DULCE

Creating family-centered, equitable access to critical supports


What We Work For

Developmental Understanding and Legal Collaboration for Everyone (DULCE) is transforming the way families experience health care. 

DULCE is an innovative approach based in the pediatric care setting that proactively addresses social determinants of health, promotes the healthy development of infants, and provides support to their parents, all during the precious and critical first 6 months of life. DULCE does this by introducing a Family Specialist trained in child development, relational practice, and concrete support problem solving into the pediatric care team. Family Specialists attend well-child visits with families and providers. They get to know the families, provide peer support, and then work with the DULCE Interdisciplinary Team to connect families with resources and support.

The DULCE Interdisciplinary Team is comprised of a Family Specialist, a medical provider, a Legal Partner, an early childhood systems representative, a mental health representative, a project lead, and a clinic administrator. By working to address the accumulated burden of social and economic hardship, DULCE—through the Interdisciplinary Team—reduces family stress, giving families more time and energy to bond with and care for their new child.

Many conditions contribute to stress, including poverty, inadequate housing, and lack of adequate nutrition, all of which are more likely to impact families with low income, families of color, and immigrants. We recognize that the social determinants of health are a result of inequities in the distribution of power and resources, rooted in a history of racist local, state, and federal policies. By utilizing community health models, accelerating access to justice, and advocating for systems change—all based on families’ needs—DULCE strives to create a more equitable distribution of power and resources and address inequitable systems that preclude families from living healthy lives.

DULCE is currently located in 13 sites across 3 states, with partners across the health, legal, and early childhood sectors and plans to continue national expansion. If you are interested in learning more about DULCE, please click the tabs below or contact our experts.

 

DULCE employs a strength-based approach to help parents navigate the challenges of caring for babies, raising healthy children, and advocating for what they need. We are transforming the way families experience the health care system, starting with their baby’s first routine medical visit. Families develop a relationship with a DULCE Family Specialist, who helps them navigate supports and creates the conditions for healthy development. By prioritizing parent-identified needs, connecting them to support, and building trusting relationships, parents get the support they need to raise healthy children and advocate for their well-being.

DULCE embodies a belief that all children and families should have the support they need for healthy development. The DULCE approach includes:

An existing community-based, early childhood organization which coordinates care and brings together early childhood, legal, and health care experts to connect families to complementary resources and support.

Well-trained, supervised Family Specialists. A critical part of the primary care team, Family Specialists are trained in relational approaches to family-centered care and provide direct support, fostering a trusting relationship with families and building parents’ confidence.

A team that honors families’ needs and priorities. Parents know their families best. The DULCE Interdisciplinary Team reviews cases weekly, problem-solves together, and ensures families are connected to services by working with parents on what their families need most.

A Legal Partner integrated as a member of the DULCE Interdisciplinary Team. This helps children and families get the comprehensive services for which they qualify and improve the functioning of systems for the broader community.

Clinics are located in communities that can benefit most. All families in the clinic are invited to participate in DULCE. This universal approach minimizes stigma and recognizes that all families need support during this first phase of their child’s life.

The model was co-developed by Robert Sege, M.D., Ph.D., now at Tufts Medical Center, and Samantha Morton, CEO, MLPB. It is grounded in the compelling findings from a randomized controlled trial (RCT) conducted at Boston Medical Center in 2010-13. DULCE has a statistically significant impact on enrolled children and families, as well as the clinics that serve them. Results from the RCT published in Pediatrics in 2015 found that DULCE resulted in:

  • Accelerated access to concrete supports. DULCE families secured supports for which they were eligible at roughly twice the pace of control families.
  • Better completion rates for well-child visits and immunizations.
  • Reduced use of emergency room care by DULCE families.

As DULCE expands to more sites, more families will be connected to the support they need for their children to get a healthy start.

We Know DULCE Works:

  • 98% of families choose to enroll in DULCE
  • 87% of families complete DULCE

Partners implementing and installing DULCE can access the Partner Portal for resources, call recordings, community reports, and other relevant technical assistance materials.

Visit Partner Portal

Our Experts

Stephanie Doyle

Stephanie Doyle

Senior Associate
Contact:
She, Her, Hers
stephanie.doyle@cssp.org
SEE FULL PROFILE  
Azieb Ermias

Azieb Ermias

Program Manager
Contact:
She, Her, Hers
azieb.ermias@cssp.org
SEE FULL PROFILE  
Pasty Hampton

Patsy Hampton

Senior Associate and Director, EC-LINC
Contact:
She, Her, Hers
patsy.hampton@cssp.org
SEE FULL PROFILE