientific nomenclature: rachitis (from Greek , meaning 'in or of the spine'), is a condition that results in weak or soft bones in children and may have either dietary deficiency or genetic causes. Symptoms include bowed legs, stun ...
, in partnership with the
Yale School of Medicine The Yale School of Medicine is the medical school of Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. It is the sixth-oldest m ...
and the New Haven, Connecticut, Department of Health, that demonstrated the effectiveness of simple prevention methods.


1930–1939

During the early years of the
Great Depression The Great Depression was a severe global economic downturn from 1929 to 1939. The period was characterized by high rates of unemployment and poverty, drastic reductions in industrial production and international trade, and widespread bank and ...
, under President
Herbert Hoover Herbert Clark Hoover (August 10, 1874 – October 20, 1964) was the 31st president of the United States, serving from 1929 to 1933. A wealthy mining engineer before his presidency, Hoover led the wartime Commission for Relief in Belgium and ...
, the Children's Bureau helped with government efforts to document families' needs and local relief efforts. When Congress established the
Federal Emergency Relief Administration The Federal Emergency Relief Administration (FERA) was a program established by President Franklin D. Roosevelt in 1933, building on the Hoover administration's Emergency Relief and Construction Act. It was replaced in 1935 by the Works Progre ...
(FERA) in May 1933, the Children's Bureau helped to collect data for the agency to determine how the appropriations would be spent. The Bureau also worked with the FERA to establish the Child Health Recovery Program, providing emergency food and medical care to children in need. In December 1934, Katherine Lenroot succeeded Abbott as Chief of the Bureau. She held this position until 1952. Lenroot,
Martha May Eliot Martha May Eliot (April 7, 1891 – February 14, 1978), was a foremost pediatrician and specialist in public health, an assistant director for WHO, and an architect of New Deal and postwar programs for maternal and child health. Her first importan ...
, and Grace Abbott worked together to create the child-focused sections of President
Franklin D. Roosevelt Franklin Delano Roosevelt (January 30, 1882April 12, 1945), also known as FDR, was the 32nd president of the United States, serving from 1933 until his death in 1945. He is the longest-serving U.S. president, and the only one to have served ...
's Social Security bill: *
Aid to Dependent Children Aid to Families with Dependent Children (AFDC) was a federal assistance program in the United States in effect from 1935 to 1997, created by the Social Security Act (SSA) and administered by the United States Department of Health and Human Servi ...
provided federal matching grants for local and state mothers' aid programs. * Maternal and Child Health Care funded clinics, professional education, and medical care for needy children. * Crippled Children's Services created federal matching grants to help children with physical disabilities. * Child Welfare Services provided state grants to address the needs of dependent and neglected children. When the Social Security Act was signed in 1935, the Children's Bureau was granted authority to administer the last three of these programs. (Aid to Dependent Children was administered by the newly established Social Security Board.) The Bureau grew from distributing $337,371 in 1930 to dispensing nearly $11 million in grants by the end of the decade; its staff grew from 143 to more than 400. In the meantime, the Children's Bureau remained active in the campaign against child labor. In 1933, the
National Industrial Recovery Act The National Industrial Recovery Act of 1933 (NIRA) was a US labor law and consumer law passed by the 73rd US Congress to authorize the president to regulate industry for fair wages and prices that would stimulate economic recovery. It als ...
(NIRA) opened the door for the Bureau to establish industry-specific child labor codes and the first federal minimum age for full-time employment. The NIRA was declared unconstitutional by the Supreme Court in May 1935. Many of its provisions, however, were recreated in the
Fair Labor Standards Act The Fair Labor Standards Act of 1938 (FLSA) is a United States labor law that creates the right to a minimum wage, and " time-and-a-half" overtime pay when people work over forty hours a week. It also prohibits employment of minors in "oppre ...
passed three years later.


1940–1956

Throughout
World War II World War II or the Second World War (1 September 1939 – 2 September 1945) was a World war, global conflict between two coalitions: the Allies of World War II, Allies and the Axis powers. World War II by country, Nearly all of the wo ...
, the Children's Bureau continued to promote the well-being of U.S. children through activities such as developing standards for
day care Child care, also known as day care, is the care and supervision of one or more children, typically ranging from three months to 18 years old. Although most parents spend a significant amount of time caring for their child(ren), childcare typica ...
for children of working mothers and a campaign to focus attention on children's physical and emotional needs during the war. Meanwhile, the Bureau worked with the U.S. Committee for the Care of European Children to maintain a central register of unaccompanied
refugee A refugee, according to the United Nations High Commissioner for Refugees (UNHCR), is a person "forced to flee their own country and seek safety in another country. They are unable to return to their own country because of feared persecution as ...
children arriving in the United States, to oversee their placement with agencies and foster families, and to establish standards for their care. The Children's Bureau's wartime Emergency Maternity and Infant Care (EMIC) program provided for medical, hospital, and nursing care for wives and babies of men in the four lowest pay grades of the Armed Forces. At the time, EMIC was the largest federally funded medical care program ever undertaken in the United States, serving approximately 1.5 million women and babies between 1943 and 1949. In 1946, the Children's Bureau was folded into the Social Security Administration as part of a massive postwar reorganization of the federal government. In this reorganization, the Bureau lost authority over all labor-related programs. On September 4, 1951,
Martha May Eliot Martha May Eliot (April 7, 1891 – February 14, 1978), was a foremost pediatrician and specialist in public health, an assistant director for WHO, and an architect of New Deal and postwar programs for maternal and child health. Her first importan ...
became the Bureau's fourth Chief. In 1952, the Bureau formed the Special Juvenile Delinquency Project with foundations and other private partners interested in improving the prevention and treatment of delinquency. The Project sponsored public meetings and collaborated on a series of practice guides and professional standards. When the project ended in 1955, the Bureau's work in this area continued through a newly created Division of Juvenile Delinquency Service. The Children's Bureau's
grant-in-aid A grant-in-aid is money allocated from a central/state government to subnational governments to provide specific services or fund specific projects. Such funding is usually used when the government and the legislature decide that the recipient ...
programs grew significantly in the decade following World War II: * In maternal and child health, a growing emphasis was placed on preventing
premature births Preterm birth, also known as premature birth, is the birth of a baby at fewer than 37 weeks gestational age, as opposed to full-term delivery at approximately 40 weeks. Extreme preterm is less than 28 weeks, very early preterm birth is betwee ...
and preserving these fragile infants' health. * Bureau-funded programs helped to develop treatment options to keep children with disabilities within their own families, schools, and communities. The Crippled Children's Program expanded its reach to help children with
hearing loss Hearing loss is a partial or total inability to hear. Hearing loss may be present at birth or acquired at any time afterwards. Hearing loss may occur in one or both ears. In children, hearing problems can affect the ability to acquire spo ...
,
cerebral palsy Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, spasticity, stiff muscles, Paresis, weak muscles, and tremors. There may b ...
,
cleft palate A cleft lip contains an opening in the upper lip that may extend into the nose. The opening may be on one side, both sides, or in the middle. A cleft palate occurs when the palate (the roof of the mouth) contains an opening into the nose. The ...
,
burn A burn is an injury to skin, or other tissues, caused by heat, electricity, chemicals, friction, or ionizing radiation (such as sunburn, caused by ultraviolet radiation). Most burns are due to heat from hot fluids (called scalding), soli ...
s,
epilepsy Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
,
congenital heart defect A congenital heart defect (CHD), also known as a congenital heart anomaly, congenital cardiovascular malformation, and congenital heart disease, is a defect in the structure of the heart or great vessels that is present at birth. A congenital h ...
s, and other disabilities. * Beginning in 1946, federal child welfare funds began to support children in foster care. At the same time, a growing emphasis was placed on providing services, including homemaker services, to help keep families together.


1957–1968

President
Dwight D. Eisenhower Dwight David "Ike" Eisenhower (born David Dwight Eisenhower; October 14, 1890 – March 28, 1969) was the 34th president of the United States, serving from 1953 to 1961. During World War II, he was Supreme Commander of the Allied Expeditionar ...
named Katherine Oettinger the fifth Chief of the Children's Bureau on May 17, 1957. Oettinger's tenure as Chief (1957–1968) reflected a growing emphasis on preserving and strengthening families. Under her direction, the Bureau also advocated for greater protection for all parties in an adoption. It was during this period that the Bureau's first research and demonstration grants in child welfare were authorized. Early topics included methods for meeting the needs of disadvantaged preschool children and their families (a precursor to the
Head Start Program Head Start is a program of the United States Department of Health and Human Services that provides comprehensive early childhood education, health, nutrition, and parent involvement services to low-income children and families. It is the olde ...
), selection of foster parents, and the well-being of adopted children and their families. In 1962, amendments to the Social Security Act authorized the Children's Bureau to make its first child welfare training grants to institutions of higher education. The focus on maternal and infant health programs continued throughout the 1960s. The Children's Bureau provided early national leadership in the diagnosis and treatment of
phenylketonuria Phenylketonuria (PKU) is an inborn error of metabolism that results in decreased metabolism of the amino acid phenylalanine. Untreated PKU can lead to intellectual disability, seizures, behavioral problems, and mental disorders. It may also r ...
(PKU) to prevent mental retardation. Other special health care projects during this period included
prosthetics In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (congenital disorder). Prosthe ...
research, epilepsy treatment, and dissemination of
vaccines A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. The safety and effectiveness of vaccines has been widely studied and verified. A vaccine typically contains an ag ...
for
polio Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe ...
and other childhood diseases. The Children's Bureau also contributed to a growing awareness of
child abuse Child abuse (also called child endangerment or child maltreatment) is physical abuse, physical, child sexual abuse, sexual, emotional and/or psychological abuse, psychological maltreatment or Child neglect, neglect of a child, especially by a p ...
, or "battered child syndrome" as it was called in the early 1960s. The Bureau held meetings with experts and drafted a model statute that states could use to require doctors and hospitals to report suspected abuse. All states enacted some form of this law by the end of 1967. The Bureau also funded grants to research causes of child abuse and effective prevention methods. In January 1963, the Children's Bureau was moved from the Social Security Administration to the newly created Welfare Administration, reflecting a growing emphasis on coordination between child welfare services and the ADC program. In keeping with President
Lyndon B. Johnson Lyndon Baines Johnson (; August 27, 1908January 22, 1973), also known as LBJ, was the 36th president of the United States, serving from 1963 to 1969. He became president after the assassination of John F. Kennedy, under whom he had served a ...
's priorities, the Bureau's work on juvenile delinquency began to evolve into a focus on prevention and positive youth development. A Youth Services Unit was created in 1966 to encourage more proactive services to help youth transition successfully into adulthood. At the same time, the Children's Bureau continued to study ways to improve the effectiveness of juvenile court systems. In 1967, the Bureau released a revised version of its ''Standards for Juvenile and Family Courts''. These standards, emphasizing the importance of
due process Due process of law is application by the state of all legal rules and principles pertaining to a case so all legal rights that are owed to a person are respected. Due process balances the power of law of the land and protects the individual p ...
for youth offenders, were cited in the groundbreaking ''
in re Gault ''In re Gault'', 387 U.S. 1 (1967), was a landmark U.S. Supreme Court decision which held the Due Process Clause of the 14th Amendment applies to juvenile defendants as well as to adult defendants. Juveniles accused of crimes in a delinquency ...
'' decision that year.


1969–1979

On September 17, 1969, the Children's Bureau was moved to a new Office of Child Development (OCD) within the
Department of Health, Education, and Welfare The United States Department of Health and Human Services (HHS) is a Cabinet of the United States, cabinet-level United States federal executive departments, executive branch department of the federal government of the United States, US federal ...
's Office of the Secretary. At that time, many of the Bureau's responsibilities were assigned to other areas of the federal government. All health programs, including maternal and child health services, crippled children's services, maternity and infant care projects, and health research, were permanently relocated to the
Public Health Service The United States Public Health Service (USPHS or PHS) is a collection of agencies of the Department of Health and Human Services which manages public health, containing nine out of the department's twelve operating divisions. The Assistant Se ...
within the Health Services and Mental Health Administration. Today, these programs still exist within the
Maternal and Child Health Bureau The Maternal and Child Health Bureau (MCHB), is one of six Bureaus within the Health Resources and Services Administration, an agency of the U.S. Department of Health and Human Services located in Rockville, Maryland. MCHB administers the Titl ...
,
Health Resources and Services Administration The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services (HHS) headquartered in North Bethesda, Maryland. It is the primary federal agency for improving access to health care service ...
,
U.S. Department of Health and Human Services The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the US federal government created to protect the health of the US people and providing essential human services. Its motto is "Im ...
. The Children's Bureau continued to administer research but was no longer responsible for any direct service programs, including those related to juvenile delinquency, child welfare, or families in the
AFDC Aid to Families with Dependent Children (AFDC) was a federal assistance program in the United States in effect from 1935 to 1997, created by the Social Security Act (SSA) and administered by the United States Department of Health and Human Servi ...
program. This reorganization essentially narrowed the Bureau's focus to three areas: increasing the number of foster families, helping to find permanent families for children waiting for adoption, and preventing and addressing child abuse and neglect. In response to rising numbers of children in foster care, Children's Bureau grants during the 1970s investigated in-home services to strengthen families, family-centered casework, permanency planning, family reunification, the needs of children living with relatives, and how to remove barriers to adoption for children with special needs. The Bureau also examined the impact of workforce issues on the foster care system and supported a growing foster parents' movement through conferences and grants. In adoption policy, the Children's Bureau's focus shifted from finding children for families to finding parents for children. Increased attention was paid to the growing number of hard-to-place children, including those from minority groups, older children, children with disabilities, and sibling groups. The Bureau supported exploration of nontraditional adoption arrangements, such as cross-cultural, transracial, single-parent, and subsidized adoption. Passage of the
Child Abuse Prevention and Treatment Act The Child Abuse Prevention and Treatment Act (Public Law 93–247) of 1988 provides financial assistance for demonstration programs for the prevention, identification, and treatment of child abuse and neglect and to establish a National Center o ...
(CAPTA) of 1974 created a
National Center on Child Abuse and Neglect The National Center on Child Abuse and Neglect (NCCAN) is a national center that was established within the Children's Bureau, Department of Health and Human Services, an agency of the Federal government of the United States. It was created by the ...
(NCCAN) within the Children's Bureau. NCCAN centralized and coordinated the Bureau's growing focus on more effective child abuse prevention, research, state reporting laws, and systems.


1980–1992

President
Jimmy Carter James Earl Carter Jr. (October 1, 1924December 29, 2024) was an American politician and humanitarian who served as the 39th president of the United States from 1977 to 1981. A member of the Democratic Party (United States), Democratic Party ...
signed the Adoption Assistance and Child Welfare Act on June 17, 1980. This landmark law assigned the Children's Bureau additional responsibilities, including reporting to Congress on foster care placements, collecting and publishing data on foster care and adoption, and conducting regular audits of state child welfare programs. During President
Ronald Reagan Ronald Wilson Reagan (February 6, 1911 – June 5, 2004) was an American politician and actor who served as the 40th president of the United States from 1981 to 1989. He was a member of the Republican Party (United States), Republican Party a ...
's administration, there was a continued emphasis on family-based services, special needs adoption, and child abuse prevention. Some notable examples of the Bureau's projects during the 1980s include proclamations of the first National Child Abuse Prevention Month and National Adoption Week, establishment of a National Adoption Information Clearinghouse, and creation of the Children's Justice Act program to help states improve their handling of child abuse cases, with a particular emphasis on
child sexual abuse Child sexual abuse (CSA), also called child molestation, is a form of child abuse in which an adult or older adolescent uses a child for sexual stimulation. Forms of child sexual abuse include engaging in Human sexual activity, sexual activit ...
. Both of the Children's Bureau's present-day data collection systems, the Adoption and Foster Care Analysis and Reporting System (AFCARS) and the National Child Abuse and Neglect Data System (NCANDS), were developed during this period. Enhanced data collection resulted in a deeper understanding of the families and children affected by child abuse and neglect, foster care, and adoption. This led to legislative and policy changes during the late 1980s and early 1990s, including the establishment of a federal program to support independent living services for youth aging out of the foster care system without permanent families. In response to the
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
and crack cocaine epidemics, Congress created the Abandoned Infants Assistance program in 1988. On April 15, 1991, today's
Administration for Children and Families The Administration for Children and Families (ACF) is a division of the United States Department of Health and Human Services (HHS). It is headed by the assistant secretary of health and human services for children and families. It has a $49 bill ...
was created within the Department of Health and Human Services, encompassing ACYF and the Children's Bureau. The same year, NCCAN was moved out from within the Children's Bureau and became a separate entity within ACYF. Chiefs during this period included: * John Calhoun (1980–81) * Clarence E. Hodges (1981–84) * Dodie Truman Livingston (1984–89) * Wade Horn (1989–93)


1993–2000

President
Bill Clinton William Jefferson Clinton (né Blythe III; born August 19, 1946) is an American politician and lawyer who was the 42nd president of the United States from 1993 to 2001. A member of the Democratic Party (United States), Democratic Party, ...
signed the Family Preservation and Support Services Program Act on August 10, 1993, as part of the
Omnibus Budget Reconciliation Act of 1993 The Omnibus Budget Reconciliation Act of 1993 (or OBRA-93) was a federal law that was enacted by the 103rd United States Congress and signed into law by President Bill Clinton on August 10, 1993. It has also been unofficially referred to as the ...
(P.L. 103-66). The
family preservation Family preservation was the movement to help keep children at home with their families rather than in foster homes or institutions. This movement was a reaction to the earlier policy of family breakup, which pulled children out of unfit homes. Ex ...
program, administered by the Children's Bureau, authorized services to help families in crisis (such as
respite care __NOTOC__ In the field of healthcare, respite care is either planned care or temporary emergency healthcare that is provided to the caregiver(s) of a child patient or of an adult patient. In order to support and maintain the social health of the pr ...
and intensive in-home assistance), as well as other forms of
family support Family support is the support of families with a member with a disability, which may include a child, an adult, or even the parent in the family. In the United States, family support includes "unpaid" or "informal" support by neighbors, families, ...
and family reunification. P.L. 103-66 also established the Court Improvement Program, through which the Children's Bureau provides grants to improve state courts' handling of child welfare cases, and provided additional funds for states to improve their child welfare data collection systems. Growing awareness of the problem of child abuse and neglect, and particularly child deaths, resulted in many enhancements to prevention, investigation, and prosecution efforts. In 1996, the Children's Bureau created a new program, the Community-Based Family Resource and Support grants, to encourage public and private child abuse prevention and treatment programs to work together more effectively. In 1995, the Children's Bureau convened an Adoption Program Network to provide input on a new National Adoption Strategic Plan. Around the same time, President Clinton encouraged HHS to develop a plan for doubling the number of adoptions and permanent placements from foster care during the next five years. HHS responded by issuing a report, with the Bureau's assistance, that outlined a series of policy- and practice-related steps toward achieving this goal. These recommendations became the framework for the
Adoption and Safe Families Act The Adoption and Safe Families Act (ASFA, Public Law 105–89) was signed into law by President Bill Clinton on November 19, 1997, after having been approved by the United States Congress earlier in the month. Background ASFA was enacted in a ...
(ASFA, P.L. 105-89), signed by President Clinton on November 19, 1997. The Children's Bureau was tasked with helping states bring their laws and policies into compliance with this new federal law, which focused on timely permanence, child well-being, and increased accountability of child welfare systems. Assistant Secretaries during this period: * Laurence J. Love (1993) *
Mary Jo Bane Mary Jo Bane is an American political scientist who focuses on children and welfare. She is currently the Thornton Bradshaw Professor at Harvard Kennedy School, and formerly the Malcolm Wiener Professor of Social Policy and Director of the Malco ...
(1993-1996) * Olivia Golden (1997-2000)


2001-present

ASFA also required HHS to establish outcome measures to track State performance in protecting children. These measures were used in a series of annual reports on national outcomes for child welfare services, first published in 2000. The Child and Family Services Reviews (CFSRs), federal reviews of state child welfare systems based on these outcome measures, began in 2001. Findings from the first round of CFSRs provided more detailed information about states' strengths and needs, enabling the Bureau to create technical assistance and data collection systems more directly focused on areas of greatest need. Some examples include: * Creation of topical Quality Improvement Centers (QICs) and Regional Implementation Centers, and increasing coordination among its network of National Resource Centers and Clearinghouses. * Creation of a data collection system to track state independent living services for youth (the National Youth in Transition Database, NYTD, established in October 2010). * Launch of AdoptUSKids, a comprehensive program to increase adoption opportunities for children in foster care. It includes a national photolisting website, training and technical assistance to states and tribes, and a national recruitment campaign, among other elements. In 2003, to commemorate the 20th anniversary of the first Presidential Proclamation for Child Abuse Prevention Month, OCAN launched a yearlong National Child Abuse Prevention Initiative. Since then, support for child abuse prevention efforts has continued to expand, due in part to growing evidence that home visitation programs can effectively reduce maltreatment and improve outcomes for pregnant mothers and families with young children. In 2011, another child abuse prevention initiative kicked off at the Bureau's first Network for Action meeting. Children's Bureau initiatives have included the following: * Since 2000, the Children's Bureau has sponsored conferences and funded discretionary grants on the child welfare staffing crisis. It launched the National Child Welfare Workforce Institute in 2008. * In 2009, the Bureau funded a new National Resource Center for In-Home Services to support promising practices that can help children remain safely in their homes when their families are involved (or at risk of involvement) with the child welfare system. * In 2009 , the Bureau held its first Child Welfare Evaluation Summit to explore and promote effective approaches for evaluating child welfare systems, projects, and programs. * In 2010, the Children's Bureau awarded funding to implement the President's Initiative to Reduce Long-Term Foster Care, which seeks to improve outcomes for groups of children who face the greatest barriers to permanency. * In 2011, the Bureau sponsored a national meeting in partnership with the U.S. Department of Education to improve educational stability and outcomes for children in foster care. Assistant Secretaries during this period: * Diann Dawson (2001) * Wade Horn (2001-2007) * Daniel Schneider (2007-2008) * Curtis Coy (2009) * David Hansell (2009) * Carmen Nazario (2009-2010) * David Hansell (2010-2011) * George Sheldon (2011-2013) * Mark Greenberg (2014-2017) * Naomi Goldstein (2017) * Amanda Barlow (2017) * Steven Wagner ( 2017-2018) * Lynn A. Johnson (2018-2020) * Ben Goldhaber (2021) * JooYeun Chang (2021-2022) * Jennifer Cannistra (2022) * January Contreras (2022 - 2023) * Jeff Hild (2023-Present (Feb 2024)) * Jerry Milner (as Acting Commissioner) (2017 - 2020)


Centennial

On April 9, 2012, the Children's Bureau marked its 100th anniversary with a ceremony at the Hubert H. Humphrey Building in Washington, DC. HHS Secretary
Kathleen Sebelius Kathleen Sebelius (; née Gilligan, born May 15, 1948) is an American politician who served as the 21st United States secretary of health and human services from 2009 until 2014. As Secretary of Health and Human Services, Sebelius was instrumenta ...
, Acting Assistant Secretary for Children and Families George Sheldon, and Acting Associate Commissioner Joe Bock were among the speakers at the event. Former ACYF Commissioner Carol Wilson Spigner (Carol Williams) was given a Children's Bureau Centennial Award for her "extraordinary vision and leadership in the field of child welfare services."


Publications

In its early years, the Children's Bureau published voluminously on many topics related to children's health and well-being, and it distributed its publications very widely. A full bibliography is impossible here, but a
OpenLibrary search by author
gives some sense of the range of topics. Some of the Bureau's significant recent publications include the following:
Child Abuse and Neglect User Manual Series
(guides for professionals interested in preventing, identifying, and responding to child maltreatment)
Child Maltreatment reports
(annual reports of national statistics regarding reports of child abuse and neglect)
AFCARS reports
(national adoption and foster care statistics)
Child Welfare Outcomes reports
(annual reports to Congress assessing state performance in operating child protection and child welfare programs)
Children's Bureau Express
(monthly online digest)


See also

* Child Abuse Reform and Enforcement Act - law aiming to "promote the improvement of information on, and protections against, child sexual abuse * Child Welfare Information Gateway * Children's Act for Responsible Employment (CARE Act) - a bill (proposed law) to bring parity of labor conditions to minor field workers that are afforded to minors in other occupations. *
Maternalism Maternalism is the public expression of domestic values associated with motherhood. It centers on the language of motherhood to justify women's political activities, actions and validate state or public policies. Maternalism is an extension of "em ...
*
Maternalist Reform Maternalist Reforms in the United States were a series of progressive social reform laws passed beginning in the late 19th and early 20th centuries, focused on providing state assistance to mothers with young children lacking the financial sup ...
*
History of public health in the United States The history of public health in the United states studies the US history of public health roles of the medical and nursing professions; scientific research; municipal sanitation; the agencies of local, state and federal governments; and private phi ...


References


Further reading

* Abel, Emily K. "Benevolence and social control: Advice from the Children's Bureau in the early twentieth century." ''The Social Service Review'' (1994): 1-19
in JSTOR
* Abel, Emily K. "Correspondence between Julia C. Lathrop, Chief of the Children's Bureau, and a working-class woman, 1914-1915." ''Journal of Women's History'' 5#1 (1993): 79-88

* Almgren, Gunnar, Susan P. Kemp, and Alison Eisinger. "The legacy of Hull House and the Children's Bureau in the American mortality transition." ''Social Service Review'' 74.1 (2000): 1-27
in JSTOR
* Bradbury, Dorothy E. (1962). "Five Decades of Action for Children: A History of the Children's Bureau" (PDF). Washington, DC: Children's Bureau; Not online * * 5 vol of primary sources
Children's Bureau, U.S. Department of Health and Human Services. ''The Children's Bureau Legacy: Ensuring the Right to Childhood'' (Washington, DC: 2013)
* * Kemp, Susan P., et al. "Serving the "whole child": Prevention practice and the US children's bureau." ''Smith College Studies in Social Work'' 71.3 (2001): 475-499. * Ladd-Taylor, Molly. ''Raising a baby the government way: mothers' letters to the Children's Bureau, 1915-1932'' (Rutgers University Press, 1986).
Lieberman, Alice, & Kristine Nelson (eds). ''Women and Children First: The Contribution of the Children's Bureau to Social Work Education'' (Alexandria, VA: Council on Social Work Education, 2013)


*Lindenmeyer, Kriste. ''A Right to Childhood: The U.S. Children's Bureau and Child Welfare, 1912-46'' (Urbana: Univ. of Illinois Press, 1997). *Ladd-Taylor, Molly. ''Raising a Baby the Government Way: Mothers' Letters to the Children's Bureau 1915-1932'' (New Brunswick, NJ: Rutgers Univ. Press, 1986). *Gordon, Linda. ''Pitied But Not Entitled: Single Mothers and the History of Welfare, 1890–1935'' (New York: Free Press, 1994). Details reform efforts of the period, including the Children's Bureau and its long-term impacts.
Special Issue on the Centennial of the Children's Bureau
Journal of Family Strengths (2012)


External links

*
Children's Bureau Centennial
* * {{Authority control Child labor in the United States History of youth Children's Bureau History of women in the United States American women in politics Progressive Era in the United States 1912 establishments in the United States