Community and Public Health Environmental Initiative (CPHEI)

a nursing student working in a community garden with young children

Leading the fight for a healthy, safe environment for children in Maryland

The Community and Public Health Environmental Initiative (CPHEI) is a part of the University of Maryland School of Nursing’s Department of Family and Community Health. CPHEI provides health oversight for children and families served by Baltimore City Early Head Start (EHS), Head Start (HS), and Patty Center – Family Support Programs (formerly known as Family Support Centers). Graduate and undergraduate nursing students, under the supervision of licensed faculty and staff, conduct well-child physical exams and developmental screenings, health screenings, child health record reviews, and child, parent, and staff health education.

What We Do:

To support the health of children in Early Head Start, Head Start, and Patty Center – Family Support Programs, and their families, we offer:

  • Well Child Exams and Developmental Screenings, through partnership with University of Maryland School of Nursing’s FNP / PNP program
  • Hearing and Vision Screenings  
  • Blood Pressure Screenings
  • Height, Weight, Body Mass Index and Head Circumference screenings  
  • Health history and chart reviews to ensure compliance with the state’s Early and Periodic Screening, Diagnostic and Treatment (EPSDT) schedule (Healthy Kids program). 
  • Health education workshops for parents, children, and staff
  • Support for Eco-Healthy Child Care® endorsements for EHS, HS, and Patty Center – Family Support Programs
  • Identification of high-risk children, development of care plans, and referrals for follow-up care
  • Dental screenings, through partnership with the University of Maryland School of Dentistry
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2,000+

health screenings for children

including hearing, vision, height, weight, and blood pressure checks

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40+

Eco-Healthy Child Care® endorsements

at Early Head Start and Head Start centers that are now using eco-healthy best practices

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450+

classes and workshops

for children, parents, and staff of Early Head Start and Head Start Centers

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2,600+

Well Child Exams

provided to date; we provide free, confidential exams and screenings

More Information:

Mission and Vision

Mission:

To improve the environmental health and health oversight for children enrolled in Maryland Early Head Start (EHS), Head Start (HS), and Patty Center - Family Support Programs and their families.   

Vision:  

To integrate health and wellness into high quality early child care and education programs including Early Head Start, Head Start, and Patty Center - Family Support Programs.

Project History

Bar chart of student involvement with CPHEI by program. MSN-E, DNP FNP, BSN, RN-to-BSN, DNP PNP, MSN, MPHFunding for the CPHEI began in 2016 with a gift to UMSON from the Mary Catherine Bunting Foundation. UMSON and the Maryland Family Network (MFN), the largest grantee of EHS funds in Maryland, have worked in partnership to provide direct and indirect nursing services to EHS and Head Start (HS) centers in Baltimore City.

UMSON students earning their bachelor's, master’s, and doctoral degrees provide health oversight and nursing services to children, their families, and staff members in EHS and HS programs.

Over 800 nursing students have participated in programming through the fall of 2025.

Faculty and Staff

Faculty 

Laura Allen, DNP, MA, RN, NEA-BC - Faculty Advisor

Robyn Gilden, PhD, RN - Faculty Advisor

Staff

Margret Schnitzer, MSW - Program Manager

Funders and Partners

Current and Past Funders

Partners

Toolkit for EHS, HS, and FSCs

We compiled a toolkit with protocols for the different nursing services we provide to EHS, HS, and FSCs.  Also included are samples of several of the forms and letters we use to document our work and communicate with families and staff. 

For toolkit access, please email Margret Schnitzer: mschnitzer@umaryland.edu.

The toolkit is provided at no cost.

Contact Us

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About the Eco-Healthy Child Care (EHCC)® Program

Eco-Healthy Child CareWe at CPHEI understand that children’s surroundings, including the air they breathe, the water and food they consume, and where they live, learn, and play, influence their health. That is why we have chosen to implement the EHCC® program in CPHEI-affiliated EHS, HS, and Patty Center - Family Support Programs.  

The national, award-winning program is sponsored by the Children’s Environmental Health Network (CEHN). Child care facilities receive an endorsement as "Eco-Healthy" after meeting criteria based on environmental health best practices. 

The EHCC® program is endorsed by Maryland Excels.  CPHEI provides education and technical support for early care and education facilities interested in receiving endorsements. 

More Information: