Children account for 73.5 million Americans (24%), but 8% of federal expenditures. Data on health and health care indicate that child well-being in the United States has been in decline since the most recent recession. Childhood poverty has reached its highest level in 20 years, 1 in 4 children lives in a food-insecure household, 7 million children lack health insurance, a child is abused or neglected every 47 seconds, and 1 in 3 children is overweight or obese. Five children are killed daily by firearms, 1 in 5 experiences a mental disorder, racial/ethnic disparities continue to be extensive and pervasive, and major sequester cuts and underfunding of pediatric research have damaged our global leadership in biomedical research and hobbled economic growth. In this analysis, we identify 10 urgent priorities for the health and health care of US children, including poverty, food insufficiency, lack of health insurance, child abuse and neglect, overweight and obesity, firearm deaths and injuries, mental health, racial/ethnic disparities, immigration, and research. Overwhelming, bipartisan support by voters exists for enhancing our nation's investments in children's health and well-being. Federal policy action steps are proposed to successfully address these priorities and ensure a healthy, productive future for US children and the nation.

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Objective: Children and young people with an intellectual disability (ID) have complex needs which are best addressed through strong partnerships between the family and carers, health, education, disability services and other agencies. The SchoolKit® Clinic project is an initiative of the Metro-Regional Intellectual Disability Network (MRID.net) based on nearly three decades of provision of multidisciplinary 'clinics' conducted in the school setting. The SchoolKit® Clinic model provides interagency assessment and care planning in the naturalistic setting of the school optimising trust, open communication and collaborative processes, and allowing observation and involvement of the student in a familiar environment with minimal disruption to their routine. The SchoolKit® web-based multimedia resource toolkit provides the guiding principles, tools and resources for anyone who wishes to develop and establish SchoolKit Clinics in their community. This presentation will outline the model and introduce the online resource. Methods:The SchoolKit® Clinic model was based on the longstanding collaboration between the Kogarah Developmental Assessment Service (NSW Health) and Cairnsfoot Special School (NSW Department of Education and Communities) in the running of school-based health clinics. A collaborative, partnership approach with families, the school, specialist service providers and other government and non-government services was used to inform all aspects of current practise. Key features of the model were:• Multidisciplinary, interagency assessment and care planning meetings held at, and facilitated by, a child's school to support children and adolescents with disability and complex health and educational needs World Congress on Integrated Care 2014, Sydney, November 23-26, 2014.