2022 Edition

Child and Family Development and Support Services (CA-CFD) 8: Health Services

Families are educated about health-related topics, and linked to health services that promote positive child development and the health of all family members.

NA The organization does not provide health services.




  Child and Family Development and Support Services promote positive parenting; support children's health and safety; strengthen parent-child relationships; improve family functioning and self-sufficiency; and enhance parental health, well-being, and life course development.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Community resource and referral list
  • Contracts or service agreements with community providers, if applicable
  • Educational/informational materials
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review case records


CA-CFD 8.01

Families are helped to understand issues and factors relevant to child and parent health. 

Examples: Topics relevant to parent health may include, but are not limited to: 

  1. the importance of obtaining preventive medical and dental care; 
  2. good preventive health practices, such as eating healthfully, exercising, reducing substance use, and preventing disease; and 
  3. family planning. 

Topics relevant to child health may include, but are not limited to: 

  1. physical care of the child; 
  2. nutrition and feeding, including the benefits of breastfeeding; 
  3. the importance of well-child visits, including immunizations; 
  4. environmental safety and injury prevention, including childproofing, child supervision, and safe practices for sleeping and bathing; and 
  5. child development milestones. 

Some programs may also work with parents to track, review, and support children’s progress toward achieving developmental milestones.

Fundamental Practice

CA-CFD 8.02

Families are linked to the following health services, as needed:

  1. ongoing health care for adults and children, including routine medical checkups, immunizations, and specialty care;
  2. diagnosis and treatment of health problems;
  3. dental care;
  4. mental health care, including information, screening, and treatment for postpartum depression;
  5. early intervention services;
  6. information and education about pregnancy planning and prevention, including linkages to family planning services; and
  7. services for substance use conditions.

Note: Organizations that provide early intervention services directly will also demonstrate implementation of CA-CFD 9: Early Intervention Services.

Fundamental Practice

CA-CFD 8.03

Expectant parents are linked to the following healthcare services, as needed:

  1. prenatal care;
  2. genetic risk identification and counselling services;
  3. labour and delivery services;
  4. nutrition services;
  5. information, screening, and treatment for prenatal depression; and
  6. postpartum care.
NA The organization does not serve expectant parents.


CA-CFD 8.04

Families are helped to register for health care, as needed, and receive information about other options for care, such as alternative health services.